Average Medicaid Office Visit Payments in Saco, ME: $38.29
Avg. Paid
$38.29
Range
$4.03 – $99.87
Total Claims
51,702
Providers
52
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Saco, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alexis M Mccrossin
13 Industrial Park Rd |
$42.98 | 14 | 13 |
|
Kathryn Anne Stefos
13 Industrial Park Rd |
$54.12 | 15 | 12 |
|
Yvonne L. Decory
120 Main St Ste 110 |
$54.22 | 27 | 27 |
|
Donna C Kim
13 Industrial Park Road |
$37.33 | 28 | 27 |
|
Mark H Rolerson
13 Industrial Park Rd |
$26.86 | 28 | 27 |
|
Ross Hanley
655 Main St |
$30.64 | 29 | 29 |
|
Kathleen Burgoyne
13 Industrial Park Rd |
$52.59 | 32 | 31 |
|
Hannah M Markham
506 Main St |
$99.87 | 69 | 67 |
|
Marc Kaplan
50 Moody St |
$34.09 | 84 | 82 |
|
Ashley A Cardurns
15 Moody St |
$47.94 | 90 | 82 |
|
Nicole Gallagher Gosselin
13 Industrial Park Rd |
$52.66 | 128 | 124 |
|
Scott Andrew Tucker
15 Lund Rd |
$4.03 | 132 | 102 |
|
Allison Charlton
506 Main St |
$27.98 | 202 | 194 |
|
Alec Walker
13 Industrial Park Rd |
$30.84 | 221 | 185 |
|
Bradley Smith
13 Industrial Park Rd |
$29.62 | 221 | 216 |
|
Courtney Matthews
655 Main St |
$47.81 | 244 | 233 |
|
Tyler Atkinson
13 Industrial Park Rd |
$36.91 | 294 | 274 |
|
Judy Welch
9 Beach St |
$34.78 | 299 | 233 |
|
Kristen L Barbee
655 Main Street |
$36.56 | 303 | 259 |
|
Rachael Bernice Pillar
13 Industrial Park Rd |
$25.62 | 397 | 375 |
|
Lauren E Edwards
506 Main St |
$48.22 | 449 | 432 |
|
Kaylen Marie Dowe
506 Main St |
$82.16 | 450 | 437 |
|
Marie A. Paschke
50 Moody St |
$45.46 | 505 | 465 |
|
Eric I Muca
333 Lincoln St |
$22.74 | 554 | 461 |
|
Amber Lee Roy
655 Main St |
$45.34 | 617 | 592 |
|
Alan Potyk
13 Industrial Park Rd |
$29.24 | 636 | 619 |
|
Jessica Cyr
655 Main St |
$43.00 | 639 | 625 |
|
Jodi E Ryan
13 Industrial Park Rd |
$29.82 | 673 | 636 |
|
Matthew D Stevens
13 Industrial Park Road |
$25.39 | 725 | 677 |
|
Robert Cole Hurley
13 Industrial Park Rd |
$29.43 | 739 | 699 |
|
Andrea M Wright
13 Industrial Park Rd |
$30.73 | 765 | 748 |
|
Tanya Fedyshyn
506 Main St |
$82.49 | 877 | 780 |
|
Emily Cashman
655 Main Street |
$27.12 | 882 | 872 |
|
Donna L Piccininni
50 Moody St |
$15.03 | 997 | 868 |
|
Cortney Elizabeth Lessard
655 Main St |
$31.94 | 1,019 | 998 |
|
Marisa L Burla
13 Industrial Park Rd |
$34.02 | 1,026 | 989 |
|
Pamela W Travis
13 Industrial Park Rd |
$27.62 | 1,247 | 1,204 |
|
Kelli Megan Nicole Huth
655 Main St |
$39.77 | 1,304 | 1,258 |
|
Allison Talon
15 Lund Rd |
$81.83 | 1,312 | 1,241 |
|
Jean Marie Ball
506 Main St |
$41.80 | 1,409 | 1,186 |
|
Patrick L Pine
655 Main St |
$65.24 | 1,450 | 1,259 |
|
Brian Paul Philippe
655 Main St |
$41.79 | 1,531 | 1,495 |
|
Alison H Kopelman
655 Main St |
$37.02 | 1,976 | 1,863 |
|
Philip Kowash
13 Industrial Park Rd |
$22.13 | 2,285 | 2,171 |
|
Veronica Crowder
655 Main St |
$45.01 | 2,297 | 2,220 |
|
Paige E Wilder
506 Main St |
$13.88 | 2,363 | 1,921 |
|
Robert A Faucette
4 Scammon St |
$41.09 | 2,437 | 2,099 |
|
Kristina A Barbaro
13 Industrial Park Road |
$32.96 | 2,852 | 2,794 |
|
William L Haith
506 Main St |
$49.33 | 2,999 | 2,446 |
|
Catherine Gisele Boucher-Cornelio
13 Industrial Park Rd |
$25.89 | 3,019 | 2,870 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Saco, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Saco, ME is $38.29 per claim, based on 51,702 claims from 52 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Saco, ME?
There are 52 Medicaid providers offering Office Visit related services in Saco, ME according to public payment data.
What is the price range for Office Visit in Saco, ME?
Medicaid reimbursement for Office Visit in Saco, ME ranges from $4.03 to $99.87 per claim, with an average of $38.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Saco, ME
Substance Abuse Treatment
Avg $78.28
205,073 claims
Home Health Visit
Avg $129.92
154,918 claims
Behavioral & Mental Health Therapy
Avg $269.66
127,925 claims
Physical Therapy
Avg $27.73
77,193 claims
Speech Therapy
Avg $46.41
18,640 claims
Case Management Services
Avg $178.71
18,056 claims
Podiatry (Foot Care)
Avg $9.01
16,003 claims
Ambulance Transport
Avg $89.60
13,980 claims