Average Medicaid Office Visit Payments in Sanford, ME: $37.53
Avg. Paid
$37.53
Range
$19.92 – $100.65
Total Claims
80,495
Providers
62
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 Sanford, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Noah Boutin
272 Cottage St |
$43.83 | 12 | 12 |
|
Nicholas Joseph Morris
25A June St Ste 111 |
$56.63 | 13 | 13 |
|
Brett Cole
1047 Main St |
$37.82 | 13 | 13 |
|
Daniel Adams Brink
1047 Main St |
$35.50 | 28 | 25 |
|
Moheera Athar
272 Cottage St |
$29.94 | 36 | 26 |
|
Zenab Shaikh
25A June St |
$30.01 | 43 | 42 |
|
Stacia Stickney
1420 Main St |
$74.12 | 43 | 42 |
|
Steven J Schneider
25A June St |
$26.54 | 76 | 70 |
|
Richard S Tockman
25A June St |
$27.05 | 76 | 75 |
|
Jennifer Marie O'Connor
25 June St |
$49.92 | 82 | 70 |
|
Amanda Dahlgren
1420 Main St |
$81.09 | 137 | 123 |
|
Carol H Aspinall
25A June St |
$26.96 | 137 | 134 |
|
Harendra N Patel
27 June St |
$40.48 | 143 | 137 |
|
Christian Thomas Sorenson
25A June St |
$44.73 | 218 | 203 |
|
Amit Sanyal
27 Industrial Ave Ste 101 |
$33.47 | 222 | 182 |
|
Jennifer Paquette
25A June St Ste 111 |
$39.99 | 225 | 209 |
|
George N Batty
27 Industrial Ave Ste 101 |
$41.76 | 229 | 182 |
|
Jenna Jaunich
27 Industrial Ave Ste 101 |
$49.68 | 235 | 193 |
|
Lisa E Sjodin-Feldman
Smhc Sanford Behavioral Health Unit |
$88.87 | 235 | 211 |
|
Mary B. O'Malley
Smmc, Dept Of Psychiatry |
$19.97 | 249 | 154 |
|
Shawnda Lyn Williams
1474 Main St |
$46.27 | 264 | 254 |
|
Andrea Thomas
1420 Main St |
$71.57 | 455 | 414 |
|
Sara Jane Erickson
1474 Main St |
$30.30 | 472 | 437 |
|
Rachel Zinns
25 June St |
$38.86 | 486 | 394 |
|
Brittany Whitaker
25A June St |
$42.34 | 488 | 473 |
|
Vanessa Pepin
25A June St |
$38.97 | 524 | 494 |
|
Maureen Brooks
25A June St Ste 111 |
$26.82 | 554 | 528 |
|
Rebecca Ann Rose
25A June St Ste 11 |
$38.88 | 636 | 625 |
|
John B Mcguckin
14 Winter St |
$49.03 | 664 | 566 |
|
Shelly Ann Miller
25 June Street |
$19.92 | 727 | 594 |
|
Corinne Grant
25A June St Ste 111 |
$28.41 | 791 | 762 |
|
Caren Kachoris
866 Main St |
$63.19 | 821 | 771 |
|
Sarah D. Shepherd
25 June St |
$31.77 | 841 | 773 |
|
Cara Lavertu
25A June St Ste 111 |
$34.65 | 957 | 926 |
|
Robin D Howard
25A June St |
$30.29 | 1,013 | 970 |
|
Steven Petrin
25 June St |
$29.00 | 1,014 | 960 |
|
Brooke Butterfield
25A June St |
$38.40 | 1,017 | 804 |
|
Amanda Reavis Gibson
25A June St Ste 111 |
$54.84 | 1,212 | 1,093 |
|
Meryl Richardson Levesque
1420 Main St |
$71.02 | 1,221 | 1,043 |
|
Philip Christian Russell
25 June St |
$100.65 | 1,237 | 948 |
|
Marco Cornelio
25A June St Ste 111 |
$68.76 | 1,256 | 1,161 |
|
Nicole A Brzezinski
25 June St |
$27.89 | 1,264 | 1,186 |
|
Bronna L Eckelman
25A June Street |
$26.99 | 1,344 | 1,239 |
|
Rebecca L Eisenberg
27 Industrial Ave Ste 101 |
$32.48 | 1,395 | 1,134 |
|
Andrea Lynn Eng
25A June St |
$27.54 | 1,692 | 1,666 |
|
Frank Scott Goudreau
25A June St Ste 16 |
$20.95 | 1,759 | 1,676 |
|
Nancy J Marshall
272 Cottage Street |
$33.48 | 1,907 | 1,850 |
|
Cora Reny
25A June St |
$45.91 | 2,131 | 1,744 |
|
Marcialee Ledbetter
25 June St |
$93.11 | 2,144 | 1,883 |
|
Spiros P Lazos
25A June St Ste 111 |
$36.53 | 2,221 | 2,148 |
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 Sanford, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sanford, ME is $37.53 per claim, based on 80,495 claims from 62 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 Sanford, ME?
There are 62 Medicaid providers offering Office Visit related services in Sanford, ME according to public payment data.
What is the price range for Office Visit in Sanford, ME?
Medicaid reimbursement for Office Visit in Sanford, ME ranges from $19.92 to $100.65 per claim, with an average of $37.53. 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 Sanford, ME
Case Management Services
Avg $69.05
175,299 claims
Eye Exam
Avg $27.77
22,762 claims
Substance Abuse Treatment
Avg $107.56
18,754 claims
Ambulance Transport
Avg $107.50
16,948 claims
Chiropractic Care
Avg $16.25
15,937 claims
Physical Therapy
Avg $37.80
11,105 claims
Speech Therapy
Avg $15.51
10,738 claims
Emergency Room Visit
Avg $53.44
8,394 claims