Average Medicaid Office Visit Payments in Scarborough, ME: $47.95
Avg. Paid
$47.95
Range
$0.82 – $251.99
Total Claims
105,667
Providers
184
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 Scarborough, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kristen Lynn Honsinger
92 Campus Dr Ste C |
$53.84 | 11,023 | 10,811 |
|
Jessica Carol Doughty
175 Us Route 1 |
$46.90 | 2,949 | 2,207 |
|
Peter Frederick Morrison
49 Spring St |
$73.91 | 2,905 | 2,840 |
|
Thomas Q Reynolds
49 Spring St |
$59.12 | 2,698 | 2,639 |
|
Micah Gordon Malenfant
15 Pleasant Hill Rd Ste 204 |
$70.10 | 2,695 | 2,472 |
|
Jason Alan Helis
49 Spring St |
$46.77 | 2,641 | 2,593 |
|
Rahfa Kurdi Zerikly
175 Us Route 1 |
$25.22 | 1,908 | 1,815 |
|
Bryan Andrew Lamoreau
49 Spring St Ste 101 |
$33.75 | 1,787 | 1,690 |
|
Eric Mukai
96 Campus Dr |
$30.63 | 1,738 | 1,587 |
|
Nicole Cherbuliez
96 Campus Dr |
$45.05 | 1,734 | 1,656 |
|
Heidi L Henninger
49 Spring St |
$42.90 | 1,721 | 1,668 |
|
Stephen D. Rioux
49 Spring Street |
$70.20 | 1,632 | 1,604 |
|
Mark M Durcan
273 Payne Rd |
$57.65 | 1,614 | 1,448 |
|
Sean Tyler O'Sullivan
153 Us Route 1 |
$51.19 | 1,545 | 1,413 |
|
Catherine P Sexton
175 Us Route 1 |
$39.41 | 1,519 | 1,483 |
|
Sara M Hoffman
153 Us Route 1 |
$50.32 | 1,516 | 1,434 |
|
Brandy M Mckenney
69 Us Route 1 |
$31.99 | 1,426 | 1,351 |
|
Claudia Winograd Heise
20 Mussey Rd |
$40.38 | 1,409 | 1,203 |
|
Marissa P Tardif
92 Campus Dr Ste B |
$36.09 | 1,362 | 1,116 |
|
Amelia Kristine Sponseller
153 Us Route 1 |
$52.39 | 1,336 | 1,268 |
|
Suzette Elizabeth Cyr
71 U.S. Route 1 |
$15.20 | 1,332 | 1,206 |
|
Alexa K Craig
49 Spring St |
$59.18 | 1,322 | 1,289 |
|
Aaron R Weiss
100 Campus Drive |
$90.40 | 1,281 | 1,176 |
|
Liana Belle Kelly
175 Us Route 1 |
$26.86 | 1,255 | 1,192 |
|
Erik N Steele
153 Us Route 1 |
$61.75 | 1,246 | 1,170 |
|
Christine Louise Twining
175 Us Route 1 |
$25.77 | 1,224 | 1,184 |
|
Peter G Amann
96 Campus Dr |
$39.93 | 1,202 | 1,155 |
|
Sheri R. Clark
153 Us Route 1 |
$70.27 | 1,164 | 1,058 |
|
Dylan Atchley
300 Professional Dr |
$37.24 | 1,137 | 1,065 |
|
Eric C Larsen
100 Campus Dr |
$73.62 | 1,131 | 979 |
|
Thomas Charles Hopkins
153 Us Route 1 |
$89.66 | 1,062 | 995 |
|
Julius Damion
144 Us Route 1 |
$25.89 | 1,056 | 987 |
|
John Birknes
49 Spring St |
$48.72 | 1,052 | 1,014 |
|
Megan Elizabeth Smetana
71 Us Route 1 Ste C |
$69.23 | 1,026 | 1,013 |
|
Kaitlin Minnehan
300 Professional Dr |
$45.06 | 1,022 | 964 |
|
Megan Frances Selvitelli
49 Spring St |
$39.34 | 1,010 | 992 |
|
Benjamin Frederick Branch
49 Spring St |
$42.30 | 988 | 961 |
|
Thomas Sze Savadove
92 Campus Dr Ste A |
$33.10 | 988 | 946 |
|
Peter Tioseco Ocampo
25 Plaza Dr |
$33.64 | 987 | 926 |
|
Alison E Cameron
15 Pleasant Hill Rd Ste 204 |
$79.96 | 950 | 888 |
|
Sarah Elizabeth Gallo
144 Us Route 1 Ste 4 |
$75.07 | 927 | 871 |
|
Sarah Grace Baccay Alvarez
153 Us Route 1 |
$48.04 | 924 | 870 |
|
Kristen Alyse Scopaz
20 Mussey Rd |
$56.12 | 869 | 827 |
|
Heidi Michelsen Golden
175 Us Route 1 |
$36.16 | 858 | 838 |
|
Bridgid Neptune
100 Campus Dr Unit 107 |
$37.49 | 851 | 818 |
|
David Taplinger
49 Spring St |
$34.73 | 846 | 822 |
|
Megan Mclellan Abbott
92 Campus Dr Ste C |
$32.47 | 837 | 807 |
|
Stanley Chaleff
100 Campus Dr |
$83.06 | 809 | 610 |
|
Paul W Sweeney
96 Campus Dr |
$29.60 | 777 | 716 |
|
Kathryn Michaud
153 Us Route 1 |
$48.62 | 771 | 729 |
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 Scarborough, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Scarborough, ME is $47.95 per claim, based on 105,667 claims from 184 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 Scarborough, ME?
There are 184 Medicaid providers offering Office Visit related services in Scarborough, ME according to public payment data.
What is the price range for Office Visit in Scarborough, ME?
Medicaid reimbursement for Office Visit in Scarborough, ME ranges from $0.82 to $251.99 per claim, with an average of $47.95. 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 Scarborough, ME
Blood Work & Lab Tests
Avg $5.56
884,343 claims
Case Management Services
Avg $59.61
154,080 claims
Home Health Visit
Avg $86.71
126,047 claims
EKG / ECG (Electrocardiogram)
Avg $4.42
105,137 claims
Non-Emergency Medical Transportation
Avg $15.21
93,962 claims
Ambulance Transport
Avg $100.78
81,368 claims
Urinalysis & Urine Tests
Avg $2.71
48,637 claims
Culture & Microbiology Tests
Avg $4.76
40,534 claims