Based on public Medicaid payment data.

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
Paige J Lapointe 100 Campus Dr Unit 121	$60.81	12	12
Jeffrey A. Rosenblatt 96 Campus Drive	$32.40	12	12
Molly E Montgomery 96 Campus Dr	$32.93	12	12
Samuel E Umbriaco 96 Campus Dr	$19.09	12	12
Robert D Ecker 49 Spring St	$25.37	12	12
Ashley Anne Solomon 100 Campus Dr Unit 125	$72.17	12	12
Gary M Hochheiser 100 Campus Dr	$78.80	12	12
Jennifer L. Hillstrom 96 Campus Drive	$22.19	12	12
Paul L Muscat 49 Spring St	$21.58	12	12
Katherine Christine Mcdonald 300 Professional Dr Ste 2B	$61.41	12	12
Daniel W Cuozzo 71 Us Route 1 Ste J	$2.27	13	13
Walter L Novey 27 Inspiration Dr	$20.62	13	12
Lila M Martin 96 Campus Dr Ste 1	$31.42	13	12
Katharine Kennesaw Richards 96 Campus Dr	$12.62	13	12
John Richard Ogorek 300 Professional Dr Ste 2B	$34.37	14	12
Louis C. Coyle 96 Campus Drive	$22.10	14	12
Eileena Newton 92 Campus Dr Ste B	$46.83	14	12
Tiffani Brooke Wenck 92 Campus Dr Ste A	$39.32	15	13
Jared Matthew Roy 96 Campus Dr	$14.61	15	12
Mary E. Gamache 100 Campus Dr Ste 125	$29.09	15	13
Angela Young Higgins 96 Campus Dr	$31.46	15	15
Mylan C. Cohen 96 Campus Drive	$39.21	15	15
Julia Elizabeth Bieber 300 Professional Dr Ste 2B	$45.84	17	16
Dana Marilyn Twombly 96 Campus Dr	$35.49	19	19
Karl C. Sze 96 Campus Drive	$28.85	19	18
Andrew C Corsello 96 Campus Dr	$23.37	21	12
Rajiv D. Desai 49 Spring St	$56.20	24	24
Thomas J Ryan 96 Campus Dr	$23.67	25	24
Daniel S Oppenheim 175 Us Route 1	$29.85	26	25
Caitlin E Willard 49 Spring St Ste 101	$35.81	27	26
Tristan Danielle Tobias 153 Us Route 1	$64.17	27	27
Abraham Abernethy 96 Campus Dr Ste 1	$25.46	27	24
Elaine M Cadorette 438 Us Route 1	$74.90	28	28
Lily Jinling Wang 92 Campus Dr Ste D	$17.96	28	27
Wendy J. Johnston 49 Spring St	$34.85	28	24
Robert Bender 96 Campus Dr	$14.68	30	29
Kathryn Anne Ryan 96 Campus Dr	$52.90	31	31
Shellie Hafer 175 Us Route 1	$44.51	33	26
Christine M Freme 96 Campus Dr	$47.46	33	32
Loretta A Hothersall 71 Us Route 1 Ste J	$37.79	34	25
Maxine C Guay 49 Spring Street	$35.38	37	37
Charles M Carpenter 96 Campus Drive	$36.58	40	38
Joseph N. Wight 96 Campus Drive	$39.21	41	38
John Pier 49 Spring St	$43.29	43	42
Erin Sandy Gallagher 100 Campus Dr Ste 125	$21.50	48	45
Jason A Lachance 102 Campus Dr	$15.77	49	49
Marijana Mitrovic 144 Us Route 1 Ste 4	$1.83	49	14
Ashley M Jean 100 Campus Dr Unit 107	$71.41	54	52
Lillian R Mandl Maine Comprehensive Pain Management, P.C.	$54.74	57	47
Thomas A Miller 71 Us Route 1 Ste C	$59.38	66	62

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.

Average Medicaid Office Visit Payments in Scarborough, ME: $47.95

Providers Offering Office Visit in Scarborough, ME

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Scarborough, ME

Blood Work & Lab Tests

Case Management Services

Home Health Visit

EKG / ECG (Electrocardiogram)

Non-Emergency Medical Transportation

Ambulance Transport

Urinalysis & Urine Tests

Culture & Microbiology Tests