Average Medicaid Office Visit Payments in Skowhegan, ME: $9.54
Avg. Paid
$9.54
Range
$0.00 – $480.55
Total Claims
157,845
Providers
28
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 Skowhegan, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Redington-Fairview General Hospital
46 Fairview Ave |
$3.59 | 141,410 | 94,961 |
|
Michael J Monzel
46 Fairview Ave Ste 221 |
$21.99 | 2,592 | 2,121 |
|
Shelby Mast
46 Fairview Ave Ste 225 |
$57.97 | 1,631 | 1,530 |
|
Sue A Carter
46 Fairview Ave Ste 111 |
$48.37 | 1,573 | 1,483 |
|
Hilary Lee
46 Fairview Ave Ste 223 |
$16.28 | 1,529 | 1,028 |
|
Arlene Christie Almazan
5 Commerce Dr |
$14.71 | 1,154 | 1,109 |
|
Angela Jo Towne
46 Fairview Ave |
$480.55 | 1,090 | 975 |
|
Michael A Wack
46 Fairview Ave Ste 113 |
$20.88 | 994 | 782 |
|
Kathleen Gail Thompson
46 Fairview Ave Ste 225 |
$47.85 | 745 | 706 |
|
Ann Catherine Russell
46 Fairview Ave |
$37.63 | 726 | 638 |
|
Muhammad Zakariya Alam
46 Fairview Ave Ste 114 |
$51.64 | 686 | 663 |
|
Laura Gurenlian
46 Fairview Ave |
$22.72 | 533 | 348 |
|
Rachel Criswell
46 Fairview Ave Ste 334 |
$39.06 | 373 | 340 |
|
James L Thompson
46 Fairview Ave Ste 114 |
$10.85 | 349 | 339 |
|
David N Abisalih
61 Fairview Ave |
$7.85 | 325 | 310 |
|
Lauren A Blanchette
61 Fairview Ave |
$27.73 | 324 | 282 |
|
Kristie Nicole Carazo
62 Main St |
$0.00 | 315 | 256 |
|
Michele M. Mccormick
46 Fairview Ave Ste 225 |
$29.49 | 260 | 240 |
|
Andrew Bray
46 Fairview Ave |
$40.61 | 231 | 215 |
|
Marie C. Mason
46 Fairview Ave Ste 223 |
$12.69 | 218 | 136 |
|
Shamano Minhas
46 Fairview Ave |
$31.21 | 194 | 177 |
|
Tasha Lary
5 Commerce Dr |
$9.78 | 179 | 174 |
|
Christopher D Blanchette
62 Main St |
$51.28 | 105 | 95 |
|
Joseph Higgins
46 Fairview Ave |
$43.15 | 97 | 97 |
|
Kaitlin J Dyer
61 Fairview Ave |
$23.74 | 82 | 79 |
|
Natasha Lantz
46 Fairview Ave |
$33.85 | 72 | 70 |
|
Marya Rose Goettsche Spurling
46 Fairview Ave Ste 334 |
$34.14 | 33 | 29 |
|
Brigid A Mullally
46 Fairview Ave Ste 229 |
$29.93 | 25 | 25 |
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 Skowhegan, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Skowhegan, ME is $9.54 per claim, based on 157,845 claims from 28 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 Skowhegan, ME?
There are 28 Medicaid providers offering Office Visit related services in Skowhegan, ME according to public payment data.
What is the price range for Office Visit in Skowhegan, ME?
Medicaid reimbursement for Office Visit in Skowhegan, ME ranges from $0.00 to $480.55 per claim, with an average of $9.54. 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 Skowhegan, ME
Blood Work & Lab Tests
Avg $0.41
205,810 claims
Emergency Room Visit
Avg $18.50
136,775 claims
Substance Abuse Treatment
Avg $79.90
61,385 claims
X-Ray
Avg $11.22
45,119 claims
Physical Therapy
Avg $7.90
41,837 claims
EKG / ECG (Electrocardiogram)
Avg $4.56
35,100 claims
Vaccines & Immunizations
Avg $0.46
29,244 claims
Urinalysis & Urine Tests
Avg $0.08
28,749 claims