Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in South Portland, ME: $43.25

Avg. Paid

$43.25

Range

$0.00 – $328.06

Total Claims

104,221

Providers

158

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 South Portland, ME

Provider	Avg. Paid	Claims	Patients
Portland Community Health Center 100 Brickhill Ave	$7.45	13,560	11,778
Stuart V. Braun 119 Gannett Dr	$47.22	5,193	4,875
David L Salko 100 Foden Rd Ste 203	$29.98	4,348	3,970
Lily C Wang 100 Brickhill Ave	$65.55	3,985	3,593
Grace Applegate Hyndman 100 Foden Rd Ste 303	$52.03	3,769	3,596
Shannyn Waldron 100 Foden Rd, East	$46.54	3,134	3,035
Krystle Nicole Ladd 100 Brickhill Ave Ste 304	$81.08	2,684	2,098
Janet Worrell Radford 51 Market St	$11.35	2,651	2,476
Sarah Fuhrman 100 Foden Rd	$34.48	2,464	2,353
Alison Claire Daigle 50 Foden Rd	$34.46	2,419	2,233
Jonathan G Evans 100 Foden Rd Ste 103	$28.22	2,169	1,858
Benjamin D Liess 100 Foden Rd, West	$37.67	2,045	1,826
David J Chalmers 100 Brickhill Ave	$47.81	2,024	1,910
Thomas Mellow 100 Foden Rd Ste 103	$66.38	1,969	1,880
Kate E Quinn 119 Gannett Dr	$27.03	1,896	1,696
Andrew J. Tenenbaum 100 Foden Rd, West	$77.19	1,894	1,752
Pamela G. Argereow 100 Foden Road, West	$47.22	1,870	1,597
Jessie Araminta Kerr 75 John Roberts Rd	$90.37	1,603	1,485
Alison Schmitzler 100 Foden Rd, West, Suite 303	$61.18	1,507	1,410
Kalliope Varaklis 39 Wallace Ave	$30.38	1,478	1,364
Valerie M O'Hara 41 Donald B Dean Dr	$51.54	1,438	1,185
Jason A Yahwak 100 Foden Road	$32.86	1,365	1,173
Heather Ann Livingston Lavallee 100 Foden Road	$31.64	1,327	1,263
Lindsay S. Harnden 41 Donald B Dean Dr Ste A	$42.01	1,294	1,179
Stephanie L Joy 75B John Roberts Rd	$44.15	1,218	1,130
Cynthia Lynn Robbins 75B John Roberts Rd Ste 8B	$62.73	1,216	1,060
Tiffany L Townsend 78 Atlantic Pl	$38.45	1,195	1,167
Meaghan Johnson 100 Foden Rd Ste 203	$50.58	1,156	1,093
Brandon Chiu 100 Foden Rd Ste 100	$328.06	1,110	1,059
Margaret J. Zamboni 100 Foden Rd, West	$74.88	1,093	1,031
Portland Community Health Center 637 Highland Ave	$3.06	1,062	938
Brian M Jumper 100 Brickhill Avenue	$65.12	1,012	991
Jaime Hare 25 Long Creek Dr	$34.25	953	896
Andres Abreu 100 Foden Rd Ste 100	$52.87	891	836
Lisa L Bulthuis 100 Foden Rd, West	$42.95	885	860
Brock Donald Libby 75 John Roberts Rd Bldg B	$43.23	836	802
Anastasia R Norman 96 Ocean St Ste 4	$42.78	809	754
Fernando Federico Barrera 100 Foden Rd, East	$62.01	775	697
Russell H Britton 75 John Roberts Rd Bldg B	$45.05	740	703
Nancy Glover 46 Jordan Ave	$21.68	738	693
Timothy C Waite 280 Gannett Dr Ste B	$27.83	730	701
Kathryn Mary Kendall 51 Market St	$1.68	725	446
Joan L Stults 100 Foden Rd, West	$23.93	633	570
Joshua Vaughn 119 Gannett Dr	$34.44	632	587
Nicholas Piotrowski 78 Atlantic Pl	$65.28	620	468
Andrew Farrell 100 Brickhill Ave	$40.13	617	605
Kimberley L. Dekker 100 Foden Rd. East	$28.06	591	555
Erin Morneault 75 John Roberts Rd Bldg B	$44.85	516	494
Jessica M Rosenthal 75 John Roberts Rd Ste B8	$42.37	497	464
Ross Feller Mmp Orthopedics And Sports Medicine	$41.66	493	479

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 South Portland, ME?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Portland, ME is $43.25 per claim, based on 104,221 claims from 158 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 South Portland, ME?

There are 158 Medicaid providers offering Office Visit related services in South Portland, ME according to public payment data.

What is the price range for Office Visit in South Portland, ME?

Medicaid reimbursement for Office Visit in South Portland, ME ranges from $0.00 to $328.06 per claim, with an average of $43.25. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in South Portland, ME: $43.25

Providers Offering Office Visit in South Portland, ME

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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