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
Tammy W. Labonty 50 Foden Rd	$48.66	12	12
Tess C. Winters 100 Foden Rd	$57.34	12	12
Michael Emanuel Auster 265 Western Ave Ste 2	$22.50	12	12
Todd Severson 50 Foden Rd Ste 3	$46.62	12	12
Kelly E W Ernst 100 Brickhill Ave	$14.96	12	12
Katherine J. Letourneau 100 Brickhill Ave Ste 304	$48.88	12	12
Christina Hammond Vietor 100 Foden Rd, East	$49.96	12	12
Amy C Sedgwick 50 Foden Rd	$38.12	13	12
Alexander Theodore Sipilief 265 Western Ave Ste 2	$61.60	13	13
Kathleen D. Lee 100 Brickhill Ave	$51.66	13	13
Jonathan Christian Danel 75 John Roberts Rd Bldg B	$0.00	13	13
Julie E Pelletier 50 Foden Rd Ste 3	$38.90	14	14
Minuteclinic Diagnostic Of Maine, Llc 51 Market St	$10.06	14	13
Kinna Thakarar 50 Foden Rd, Ste 3	$60.17	14	14
Edward John Bilotti 16 Atlantic Pl	$32.55	14	14
Amy M Abbott 510 Mainemall Rd.	$38.36	14	13
Patricia B Stogsdill 50 Foden Rd, Ste 3	$30.67	14	13
Todd M. Michaelis 100 Foden Road, East	$43.78	15	14
Malcolm Roderick Williams 558 Main St	$30.58	15	13
Roger R Gagnon 510 Mainemall Rd.	$40.42	15	12
Pamela M Florea 100 Foden Rd., West	$5.21	15	14
Robert P Smith 50 Foden Rd, Ste 3	$17.24	16	16
Chiara Anne Tomasello 100 Gannett Dr Ste C	$11.62	17	16
Shannon Belinda Farr Harbor View Eye Care, Llc.	$46.39	17	12
Jonathan Frank Olmes 335 Maine Mall Rd.	$32.08	25	24
Nathan James Bankoff 100 Foden Rd, East	$93.63	25	24
Meredith L Curtis 265 Western Ave Ste 2	$50.88	27	24
Jonathan Prescott Watling 119 Gannett Dr	$14.76	28	26
Patrick M Benson 100 Foden Rd. West	$67.17	30	27
Amy F. Parker 50 Foden Rd Ste 3	$31.72	34	28
Christopher G Tretter Mainehealth Cancer Care	$24.09	34	29
Judit Gellen 265 Western Ave	$29.39	36	36
Thomas E Van Der Kloot 100 Foden Road	$24.81	36	35
Lisa R Thomas 119 Gannett Dr	$32.11	40	39
John R. Hatzenbuehler 100 Foden Rd, East	$61.89	41	39
Benjamin P Hagopian 144 Thadeus St.	$51.61	43	41
Erin K Campbell 100 Foden Rd, East	$54.41	45	41
Joel A. Wirth 100 Foden Road	$40.40	52	49
Megan A. Staton 100 Foden Rd East	$82.77	54	51
Marc Calabrese 21 Donald B Dean Dr Ste 1	$66.13	55	52
Elizabeth Sutcliffe Valentine 100 Foden Rd	$34.33	56	53
Andrew Mark Rogers 265 Western Ave Ste 2	$35.55	57	52
Jeffrey L Grassmann 100 Foden Rd, East	$43.46	57	52
Courtney Myles 100 Brickhill Ave	$64.06	60	55
Frances Ladd Lewis 100 Foden Rd Ste 203	$41.63	62	59
Samantha Guyette 119 Gannett Dr	$26.67	63	57
Anna H Jorgensen 119 Gannett Dr	$44.74	65	62
Erin Margaret Murphy Santos 100 Brickhill Ave	$27.53	66	54
Molly Gordon 854 Broadway Ste 2	$0.00	67	13
Bonnie Lemieux 707 Sable Oaks Dr	$70.00	70	52

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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