Average Medicaid Office Visit Payments in Springvale, ME: $3.83
Avg. Paid
$3.83
Range
$0.00 – $63.35
Total Claims
55,097
Providers
8
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 Springvale, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
York County Community Action Corp
15 Oak St |
$1.93 | 43,102 | 36,999 |
|
York County Community Action Corp
15 Oak St |
$0.96 | 7,229 | 6,320 |
|
Christine Mcrobbie
474 Main St |
$27.64 | 2,661 | 2,167 |
|
Heidi Nena Drew
474 Main St |
$23.39 | 1,444 | 1,328 |
|
York County Community Action Corp
474 Main St |
$0.00 | 272 | 186 |
|
Thomas J. Lantos
474 Main St |
$24.99 | 249 | 248 |
|
Hilary Woodworth Seymour
15 Oak St |
$63.35 | 99 | 93 |
|
Cathy Miele
462 Main St |
$20.30 | 41 | 39 |
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 Springvale, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Springvale, ME is $3.83 per claim, based on 55,097 claims from 8 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 Springvale, ME?
There are 8 Medicaid providers offering Office Visit related services in Springvale, ME according to public payment data.
What is the price range for Office Visit in Springvale, ME?
Medicaid reimbursement for Office Visit in Springvale, ME ranges from $0.00 to $63.35 per claim, with an average of $3.83. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Springvale, ME
Home Health Visit
Avg $116.09
213,846 claims
Substance Abuse Treatment
Avg $84.72
44,609 claims
Psychiatric Evaluation
Avg $6.51
25,874 claims
Dental Cleaning & Exam
Avg $1.69
21,950 claims
Speech Therapy
Avg $19.17
18,728 claims
Physical Therapy
Avg $43.85
8,289 claims
Dental Filling
Avg $1.41
7,487 claims
Tooth Extraction
Avg $1.30
4,171 claims