Average Medicaid Office Visit Payments in Topsham, ME: $40.98
Avg. Paid
$40.98
Range
$13.06 – $82.27
Total Claims
27,506
Providers
26
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 Topsham, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Danielle Anne Vanstrien
105 Topsham Fair Mall Rd Unit 1 |
$61.93 | 13 | 12 |
|
Anthony Caiazzo
1 Wellness Way |
$49.69 | 15 | 13 |
|
Andree Appel
1 Main St |
$32.06 | 24 | 24 |
|
Deirdre Heersink
1 Wellness Way |
$26.52 | 44 | 42 |
|
Jillian Magee Marden
4 Union Park Rd Unit 8 |
$67.03 | 64 | 51 |
|
Kathleen Irene O'Brien
1 Wellness Way |
$75.87 | 74 | 73 |
|
Victoria S Thieme
21 Twin Pond Rd |
$53.69 | 132 | 117 |
|
Bryan Christopher Lewis
1 Wellness Way Ste A |
$39.21 | 286 | 259 |
|
John Joseph Parker
1 Wellness Way |
$13.06 | 308 | 291 |
|
Christopher W Meserve
1 Wellness Way |
$31.36 | 317 | 302 |
|
Michael John Samson
44 Elm St |
$27.38 | 477 | 453 |
|
Lisa M Belisle
4 Horton Pl |
$24.83 | 648 | 624 |
|
Jennifer M Riehl
1 Wellness Way |
$22.33 | 786 | 699 |
|
Tricia E Garrett
4 Union Park Rd # 8 |
$28.63 | 919 | 904 |
|
Valeska L Martin
1 Wellness Way Ste A |
$30.70 | 962 | 900 |
|
Shannon Lee Gaines
1 Wellness Way |
$63.38 | 1,146 | 917 |
|
David Inger
1 Wellness Way |
$60.05 | 1,391 | 1,266 |
|
Brian Roger Haney
105 Topsham Fair Mall Rd Unit 1 |
$44.13 | 1,447 | 1,149 |
|
Alyssa Goodwin
9 Bowdoin Mill Is |
$82.27 | 1,549 | 1,486 |
|
Lauren Jamele-Townley
9 Bowdoin Mill Is |
$51.63 | 1,935 | 1,810 |
|
Kimberly Mcgraw
105 Topsham Fair Mall Rd Ste 8 |
$37.75 | 1,938 | 1,154 |
|
Sarah L Alto
1 Wellness Way |
$35.14 | 1,957 | 1,832 |
|
Julia Moukharskaya
105 Topsham Fair Mall Rd Unit 1 |
$37.84 | 2,019 | 1,686 |
|
David Conner Benton
105 Topsham Fair Mall Rd Unit 1 |
$38.45 | 2,464 | 1,968 |
|
Kai N Cheng
105 Topsham Fair Mall Rd Ste 8 |
$35.18 | 2,759 | 2,573 |
|
Adam Liegner
4 Horton Pl |
$31.73 | 3,832 | 3,586 |
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 Topsham, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Topsham, ME is $40.98 per claim, based on 27,506 claims from 26 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 Topsham, ME?
There are 26 Medicaid providers offering Office Visit related services in Topsham, ME according to public payment data.
What is the price range for Office Visit in Topsham, ME?
Medicaid reimbursement for Office Visit in Topsham, ME ranges from $13.06 to $82.27 per claim, with an average of $40.98. 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
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Other Procedures in Topsham, ME
Physical Therapy
Avg $34.56
14,673 claims
Blood Work & Lab Tests
Avg $2.73
14,421 claims
Dental Cleaning & Exam
Avg $29.36
4,845 claims
Nursing Facility Care
Avg $20.12
3,639 claims
Substance Abuse Treatment
Avg $67.47
2,743 claims
Speech Therapy
Avg $16.90
2,551 claims
Ambulance Transport
Avg $84.39
2,426 claims
Eye Exam
Avg $13.42
1,332 claims