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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Waterville, ME: $38.79

Avg. Paid

$38.79

Range

$0.00 – $84.37

Total Claims

197,323

Providers

150

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 Waterville, ME

Provider Avg. Paid Claims Patients
Jerald E Hurdle

13 Railroad Sq

$61.09 13,855 12,332
Julie J Phelps

13 Railroad Sq

$41.84 6,212 4,167
Timothy Stanwood Webb

211 Main St

$24.95 6,194 5,633
Bert Ira Beverly

258 Main St

$77.44 4,560 2,211
Nicole Brody Metcalf

295C Kennedy Memorial Dr Ste 1

$70.00 4,536 4,216
Kristy Mitsui

159 Silver St

$66.73 4,184 3,861
Megan J Bell

295C Kennedy Memorial Dr Ste 1

$38.13 4,073 3,773
Deborah I Witkin

325A Kennedy Memorial Dr

$28.83 4,046 3,371
Sasha Thivierge-Bonney

211 Main St

$37.75 4,036 3,716
Mallori Margaret Marcotte

211 Main St

$35.07 4,030 3,933
John C Hickey

295C Kennedy Memorial Dr Ste 1

$73.19 3,816 3,690
Paul L Minot

30 Chase Ave

$18.19 3,680 3,389
Kathleen M Hickey

295C Kennedy Memorial Dr Ste 1

$73.71 3,661 3,501
Rowena Tessmann

58 Elm St.

$32.38 3,581 3,331
Deborah M Schleich

180 Kennedy Memorial Dr Ste 201

$33.75 3,400 3,232
Emil Bukher

67 Eustis Pkwy

$11.99 3,342 3,206
Andrea Jergesen

149 North St

$1.99 3,274 2,257
Jessica L Rubashkin

159 Silver St

$36.92 3,191 2,946
Cynthia Howes

159 Silver St

$9.52 3,102 2,760
Robert S Croswell

30 Chase Ave

$20.35 3,003 2,810
Michael T Luck

149 North St

$45.02 2,712 2,657
Elizabeth Harwood

149 North St

$34.49 2,611 2,415
Lorien C Batt

295C Kennedy Memorial Dr Ste 1

$44.57 2,571 2,454
Megan Crane Wei

149 North St

$34.32 2,564 2,407
Ramon Elias Cheleuitte

149 North St

$24.62 2,501 2,134
Jonathan Yun

149 North St

$44.48 2,460 2,198
Meghan Elizabeth Thornberg

211 Main St

$44.68 2,402 2,260
Nora Griffin Glasspool

31 Front St

$46.14 2,397 1,643
Susan Allen Abbott

13 Railroad Sq

$37.32 2,362 2,266
Kathryn Dubois

149 North St

$30.29 2,234 2,205
Benjamin M Brown

149 North St

$19.88 2,134 2,060
William Raymond Chasse

325 B Kennedy Memorial Drive

$26.70 2,102 2,043
Allison Scully

295C Kennedy Memorial Dr

$48.56 2,088 1,963
Amy M Kuhl

180 Kennedy Memorial Dr

$35.24 1,991 1,843
Theresa Holden

149 North St

$36.61 1,991 1,856
Matthew Christopher Mason

295C Kennedy Memorial Dr Ste 1

$54.81 1,986 1,849
Janet Alleyne Zalanskas

179 Main St Ste 307

$27.52 1,971 1,866
Melissa D Taylor

295C Kennedy Memorial Dr Ste 1

$62.16 1,956 1,879
Josephine Conte

149 North St

$27.47 1,940 1,885
Nichole Marie Lyford

211 Main St

$37.55 1,937 1,907
Jennifer Diehl

211 Main St

$25.27 1,916 1,826
Emily Schatz

16 Concourse W

$41.80 1,910 1,797
April Wild

211 Main St

$36.72 1,898 1,865
Sarah Adrian Rice

149 North St

$40.41 1,847 1,645
Jeffrey A Stone

295C Kennedy Memorial Dr Ste 1

$62.78 1,787 1,708
Jenny T Pisculli

149 North St

$26.16 1,772 1,657
Hoai-Nam Hoang

13 Railroad Sq

$25.73 1,766 1,671
Alissa Mae Roy

13 Railroad Square

$37.48 1,753 1,584
Brett Uhler

149 North St

$38.44 1,716 1,466
Nicole M Donahue

159 Silver St

$36.51 1,699 1,613

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 Waterville, ME?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waterville, ME is $38.79 per claim, based on 197,323 claims from 150 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 Waterville, ME?

There are 150 Medicaid providers offering Office Visit related services in Waterville, ME according to public payment data.

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

Medicaid reimbursement for Office Visit in Waterville, ME ranges from $0.00 to $84.37 per claim, with an average of $38.79. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Waterville, ME