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
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
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Waterville, ME
Substance Abuse Treatment
Avg $95.95
414,652 claims
Home Health Visit
Avg $89.36
308,542 claims
Blood Work & Lab Tests
Avg $3.32
161,692 claims
Case Management Services
Avg $104.18
119,369 claims
Ambulance Transport
Avg $112.53
97,397 claims
Physical Therapy
Avg $26.66
63,006 claims
Speech Therapy
Avg $31.77
46,349 claims
Emergency Room Visit
Avg $114.07
44,747 claims