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
Simon A. L. Gibbs 180 Kennedy Memorial Dr	$17.65	12	12
Samantha Leung 149 North St	$45.71	12	12
Robert Luther Kenney 325B Kennedy Memorial Dr	$22.04	13	13
James R Putnam 325A Kennedy Memorial Dr	$36.09	13	13
Diane L Wiegand 149 North St	$26.65	14	13
Roger D Phelps 10 Water St	$19.20	15	14
Helen T Price-Wharff 325E Kennedy Memorial Dr	$28.20	15	14
Danielle Ellis 31 Front St	$31.13	17	15
Matthew Wells Deming 180 Main St	$20.20	18	13
Andrew Kwikiriza 149 North St	$45.93	24	24
Allan W Nyman 316 Main St	$15.42	25	24
Michael P Hofmann 159 Silver St	$84.37	26	26
Lauren Struck 211 Main St	$58.77	32	26
Mark Erin Sutherland 149 North St	$25.54	40	36
Genevieve Hall 30 Chase Ave	$73.84	40	40
Marta J Hall 179 Main St	$20.83	42	39
Carol Boehm 200 Kennedy Memorial Dr	$26.10	43	18
Lisa A Clarcq 149 North St	$20.26	62	61
Anna B Veach 149 North St	$25.04	72	68
Charles E Danielson 159 Silver St	$63.53	81	73
Zachary George Klett 325A Kennedy Memorial Dr	$38.81	84	72
Nicolas Debly 149 North St	$56.75	86	84
Linda Keniston 174 Kennedy Memorial Dr	$26.44	98	95
Kyle A Knuppel 149 North St	$0.00	101	93
Sean Lombard 149 North St	$59.24	102	96
Ivy Cass 149 North St	$37.56	114	84
Megan Catherine Franzetti 149 North St	$45.85	120	99
Lynn M Cote 325C Kennedy Memorial Dr	$37.30	127	114
Martha Baldwin 40 Waterville Commons Dr # 1017	$40.94	130	129
Paige Oliver 325B Kennedy Memorial Dr	$34.21	142	104
Stephanye Allyson Doucette 180 Kennedy Memorial Dr Ste 104	$34.30	144	134
Ian Doyle 149 North St	$33.72	146	129
Brandon Kelly 149 North St	$31.89	162	151
Charles N Jacobs 149 North St	$16.65	175	174
Eric P Omsberg 325C Kennedy Memorial Dr	$53.57	184	159
Bridgett A Fisher 211 Main St	$44.70	188	151
Samuel Madore 149 North St	$6.99	192	176
George Petropoulos 200 Kennedy Memorial Dr	$15.60	205	199
Lisa Smith 149 North St	$26.74	208	163
David William Hay 325 E Kennedy Memorial Drive	$15.31	228	221
Robin Fuller 180 Kennedy Memorial Dr	$30.66	245	240
Kristina Ann King 67 Eustis Pkwy	$9.72	250	186
Mark Eugene Bolduc 325 Kennedy Memorial Dr # B	$8.62	252	236
Kristin Frend 149 North St	$38.21	259	240
Sara Modlin-Tucker 149 North St	$18.36	267	205
Sakdhisapol Katanyutanon 325 Kennedy Memorial Dr	$20.75	272	265
Autumn Corbin 149 North St	$29.76	283	275
Kiran A Mangalam 149 North St	$3.86	289	247
Susan M. Stevens 180 Kennedy Memorial Drive	$18.68	294	248
Jesse Leeds 149 North St	$57.57	306	277

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.

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

Providers Offering Office Visit in Waterville, ME

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Waterville, ME

Substance Abuse Treatment

Home Health Visit

Blood Work & Lab Tests

Case Management Services

Ambulance Transport

Physical Therapy

Speech Therapy

Emergency Room Visit