Average Medicaid Office Visit Payments in Westbrook, ME: $38.72
Avg. Paid
$38.72
Range
$0.00 – $81.53
Total Claims
86,455
Providers
74
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 Westbrook, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jillian Kennedy Smith
11 Rock Row Ste 320 |
$31.00 | 12 | 12 |
|
Sandra Pelletier
39 Mechanic St |
$30.72 | 15 | 15 |
|
Emily Longacre Thompson
11 Rock Row Ste 320 |
$42.75 | 16 | 15 |
|
Matthew Mullen
950 Main St |
$8.82 | 17 | 14 |
|
Sarah K Walsh
11 Rock Row Ste 320 |
$32.05 | 18 | 13 |
|
Marlow Andre Easterling
123 Andover Rd |
$60.10 | 20 | 18 |
|
Christine Blake Smith
114 Stroudwater St |
$60.14 | 30 | 26 |
|
Jessica Lynn Gorham
11 Rock Row Ste 120 |
$34.68 | 41 | 39 |
|
Sarah Menke
11 Rock Row Ste 120 |
$22.86 | 49 | 38 |
|
Robert A Sturges
1 Harnois Ave |
$25.71 | 61 | 60 |
|
Michael R Patnaude
50 Park Rd Ste 2 |
$57.05 | 72 | 67 |
|
Sydney Ricker
950 Main St |
$77.61 | 72 | 71 |
|
Patrick James Boland
11 Rock Row Ste 120 |
$71.14 | 74 | 71 |
|
Jennifer L Haverkamp
151 Main St |
$38.04 | 94 | 68 |
|
Lauren Holly Buoncristiano
1 Harnois Ave |
$33.03 | 180 | 166 |
|
Kristen E Casey
11 Rock Row Ste 120 |
$31.02 | 212 | 196 |
|
Dianna Stade Gagnon
90 Bridge St Ste 432 |
$36.82 | 248 | 234 |
|
Owen B Pickus
2 Chabot St |
$26.18 | 267 | 246 |
|
Kelli J Baldrick
123 Andover Rd |
$19.74 | 316 | 303 |
|
William P Seymour
123 Andover Rd |
$54.65 | 399 | 377 |
|
Mark A Wrona
11 Rock Row Ste 120 |
$46.93 | 403 | 332 |
|
Brooke Pfister
1 Harnois Ave Ste 1A |
$0.00 | 436 | 391 |
|
Eric Todd Roush
151 Main St |
$40.02 | 478 | 412 |
|
Catelin Geiser
1 Harnois Ave Ste 2A |
$54.19 | 527 | 496 |
|
Jenna Crutsinger
1 Harnois Ave. |
$48.93 | 535 | 473 |
|
Charles S Matusovich
2 Chabot St |
$35.45 | 588 | 475 |
|
Portland Community Health Center
125 Stroudwater St |
$2.14 | 613 | 506 |
|
Larisa M Welch
2 Chabot St |
$49.71 | 679 | 616 |
|
Mary Libby
40 Park Rd |
$41.38 | 692 | 655 |
|
Kelsey A Fischer
950 Main St |
$81.53 | 722 | 686 |
|
Kiely Lynn Foley
123 Andover Rd |
$53.28 | 740 | 637 |
|
Arlene Circe Damon
11 Rock Row Ste 120 |
$34.21 | 755 | 644 |
|
Alyssa Danielle Mccue-Mccarthy
950 Main St |
$77.76 | 830 | 799 |
|
Tracey F Weisberg
11 Rock Row Ste 320 |
$34.57 | 859 | 682 |
|
Colin B Lamb
123 Andover Rd |
$73.39 | 887 | 855 |
|
Caitlin Costigan
1 Harnois Ave |
$43.10 | 953 | 894 |
|
Elizabeth Kasny Sundborg
1 Harnois Ave Ste 2A |
$39.71 | 984 | 943 |
|
Lucy Morgan Amory
1 Harnois Ave |
$46.35 | 1,011 | 985 |
|
Kristin Parris
1 Harnois Ave |
$35.96 | 1,057 | 982 |
|
Francine M Wilbur
40 Park Rd |
$28.88 | 1,066 | 1,033 |
|
Mikayla Chase
1 Harnois Ave |
$36.96 | 1,072 | 996 |
|
Catherine Anne Lockwood
40 Park Rd |
$24.32 | 1,162 | 1,080 |
|
Jane S Ho
1 Harnois Ave Ste 1A |
$46.29 | 1,174 | 1,119 |
|
Chiara Battelli
11 Rock Row Ste 320 |
$51.19 | 1,245 | 1,035 |
|
Kathleen Mckeon
40 Park Rd |
$31.97 | 1,248 | 1,159 |
|
Sonia Katherine Righter
950 Main St |
$71.75 | 1,286 | 1,176 |
|
Chelsea C Ginn
1 Harnois Ave |
$31.26 | 1,298 | 1,217 |
|
John Paul Winters
11 Rock Row Ste 120 |
$42.09 | 1,316 | 1,197 |
|
Matthew C Dugan
11 Rock Row Ste 120 |
$41.85 | 1,431 | 1,010 |
|
Howard L. Glass
2 Chabot St |
$39.01 | 1,541 | 1,286 |
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 Westbrook, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Westbrook, ME is $38.72 per claim, based on 86,455 claims from 74 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 Westbrook, ME?
There are 74 Medicaid providers offering Office Visit related services in Westbrook, ME according to public payment data.
What is the price range for Office Visit in Westbrook, ME?
Medicaid reimbursement for Office Visit in Westbrook, ME ranges from $0.00 to $81.53 per claim, with an average of $38.72. 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 Westbrook, ME
Case Management Services
Avg $94.76
352,503 claims
Behavioral & Mental Health Therapy
Avg $150.92
141,640 claims
Substance Abuse Treatment
Avg $99.70
93,507 claims
Blood Work & Lab Tests
Avg $2.73
55,983 claims
Home Health Visit
Avg $323.05
55,744 claims
Durable Medical Equipment (DME)
Avg $21.01
39,697 claims
Physical Therapy
Avg $24.93
31,771 claims
Psychiatric Evaluation
Avg $24.12
23,478 claims