Average Medicaid Office Visit Payments in Windham, ME: $45.91
Avg. Paid
$45.91
Range
$8.58 – $158.15
Total Claims
32,291
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 Windham, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anya Wilhelmi
409 Roosevelt Trl |
$54.58 | 30 | 27 |
|
Ashly D Jewell
582 Roosevelt Trl |
$47.27 | 49 | 47 |
|
Christine R Mahoney
582 Roosevelt Trail |
$49.86 | 152 | 129 |
|
Sarah L Cote
582 Roosevelt Trl |
$63.74 | 170 | 158 |
|
Olga Alexandra Sill
582 Roosevelt Trl |
$41.67 | 198 | 183 |
|
Elizabeth Sherlock
582 Roosevelt Trail |
$46.98 | 200 | 185 |
|
Julie A Bailey
944 Roosevelt Trl Ste 14 |
$38.29 | 270 | 246 |
|
Sara Dayon
759 Roosevelt Trl |
$17.90 | 279 | 273 |
|
Samantha Marie-Dubay Bickford
582 Roosevelt Trl |
$41.32 | 298 | 263 |
|
Olivia Newton
5 Abby Rd |
$32.78 | 331 | 317 |
|
Su Anne Hammond
32 Tandberg Trl Unit 6 |
$8.58 | 556 | 407 |
|
Melanie P Fitzsimmons
584 Roosevelt Trail |
$41.81 | 1,075 | 1,004 |
|
Stephen M Donnelly
582 Roosevelt Trail |
$47.39 | 1,156 | 997 |
|
Jill Marie Kerekes
584 Roosevelt Trl |
$43.24 | 1,214 | 1,159 |
|
Deighton Lewis
409 Roosevelt Trl |
$48.25 | 1,316 | 1,076 |
|
Emily Martin
584 Roosevelt Trl |
$33.80 | 1,415 | 1,324 |
|
Annette O'Gorman
409 Roosevelt Trl |
$29.75 | 1,621 | 1,566 |
|
Fred E Emerson
584 Roosevelt Trail |
$46.92 | 1,715 | 1,611 |
|
Christopher James Lonegan
4 Commons Ave Ste A |
$42.34 | 1,832 | 1,604 |
|
Carl J. Schuler
744 Roosevelt Trl |
$38.93 | 1,853 | 1,380 |
|
Eugene P Paluso
584 Roosevelt Trl |
$37.76 | 1,861 | 1,750 |
|
Steven James Aiello
582 Roosevelt Trl |
$48.82 | 1,979 | 1,737 |
|
Amber Lynn Berube
31 Crossridge Dr |
$158.15 | 2,194 | 1,932 |
|
Melissa Ann Milza
5 Abby Rd |
$27.23 | 2,668 | 2,340 |
|
George W Stockwell
409 Roosevelt Trl |
$31.23 | 3,689 | 3,448 |
|
Scott M Chase
582 Roosevelt Trail |
$37.31 | 4,170 | 3,721 |
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 Windham, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Windham, ME is $45.91 per claim, based on 32,291 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 Windham, ME?
There are 26 Medicaid providers offering Office Visit related services in Windham, ME according to public payment data.
What is the price range for Office Visit in Windham, ME?
Medicaid reimbursement for Office Visit in Windham, ME ranges from $8.58 to $158.15 per claim, with an average of $45.91. 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 Windham, ME
Substance Abuse Treatment
Avg $332.58
52,256 claims
Home Health Visit
Avg $489.48
24,647 claims
Physical Therapy
Avg $31.55
15,378 claims
Speech Therapy
Avg $24.84
13,885 claims
Podiatry (Foot Care)
Avg $15.68
8,108 claims
Vaccines & Immunizations
Avg $13.39
7,091 claims
Dental Cleaning & Exam
Avg $19.66
7,038 claims
Ambulance Transport
Avg $149.03
6,593 claims