Average Medicaid Office Visit Payments in Wiscasset, ME: $42.35
Avg. Paid
$42.35
Range
$33.34 – $76.74
Total Claims
14,180
Providers
13
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 Wiscasset, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cortney Linville
35 Water Str |
$34.03 | 3,799 | 3,356 |
|
Jennifer Carnes Wright
49 Hooper St |
$49.37 | 2,034 | 1,920 |
|
Mary S Rafter
66 Water St |
$36.86 | 1,686 | 1,479 |
|
Emily Adams Downs
35 Water St |
$37.59 | 1,525 | 1,452 |
|
Sarah L Hurley
66 Water St |
$42.37 | 1,435 | 1,305 |
|
David Hardison Otto
49 Hooper St |
$76.74 | 1,413 | 982 |
|
Daniel M. Friedland
49 Hooper St. |
$34.49 | 1,128 | 984 |
|
Edward B. Kitfield
66 Water Str |
$34.75 | 527 | 492 |
|
Rhonda C Selvin
66 Water Str |
$34.63 | 345 | 318 |
|
Sarah H Robey
66 Water Str |
$33.34 | 112 | 100 |
|
Elsa Parson
49 Hooper St |
$56.56 | 110 | 103 |
|
Ashley Marie Wing
35 Water St |
$41.86 | 54 | 47 |
|
Matthew D. Weaver
35 Water St |
$59.59 | 12 | 12 |
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 Wiscasset, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wiscasset, ME is $42.35 per claim, based on 14,180 claims from 13 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 Wiscasset, ME?
There are 13 Medicaid providers offering Office Visit related services in Wiscasset, ME according to public payment data.
What is the price range for Office Visit in Wiscasset, ME?
Medicaid reimbursement for Office Visit in Wiscasset, ME ranges from $33.34 to $76.74 per claim, with an average of $42.35. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Wiscasset, ME
Behavioral & Mental Health Therapy
Avg $151.93
13,472 claims
Substance Abuse Treatment
Avg $85.44
4,147 claims
Dental Cleaning & Exam
Avg $32.57
3,440 claims
Psychiatric Evaluation
Avg $60.03
2,506 claims
Chiropractic Care
Avg $15.83
2,250 claims
Blood Work & Lab Tests
Avg $4.67
1,709 claims
Ambulance Transport
Avg $105.91
1,009 claims
Vaccines & Immunizations
Avg $10.70
790 claims