Average Medicaid Office Visit Payments in Yarmouth, ME: $38.44
Avg. Paid
$38.44
Range
$0.00 – $131.50
Total Claims
23,602
Providers
28
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 Yarmouth, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher Gerard Pingitore
28 Yarmouth Crossing Dr |
$30.57 | 5,415 | 4,561 |
|
Douglas Gardner Ertman
385 Route 1 |
$28.96 | 3,980 | 3,830 |
|
Erin E. Piontek
385 Route 1 |
$57.95 | 1,824 | 1,602 |
|
John J Lowery
500 Us Route 1 Ste 103 |
$29.76 | 1,651 | 1,575 |
|
Shashi T. Panozzo
259 Main St |
$30.33 | 1,550 | 1,455 |
|
Lynne Werner
385 Route 1 |
$24.81 | 1,533 | 1,446 |
|
Julie Franklin
259 Main St |
$30.53 | 1,077 | 984 |
|
Jodi A Newcombe
385 Route 1 |
$37.92 | 1,045 | 931 |
|
Edward Silco
45 Forest Falls Dr |
$36.55 | 1,022 | 983 |
|
Elizabeth Lin
20 W Main St |
$131.50 | 981 | 977 |
|
Erin Feller
259 Main St |
$61.80 | 699 | 662 |
|
Amy Elizabeth Bates
385 Us Route 1 |
$40.29 | 532 | 496 |
|
Nathaniel Anderson
266 E Elm St |
$26.12 | 431 | 396 |
|
Barry M White
45 Forest Falls Dr |
$32.31 | 406 | 345 |
|
Stephen B Jacobs
259 Main St |
$34.15 | 323 | 314 |
|
Courtney Schneider
385 Route 1 |
$51.33 | 199 | 176 |
|
Jennifer Power
45 Forest Falls Drive |
$35.41 | 196 | 177 |
|
Molly E O'Malley
385 Us Route 1 |
$73.05 | 144 | 135 |
|
Peter E Sedgwick
259 Main St |
$21.23 | 144 | 135 |
|
Sarah Elizabeth Price
259 Main St |
$0.00 | 122 | 121 |
|
Molly Skog
259 Main St |
$47.42 | 118 | 116 |
|
Jonathan Bausman
259 Main St |
$46.98 | 53 | 53 |
|
Jeffrey S. Patch
259 Main Street |
$64.48 | 40 | 39 |
|
Barrett Grimnes
259 Main St |
$48.49 | 36 | 34 |
|
Susan A. Kepes
45 Forest Falls Dr |
$46.06 | 26 | 26 |
|
Daniel C Pierce
259 Main Street |
$65.33 | 26 | 25 |
|
Kristina E. Mcelhinney
259 Main Street |
$57.16 | 17 | 14 |
|
Jeffrey B Peterson
259 Main Street |
$53.43 | 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 Yarmouth, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Yarmouth, ME is $38.44 per claim, based on 23,602 claims from 28 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 Yarmouth, ME?
There are 28 Medicaid providers offering Office Visit related services in Yarmouth, ME according to public payment data.
What is the price range for Office Visit in Yarmouth, ME?
Medicaid reimbursement for Office Visit in Yarmouth, ME ranges from $0.00 to $131.50 per claim, with an average of $38.44. 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 Yarmouth, ME
Home Health Visit
Avg $96.82
41,188 claims
Physical Therapy
Avg $15.08
18,965 claims
Case Management Services
Avg $117.79
15,708 claims
Behavioral & Mental Health Therapy
Avg $97.74
13,365 claims
Dental Cleaning & Exam
Avg $32.22
8,189 claims
Podiatry (Foot Care)
Avg $13.29
5,552 claims
Substance Abuse Treatment
Avg $79.14
5,516 claims
Vaccines & Immunizations
Avg $12.28
1,649 claims