Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in York, ME: $38.37

Avg. Paid

$38.37

Range

$10.01 – $63.30

Total Claims

20,911

Providers

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 York, ME

Provider	Avg. Paid	Claims	Patients
Jared Thompson 343 Us Route 1	$54.50	2,736	2,557
Stephen Morley 26 Brickyard Ct Ste 3A	$25.32	2,204	1,502
Anthony Price Knox 1 Brickyard Ln Ste Ee	$31.55	1,490	1,367
Abby Sturmer 15 Hospital Dr	$39.26	1,489	1,379
Kerri I Neel 1 Brickyard Ln Ste Ee	$51.78	1,149	1,040
Holly Brunner James 127 Long Sands Rd	$47.61	981	829
Brandon Christopher Stahl 16 Long Sands Rd	$23.09	895	827
York Hospital 15 Hospital Dr	$10.01	871	732
Douglas Pollard 15 Hospital Dr	$36.71	849	788
Ryan Dodge 343 Us Route 1	$36.28	824	798
Anthony Jon Bock York Hospital	$44.85	701	669
Jennifer A Keefe 32 York St	$39.78	680	597
Sarah Rafferty 32 York St	$55.11	637	605
Stephanie Rebecca Gonsalves 15 Hospital Dr	$34.04	552	530
Amelia M Connell 343 Us Route 1	$47.28	424	410
Ashley Mace 2 Southside Rd	$35.85	346	301
Mallory Evans 16 Hospital Dr	$31.07	345	328
Emily Fraser Kilroy 1 Brickyard Ln Ste B	$46.99	343	294
Mary-Ellen Dalzell 15 Hospital Dr	$35.49	323	318
Kyla J Scarponi 16 Hospital Dr	$50.47	290	259
Argilla R George 127 Long Sands Rd	$53.36	273	255
Darin J Miller 16 Hospital Dr	$18.06	271	143
Ashley Cote 15 Hospital Dr	$35.37	208	205
Allison Faye Geller 2 Southside Rd	$33.59	189	164
Stephen R Brennan 109 Woodbridge Rd	$63.30	181	152
Lucy Switaj 1 Loving Kidness Way	$45.72	180	168
Colleen K. Yavarow 127 Long Sands Rd	$20.19	158	132
Crystal Brown Adams 15 Hospital Dr	$31.26	143	140
Jenna L. Lizewski 529 Us-1	$40.70	122	118
Richard Paul Lampert 32 York St	$28.90	121	109
Hailey Elizabeth Boulia-Madden 15 Hospital Dr	$50.75	119	118
Vera Ivanova 15 Hospital Dr	$26.74	117	114
Sandra Leigh Corbett 127 Long Sands Rd	$29.57	101	95
Julie Wark 12 Hospital Dr	$35.28	98	96
Trevor M Braden 12 Hospital Dr	$23.39	96	79
Michael N Gauthier 127 Long Sands Rd	$22.18	75	67
Patricia Ann Seely 15 Hospital Dr	$20.69	65	65
Hugh D Mcgowan 16 Hospital Dr Ste C	$39.17	49	46
Teressa P Melanson 127 Long Sands Rd	$40.15	45	44
Douglas Porter Bennett 16 Hospital Drive	$12.85	43	37
Marilyn Angela Mclaughlin 15 Hospital Drive	$19.09	38	36
Prince Chukwudi Madumere 127 Long Sands Rd	$36.85	17	16
Sarah Jean Hanson 15 Hospital Dr	$50.31	16	14
Evangeline Thibodeau 2 Hospital Dr	$13.58	16	13
Elizabeth S Robinson 127 Long Sands Rd	$33.81	15	14
Kaitlin Ellen Devlin 1 Loving Kindness Way	$22.07	13	12
Stephen M Jendzejec 127 Long Sands Rd	$16.39	13	13

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 York, ME?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in York, ME is $38.37 per claim, based on 20,911 claims from 47 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 York, ME?

There are 47 Medicaid providers offering Office Visit related services in York, ME according to public payment data.

What is the price range for Office Visit in York, ME?

Medicaid reimbursement for Office Visit in York, ME ranges from $10.01 to $63.30 per claim, with an average of $38.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in York, ME: $38.37

Providers Offering Office Visit in York, ME

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in York, ME

Blood Work & Lab Tests

Physical Therapy

Vaccines & Immunizations

Emergency Room Visit

Urinalysis & Urine Tests

X-Ray

Culture & Microbiology Tests

Speech Therapy