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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

47

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
Kaitlin Ellen Devlin

1 Loving Kindness Way

$22.07 13 12
Stephen M Jendzejec

127 Long Sands Rd

$16.39 13 13
Elizabeth S Robinson

127 Long Sands Rd

$33.81 15 14
Sarah Jean Hanson

15 Hospital Dr

$50.31 16 14
Evangeline Thibodeau

2 Hospital Dr

$13.58 16 13
Prince Chukwudi Madumere

127 Long Sands Rd

$36.85 17 16
Marilyn Angela Mclaughlin

15 Hospital Drive

$19.09 38 36
Douglas Porter Bennett

16 Hospital Drive

$12.85 43 37
Teressa P Melanson

127 Long Sands Rd

$40.15 45 44
Hugh D Mcgowan

16 Hospital Dr Ste C

$39.17 49 46
Patricia Ann Seely

15 Hospital Dr

$20.69 65 65
Michael N Gauthier

127 Long Sands Rd

$22.18 75 67
Trevor M Braden

12 Hospital Dr

$23.39 96 79
Julie Wark

12 Hospital Dr

$35.28 98 96
Sandra Leigh Corbett

127 Long Sands Rd

$29.57 101 95
Vera Ivanova

15 Hospital Dr

$26.74 117 114
Hailey Elizabeth Boulia-Madden

15 Hospital Dr

$50.75 119 118
Richard Paul Lampert

32 York St

$28.90 121 109
Jenna L. Lizewski

529 Us-1

$40.70 122 118
Crystal Brown Adams

15 Hospital Dr

$31.26 143 140
Colleen K. Yavarow

127 Long Sands Rd

$20.19 158 132
Lucy Switaj

1 Loving Kidness Way

$45.72 180 168
Stephen R Brennan

109 Woodbridge Rd

$63.30 181 152
Allison Faye Geller

2 Southside Rd

$33.59 189 164
Ashley Cote

15 Hospital Dr

$35.37 208 205
Darin J Miller

16 Hospital Dr

$18.06 271 143
Argilla R George

127 Long Sands Rd

$53.36 273 255
Kyla J Scarponi

16 Hospital Dr

$50.47 290 259
Mary-Ellen Dalzell

15 Hospital Dr

$35.49 323 318
Emily Fraser Kilroy

1 Brickyard Ln Ste B

$46.99 343 294
Mallory Evans

16 Hospital Dr

$31.07 345 328
Ashley Mace

2 Southside Rd

$35.85 346 301
Amelia M Connell

343 Us Route 1

$47.28 424 410
Stephanie Rebecca Gonsalves

15 Hospital Dr

$34.04 552 530
Sarah Rafferty

32 York St

$55.11 637 605
Jennifer A Keefe

32 York St

$39.78 680 597
Anthony Jon Bock

York Hospital

$44.85 701 669
Ryan Dodge

343 Us Route 1

$36.28 824 798
Douglas Pollard

15 Hospital Dr

$36.71 849 788
York Hospital

15 Hospital Dr

$10.01 871 732
Brandon Christopher Stahl

16 Long Sands Rd

$23.09 895 827
Holly Brunner James

127 Long Sands Rd

$47.61 981 829
Kerri I Neel

1 Brickyard Ln Ste Ee

$51.78 1,149 1,040
Abby Sturmer

15 Hospital Dr

$39.26 1,489 1,379
Anthony Price Knox

1 Brickyard Ln Ste Ee

$31.55 1,490 1,367
Stephen Morley

26 Brickyard Ct Ste 3A

$25.32 2,204 1,502
Jared Thompson

343 Us Route 1

$54.50 2,736 2,557

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.

Office Visit in Other Cities

Other Procedures in York, ME