Average Medicaid Office Visit Payments in Bristol, RI: $60.28
Avg. Paid
$60.28
Range
$24.57 – $104.48
Total Claims
24,119
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 Bristol, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Donald T. Bobola
170 Bradford St |
$48.61 | 5,444 | 4,717 |
|
Debra Kay Filardo
1180 Hope St |
$79.71 | 4,935 | 4,375 |
|
Michael Y. Baaklini
812 Metacom Ave |
$70.22 | 3,856 | 3,251 |
|
Leslie Chamberlain Mohlman
1180 Hope St |
$69.69 | 1,808 | 1,691 |
|
Maria Dolores Molineros Gonzales
1180 Hope St |
$33.94 | 1,159 | 956 |
|
Ann Catherine Priolo
1180 Hope St |
$51.37 | 1,115 | 1,007 |
|
Michael Aaron Reuter
1180 Hope St |
$51.23 | 1,049 | 866 |
|
Geoffrey Robert Hamilton
1180 Hope St |
$56.14 | 800 | 765 |
|
Margaret E Gagner
1180 Hope St |
$52.16 | 792 | 756 |
|
Sarah M Riedo
1180 Hope St |
$59.65 | 584 | 554 |
|
Nicholas Paul Pelletier
1180 Hope St |
$44.97 | 420 | 401 |
|
Jordan Samuel Dehaven
1180 Hope St |
$49.80 | 379 | 348 |
|
Reuben Harel Reich
1180 Hope St |
$48.30 | 269 | 256 |
|
Raffi Calikyan
580 Metacom Ave |
$35.18 | 245 | 239 |
|
Cassandra Xavier Constantino
1180 Hope St. |
$54.85 | 196 | 192 |
|
Howard Ethan Schulman
1180 Hope St |
$63.73 | 164 | 155 |
|
Alexandra Meyer Tien
1180 Hope St |
$65.30 | 163 | 158 |
|
Howard Francis Perrone
1180 Hope St |
$50.96 | 128 | 124 |
|
Amy Marie Cosma
42 Basswood Dr |
$24.57 | 126 | 68 |
|
Kathryn K Banner
1180 Hope St |
$62.68 | 113 | 109 |
|
Carl Anthony Sakovits
1180 Hope St |
$47.43 | 110 | 107 |
|
Richard Alan Reuter
1180 Hope St |
$48.77 | 88 | 79 |
|
Andrew Sakovits
1180 Hope St |
$48.11 | 69 | 68 |
|
Alane Beth Torf
1180 Hope St |
$51.21 | 68 | 66 |
|
Bruce Evan Fischer
1180 Hope St |
$104.48 | 26 | 13 |
|
Pamela Ann Harrop
1180 Hope St |
$51.03 | 13 | 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 Bristol, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bristol, RI is $60.28 per claim, based on 24,119 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 Bristol, RI?
There are 26 Medicaid providers offering Office Visit related services in Bristol, RI according to public payment data.
What is the price range for Office Visit in Bristol, RI?
Medicaid reimbursement for Office Visit in Bristol, RI ranges from $24.57 to $104.48 per claim, with an average of $60.28. 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 Bristol, RI
Substance Abuse Treatment
Avg $139.31
32,405 claims
Speech Therapy
Avg $9.70
30,676 claims
Physical Therapy
Avg $17.70
20,976 claims
Non-Emergency Medical Transportation
Avg $234.09
14,250 claims
Psychiatric Evaluation
Avg $83.65
9,487 claims
Case Management Services
Avg $134.32
8,730 claims
Behavioral & Mental Health Therapy
Avg $81.51
8,154 claims
Ambulance Transport
Avg $45.92
4,449 claims