Average Medicaid Office Visit Payments in Coventry, RI: $51.62
Avg. Paid
$51.62
Range
$14.54 – $88.86
Total Claims
30,948
Providers
25
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 Coventry, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kimberly M. Stokinger
191 Macarthur Blvd |
$42.15 | 6,204 | 5,473 |
|
Daniel Francis Collins
982 Tiogue Ave. |
$58.57 | 6,009 | 5,287 |
|
Elena M Kwetkowski
191 Macarthur Blvd |
$38.38 | 4,952 | 4,586 |
|
Jennifer Platt
595 Washington St |
$76.58 | 2,045 | 1,943 |
|
Richard A St. Dennis
10 Woodland Dr |
$57.39 | 1,957 | 1,646 |
|
Olga Fedorenko
15 Carlson St |
$52.02 | 1,833 | 1,661 |
|
Vmd Primary Providers Of Rhode Island Pc
982 Tiogue Ave |
$63.70 | 1,179 | 1,091 |
|
Ocean State Urgent Care Center Of Coventry, Llc
982 Tiogue Ave |
$45.60 | 1,168 | 1,096 |
|
Kristen Elizabeth Kane
982 Tiogue Ave |
$59.99 | 838 | 580 |
|
Rachael Maina-Delgado
982 Tiogue Ave |
$57.71 | 724 | 680 |
|
Mark Schwager
10 Woodland Dr |
$40.02 | 614 | 577 |
|
Bernard G Coppolelli
134 Sandy Bottom Rd |
$49.02 | 587 | 510 |
|
Jimmette N Brooks
595 Washington St |
$87.38 | 564 | 534 |
|
Teresa N Head
1193 Tiogue Ave |
$45.65 | 526 | 501 |
|
Kelly Mccabe Waldron
24 Fieldstone Drive |
$32.50 | 482 | 315 |
|
Nicole Ann Oksanish
595 Washington Stree |
$14.54 | 384 | 380 |
|
Ma. Liza Ann Flores Famador
191 Macarthur Blvd |
$88.86 | 378 | 352 |
|
Cara Anne O'Connor
982 Tiogue Ave |
$60.25 | 272 | 250 |
|
Sergio Fernando Rodriguez Serrano
Cnemg Primary Care Of Coventry-Brookside |
$42.56 | 84 | 70 |
|
Matthew Raymond Hall
595 Washington St |
$70.14 | 41 | 40 |
|
Liane Carley Prytula
1193 Tiogue Ave |
$48.58 | 41 | 41 |
|
Elizabeth Grace Dyer
982 Tiogue Ave |
$42.74 | 26 | 25 |
|
Timothy Joseph Manown
1620 Nooseneck Hill Rd |
$50.34 | 16 | 15 |
|
Frank Roger Palin
47 Breezy Lake Dr |
$47.79 | 12 | 12 |
|
Richard S Liner
860 Tiogue Ave |
$44.72 | 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 Coventry, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Coventry, RI is $51.62 per claim, based on 30,948 claims from 25 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 Coventry, RI?
There are 25 Medicaid providers offering Office Visit related services in Coventry, RI according to public payment data.
What is the price range for Office Visit in Coventry, RI?
Medicaid reimbursement for Office Visit in Coventry, RI ranges from $14.54 to $88.86 per claim, with an average of $51.62. 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 Coventry, RI
Psychiatric Evaluation
Avg $69.51
42,852 claims
Personal Care Services
Avg $62.48
37,036 claims
Speech Therapy
Avg $11.20
32,085 claims
Dental Cleaning & Exam
Avg $34.37
26,166 claims
Physical Therapy
Avg $14.32
19,501 claims
Eye Exam
Avg $31.74
10,040 claims
Ambulance Transport
Avg $35.98
7,071 claims
Non-Emergency Medical Transportation
Avg $79.79
5,891 claims