Average Medicaid Office Visit Payments in Cranston, RI: $57.68
Avg. Paid
$57.68
Range
$4.72 – $148.69
Total Claims
311,393
Providers
179
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 Cranston, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William T Creighton
1150 Reservoir Ave |
$63.91 | 24,493 | 23,395 |
|
Garden City Treatment Center, Inc.
1150 Reservoir Ave |
$45.21 | 24,413 | 21,632 |
|
Rick Manuel Quiles
801 Park Ave |
$75.97 | 17,038 | 15,217 |
|
Tanille Leana Louis
1200 Reservoir Ave |
$46.63 | 14,854 | 13,289 |
|
Dominador Q Falguera
1150 Reservoir Ave |
$64.64 | 9,269 | 9,048 |
|
John R. Dufresne
1150 Reservoir Ave |
$62.33 | 7,492 | 7,221 |
|
Michelle D Crandall
1052 Park Ave |
$46.34 | 7,464 | 5,895 |
|
Jason David Villa
1090 Cranston St |
$50.38 | 7,150 | 6,447 |
|
Eniayo Egberongbe
1150 Reservoir Ave Ste 203 |
$44.78 | 7,069 | 5,545 |
|
Gene M Jacobs
1090 New London Ave |
$61.30 | 6,802 | 6,273 |
|
Amr Abdel Kader
1150 Reservoir Ave Ste 300 |
$51.81 | 6,433 | 5,633 |
|
Megan Lynn Vebber
1090 Cranston St |
$44.12 | 6,210 | 5,756 |
|
Laurie A. Wilson
1090 Cranston St |
$41.33 | 5,944 | 5,373 |
|
Charles Deangelis
1199 Reservoir Ave |
$71.28 | 5,630 | 4,656 |
|
Colleen Concannon Vitale
1145 Reservoir Ave |
$74.45 | 5,095 | 4,703 |
|
Olga V Tverskaya
1120 Park Ave |
$57.87 | 4,896 | 4,229 |
|
Maria Teresa Gonzalez
663 Atwood Ave |
$48.28 | 4,802 | 4,673 |
|
Hua Zhou
750 Reservoir Ave |
$59.66 | 4,666 | 4,467 |
|
Edward L Cullen
1150 Reservoir Ave |
$66.22 | 4,466 | 3,560 |
|
Iehsus S Flores-Perez
1090 Cranston St |
$54.37 | 4,443 | 4,118 |
|
Dennis J Romano
1150 Reservoir Ave |
$62.91 | 4,385 | 3,938 |
|
Mason C Gasper
900 Reservoir Ave Ste 1 |
$73.43 | 4,376 | 4,177 |
|
Jessica Ann Pineda
75 Sockanosset Cross Rd Ste 100 |
$67.44 | 4,223 | 3,851 |
|
Blanki Cherubini
1150 Reservoir Ave Ste 200 |
$87.66 | 3,515 | 2,435 |
|
Arthur Ronald Taylor
1090 Cranston St |
$68.30 | 3,353 | 3,175 |
|
John J Ruggiano
1090 New London Ave |
$54.35 | 3,253 | 2,759 |
|
John Concannon
1145 Reservoir Ave |
$72.76 | 2,955 | 2,652 |
|
Jennifer Lynn Geremia
1150 Reservoir Avenue |
$41.34 | 2,773 | 2,617 |
|
Jacquelynn M Dimuccio
1150 Reservoir Ave Ste 203 |
$50.88 | 2,769 | 2,094 |
|
Carine M Leconte
1150 Reservoir Ave |
$67.32 | 2,755 | 2,383 |
|
David Carpentier
495 Atwood Ave |
$47.20 | 2,677 | 2,177 |
|
John S Corvese
868 Reservoir Ave |
$46.62 | 2,604 | 2,248 |
|
Elizabeth G De Jesus
1596 Broad St |
$62.49 | 2,507 | 2,331 |
|
Comprehensive Community Action, Inc.
1090 Cranston St |
$44.28 | 2,460 | 2,250 |
|
Linda Marie Thornton
994 Reservoir Ave |
$44.69 | 2,408 | 1,724 |
|
Joseph N Deruosi
1150 Reservoir Ave |
$71.20 | 2,203 | 2,142 |
|
Jessica Lynae Parker
1150 Reservoir Ave Ste 200 |
$65.57 | 2,189 | 1,962 |
|
James Roy Bonner
1150 Reservoir Ave |
$70.53 | 2,094 | 1,864 |
|
Stephen R Beaupre
1312 Oaklawn Ave |
$57.88 | 2,046 | 1,718 |
|
Amy Bragger
45 Sockanosset Cross Rd Ste 4 |
$23.86 | 2,046 | 904 |
|
Moira L Long
311 Doric Ave |
$72.71 | 2,044 | 1,949 |
|
Gillian Leahy Cooperstein
989 Reservoir Ave |
$79.91 | 2,030 | 1,678 |
|
Kristen Ann Snow
2220 Plainfield Pike |
$52.71 | 1,986 | 1,437 |
|
Anita Oforiwaa Obeng
1150 Reservoir Ave |
$53.49 | 1,912 | 1,682 |
|
Patricia A Petitpas
900 Reservoir Ave |
$28.18 | 1,871 | 669 |
|
David C Savitzky
311 Doric Ave |
$108.09 | 1,862 | 1,610 |
|
Donald A Nadeau
1312 Oaklaw Ave |
$47.67 | 1,813 | 1,433 |
|
James Andriotis
989 Reservoir Ave Ste 101 |
$101.22 | 1,813 | 1,668 |
|
Richard K Ohnmacht
1145 Reservoir Ave |
$71.31 | 1,780 | 1,583 |
|
Marvin S Wasser
496 Pontiac Ave |
$54.65 | 1,742 | 1,548 |
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 Cranston, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cranston, RI is $57.68 per claim, based on 311,393 claims from 179 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 Cranston, RI?
There are 179 Medicaid providers offering Office Visit related services in Cranston, RI according to public payment data.
What is the price range for Office Visit in Cranston, RI?
Medicaid reimbursement for Office Visit in Cranston, RI ranges from $4.72 to $148.69 per claim, with an average of $57.68. 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 Cranston, RI
Personal Care Services
Avg $114.09
935,894 claims
Substance Abuse Treatment
Avg $63.46
615,715 claims
Behavioral & Mental Health Therapy
Avg $126.35
353,971 claims
Psychiatric Evaluation
Avg $76.67
195,060 claims
Dental Cleaning & Exam
Avg $23.78
169,157 claims
Physical Therapy
Avg $20.55
135,136 claims
Case Management Services
Avg $62.38
118,488 claims
Speech Therapy
Avg $10.38
116,318 claims