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Based on public Medicaid payment data.

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

Other Procedures in Cranston, RI