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 |
|---|---|---|---|
|
Michael Mariorenzi
725 Reservoir Ave Ste 101 |
$105.31 | 12 | 12 |
|
Dennis D Botelho
725 Reservoir Ave Ste 6A |
$51.84 | 13 | 12 |
|
Thomas Henry Mcgreen
1150 Reservoir Ave |
$48.91 | 13 | 13 |
|
Codac Inc
1052 Park Ave |
$53.18 | 15 | 12 |
|
Paul William Roderick
1150 Reservoir Ave |
$38.52 | 15 | 14 |
|
Madiha Amjad Ali
725 Reservoir Ave Ste 6A |
$69.90 | 17 | 15 |
|
Stephanie Dadario Lahaise
750 Reservoir Ave |
$30.43 | 20 | 15 |
|
Seth Feder
989 Reservoir Ave |
$39.60 | 25 | 24 |
|
Kathleen Ricci
75 Sockanosset Cross Rd Ste 100 |
$48.09 | 26 | 24 |
|
Gerald Marsocci
725 Reservoir Ave |
$13.79 | 26 | 12 |
|
Plakyil Joseph Joseph
1220 Pontiac Ave |
$54.44 | 30 | 27 |
|
Brad Michael Ciano
1591 Cranston St |
$72.24 | 32 | 28 |
|
Ralph F Santoro
725 Reservoir Ave Ste 103 |
$44.53 | 35 | 30 |
|
Kimberly Anna Propert
75 Sockanosset Cross Rd |
$68.36 | 36 | 35 |
|
Usha Panneerselvam
351 Budlong Rd |
$46.24 | 38 | 28 |
|
Paul Larson
1500 Pontiac Ave Ste 101 |
$80.89 | 41 | 38 |
|
Joyce M. Martin
1040 Cranston Street |
$54.10 | 45 | 36 |
|
Child And Family Psychiatry, Inc.
95 Sockanosset Cross Rd |
$109.00 | 48 | 42 |
|
Gloria Mary Mazza
111 Howard Ave |
$60.97 | 51 | 49 |
|
Richard William Miller
45 Sockanosset Cross Rd Ste 4 |
$115.69 | 51 | 45 |
|
Craig Paul Kaufmann
960 Reservoir Ave |
$64.50 | 52 | 49 |
|
Elissa M Contillo
671 Atwood Ave |
$54.90 | 54 | 52 |
|
Anthony J Lombardi
75 Sockanosset Cross Rd |
$48.54 | 55 | 55 |
|
Gabriel Simoes
1150 Reservoir Ave Ste 201 |
$46.04 | 64 | 60 |
|
Mckenzie R Carter
2220 Plainfield Pike |
$51.56 | 71 | 66 |
|
Anthony Parente
14 Betsey Williams Dr |
$4.86 | 74 | 70 |
|
Gus Gregory Stratton
105 Sockanosset Cross Rd |
$50.55 | 76 | 68 |
|
Talya Rebecca Benoff
1170 Pontiac Ave |
$64.22 | 77 | 66 |
|
Wajahat Faheem
892 Oaklawn Avenue |
$44.22 | 78 | 68 |
|
Gregory James Austin
725 Reservoir Ave |
$127.81 | 80 | 80 |
|
Fanta Freeman
1150 Reservoir Ave Ste 300 |
$52.15 | 82 | 79 |
|
Jenna Rose Clifford
1150 Reservoir Ave Ste 300 |
$47.73 | 84 | 76 |
|
Sundaresan T Sambandam
1220 Pontiac Ave |
$38.91 | 84 | 64 |
|
Laura Susan Nevel
725 Reservoir Ave |
$45.95 | 87 | 69 |
|
Peter B Rintels
1220 Pontiac Ave |
$73.79 | 90 | 83 |
|
Trucare Inc
725 Reservoir Ave Ste 103 |
$48.62 | 108 | 101 |
|
Victor Alexis Pinkes
495 Atwood Ave |
$61.25 | 108 | 104 |
|
Ayesha Hassan
1220 Pontiac Ave Ste 101 |
$80.84 | 110 | 96 |
|
Salvatore J Loporchio
35 Sockanosset Cross Rd |
$40.23 | 114 | 95 |
|
Katelyn Mae Rameika
2220 Plainfield Pike |
$46.67 | 118 | 108 |
|
Cari Lin Azevedo
1220 Pontiac Ave Ste 101 |
$69.85 | 124 | 124 |
|
Linda Jane Del Vecchio-Gilbert
5 Meredith Dr |
$109.79 | 127 | 113 |
|
Cristiana Morena Ritwik
747 Pontiac Ave |
$45.53 | 129 | 123 |
|
Jeffrey Wilson
725 Reservoir Ave |
$51.16 | 129 | 115 |
|
Jillian Patricia Clifford
1150 Reservoir Ave Ste 300 |
$52.66 | 130 | 121 |
|
Christopher D Sands
725 Reservoir Ave Ste 103 |
$45.21 | 144 | 128 |
|
Sarah D Stowe
2220 Plainfield Pike |
$61.71 | 145 | 138 |
|
Douglas L Blecker
75 Sockanosset Cross Rd Ste 100 |
$57.17 | 148 | 123 |
|
Anze Urh
68 Glenwood Ave |
$148.69 | 148 | 146 |
|
Stephen Richard Guerra
875 Pontiac Ave |
$55.76 | 151 | 84 |
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