Average Medicaid Office Visit Payments in Cumberland, RI: $69.77
Avg. Paid
$69.77
Range
$4.73 – $129.72
Total Claims
125,013
Providers
52
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 Cumberland, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mohammad D Khamiees
3353 Mendon Rd Ste 3 |
$77.78 | 16,604 | 13,969 |
|
Cathy J. Schoorens
106 Nate Whipple Hwy |
$50.31 | 10,668 | 10,360 |
|
Maria Claudia Younes
2138 Mendon Rd |
$107.69 | 9,828 | 9,427 |
|
Maureen A Crotty
2 Meehan Ln |
$60.61 | 9,374 | 8,366 |
|
Pranati Jha
2178 Mendon Rd |
$65.51 | 7,229 | 6,466 |
|
Maria Z Starakiewicz
2178 Mendon Rd |
$78.68 | 6,952 | 6,196 |
|
Carol Ann O Shea
2178 Mendon Rd |
$73.49 | 6,800 | 5,915 |
|
Malini C. Gillen
2 Meehan Ln |
$69.97 | 5,173 | 4,843 |
|
Ocean State Urgent Care Center Of Cumberland, Llc
2140 Mendon Rd |
$52.72 | 3,518 | 3,095 |
|
Natasha R Almeida
2140 Mendon Rd |
$54.53 | 3,454 | 3,103 |
|
Kristin A Grimes
175 Nate Whipple Hwy Ste 102 |
$60.83 | 3,371 | 2,995 |
|
Kendra Lund
2 Meehan Ln |
$38.81 | 3,326 | 3,175 |
|
Alexander Lee
2 Meehan Ln |
$48.67 | 3,310 | 3,106 |
|
Katelynn Socha
2 Meehan Ln |
$74.26 | 3,097 | 2,982 |
|
Andrea Younes
2138 Mendon Rd Ste 104 |
$129.72 | 3,079 | 2,984 |
|
Salma Antony
3353 Mendon Rd |
$73.89 | 2,960 | 2,841 |
|
Michele A Mathieu
2 Meehan Ln |
$64.45 | 2,663 | 2,461 |
|
Keelin Elizabeth Covacha
2178 Mendon Rd |
$62.36 | 2,568 | 2,337 |
|
Michelle Bornstein Bennett
175 Nate Whipple Hwy Ste 102 |
$64.88 | 2,220 | 1,981 |
|
Alla Korennaya
175 Nate Whipple Hwy |
$74.79 | 1,881 | 1,715 |
|
Stephanie M Peduto
2 Meehan Ln |
$63.70 | 1,811 | 1,662 |
|
Carissa Love Lucien
2 Meehan Ln |
$75.28 | 1,555 | 1,441 |
|
Joanne Greenfield Donahue
175 Nate Whipple Hwy Ste 102 |
$78.20 | 1,401 | 1,298 |
|
Howard Ambrose Furlong
2 Meehan Ln |
$60.50 | 1,268 | 1,176 |
|
Keith D'Alton Shields
106 Nate Whipple Hwy Ste 101 |
$54.71 | 1,230 | 1,108 |
|
Jonathan Villas Dela Luna
2180 Mendon Rd Ste 21 |
$41.34 | 1,161 | 1,004 |
|
Alan D Gaines
106 Nate Whipple Hwy |
$50.28 | 1,003 | 953 |
|
Donn R Quinn
2130 Mendon Rd |
$63.96 | 862 | 812 |
|
Bassam Khabbaz
2295 Diamond Hill Rd |
$73.61 | 859 | 787 |
|
Michael Klufas
525 Broad St |
$47.41 | 728 | 659 |
|
Carrie A Roy
2178 Mendon Rd Ste 100 |
$99.91 | 724 | 647 |
|
Farid A Irshad
3353 Mendon Rd Ste 3 |
$55.39 | 631 | 598 |
|
Emilio James Monti
2178 Mendon Rd |
$57.40 | 620 | 542 |
|
Robert Richard Pugliese
106 Nate Whipple Hwy Ste 101 |
$4.73 | 591 | 537 |
|
Robin Ann Hart
2138 Mendon Rd Ste 101B |
$63.26 | 442 | 267 |
|
Lorangelly Rivera
45 Industrial Rd Ste 100 |
$102.07 | 401 | 333 |
|
Laura Langevin
45 Industrial Rd |
$81.76 | 295 | 236 |
|
Marianne Warren
106 Nate Whipple Hwy Ste 101 |
$53.17 | 264 | 229 |
|
Ifeoma Alexandria Obiora
2180 Mendon Rd |
$65.71 | 241 | 204 |
|
Adam Whitmore Carey
106 Nate Whipple Hwy |
$52.88 | 183 | 165 |
|
Jenna Boutilier
106 Nate Whipple Hwy |
$45.18 | 158 | 112 |
|
Gina Gerardine La Prova
2140 Mendon Rd |
$69.35 | 120 | 117 |
|
Nri Pediatrics Pc
2140 Mendon Rd |
$55.58 | 95 | 82 |
|
Amanda Blanchard
106 Nate Whipple Hwy Ste 101 |
$41.14 | 75 | 65 |
|
Jordan Benjamin Raheb
2140 Mendon Rd |
$61.13 | 62 | 62 |
|
Scott A Wilson
106 Nate Whipple Hwy |
$47.80 | 35 | 29 |
|
Neenoofar Haneef
106 Nate Whipple Hwy |
$54.74 | 34 | 32 |
|
Brookside Medical Associates, P.C.
106 Nate Whipple Hwy |
$49.02 | 27 | 25 |
|
Town Of Cumberland
1512 Mendon Rd |
$8.05 | 19 | 15 |
|
Kenneth Roceo Catallozzi
2138 Mendon Rd |
$120.63 | 17 | 17 |
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 Cumberland, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cumberland, RI is $69.77 per claim, based on 125,013 claims from 52 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 Cumberland, RI?
There are 52 Medicaid providers offering Office Visit related services in Cumberland, RI according to public payment data.
What is the price range for Office Visit in Cumberland, RI?
Medicaid reimbursement for Office Visit in Cumberland, RI ranges from $4.73 to $129.72 per claim, with an average of $69.77. 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 Cumberland, RI
Personal Care Services
Avg $179.51
122,856 claims
Speech Therapy
Avg $9.74
40,746 claims
Dental Cleaning & Exam
Avg $33.78
32,569 claims
Physical Therapy
Avg $17.83
28,276 claims
X-Ray
Avg $20.88
27,783 claims
Vaccines & Immunizations
Avg $17.77
22,164 claims
Pulmonary Function Test
Avg $26.85
15,386 claims
Psychiatric Evaluation
Avg $67.04
11,162 claims