Average Medicaid Office Visit Payments in East Providence, RI: $66.28
Avg. Paid
$66.28
Range
$0.00 – $308.45
Total Claims
145,181
Providers
159
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 East Providence, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah Jean Guarascio
2757 Pawtucket Avenue |
$61.00 | 13,556 | 13,041 |
|
Daniela Turacova
525 Taunton Ave |
$75.30 | 9,678 | 7,962 |
|
Anthony V. Rocha
387 Waterman Ave |
$52.39 | 7,519 | 6,324 |
|
Susana Chan
387 Waterman Ave |
$61.13 | 7,408 | 7,138 |
|
John Dermott Mcgonigle
201 Waterman Ave |
$68.59 | 7,111 | 4,059 |
|
Jessica Brett Farrell
450 Veterans Memorial Pkwy Bldg 10 |
$69.86 | 5,356 | 4,927 |
|
Aristides Ignacio Cruz
1 Kettle Point Ave |
$85.04 | 4,938 | 4,376 |
|
Kirsten Theresa Shinde
684 Warren Ave |
$100.63 | 4,309 | 4,126 |
|
East Providence Emergency Room Inc
525 Taunton Ave |
$57.95 | 3,288 | 2,940 |
|
Douglas J Glod
250 Wampanog Trail |
$48.35 | 3,222 | 2,565 |
|
James Yess
450 Veterans Memorial Pkwy |
$54.33 | 3,109 | 2,907 |
|
Joanna J. Schatz
900 Warren Ave Ste 200 |
$65.02 | 3,081 | 2,817 |
|
Joseph Gil
1 Kettle Point Ave |
$93.35 | 2,870 | 2,535 |
|
Kristen J. Hylan
610 Waterman Ave |
$52.35 | 2,741 | 2,154 |
|
Elizabeth A. Sherman
400 Massasoit Ave Ste 305 |
$54.54 | 2,660 | 2,380 |
|
Muhammad Saeed Akhtar
999 S Broadway Ste 200 |
$72.63 | 2,332 | 1,627 |
|
Katherine Caldwell
1 Kettle Point Ave |
$87.11 | 1,918 | 1,726 |
|
David Stowik
20 Catamore Blvd |
$57.58 | 1,907 | 1,606 |
|
Kenneth Cushing Botelho
450 Veterans Memorial Pkwy Bldg 9 |
$47.87 | 1,906 | 1,705 |
|
Emily Daniell
197 Warren Ave Ste 101 |
$60.73 | 1,897 | 1,419 |
|
Manoj Kumar Garg
900 Warren Ave |
$51.47 | 1,835 | 1,721 |
|
Robert Y Velasco
375 Wampanoag Trail |
$58.10 | 1,672 | 1,495 |
|
Alexandra E Labovitz
450 Veterans Memorial Pkwy |
$66.42 | 1,622 | 1,498 |
|
Jacklyn Marie Reis
450 Veterans Memorial Pkwy Bldg 10 |
$79.34 | 1,543 | 1,395 |
|
Kyle J Johnson
900 Warren Ave Ste 401 |
$159.57 | 1,542 | 1,448 |
|
Joyce A Alves
1445 Wampanoag Trl |
$63.96 | 1,541 | 1,291 |
|
Isabela C. Saba Osta
900 Warren Ave Ste 400 |
$61.79 | 1,532 | 1,440 |
|
Gregory Fox
450 Veterans Memorial Pkwy |
$65.69 | 1,510 | 1,397 |
|
Robert Griffith
450 Veterans Memorial Pkwy |
$66.58 | 1,433 | 1,292 |
|
Kristin Lundsten
2761 Pawtucket Ave |
$58.95 | 1,420 | 1,305 |
|
Jing Tang
450 Veterans Memorial Pkwy |
$70.72 | 1,375 | 1,208 |
|
George J Brown
400 Warren Ave |
$45.06 | 1,363 | 1,160 |
|
Shiqiang Tian
1 Kettle Point Ave |
$90.76 | 1,328 | 1,259 |
|
Andree Heinl
450 Veterans Memorial Pkwy |
$63.13 | 1,269 | 1,142 |
|
Luis A Osorio
450 Veterans Memorial Pkwy |
$64.39 | 1,265 | 1,120 |
|
John Finigan
900 Warren Ave |
$67.39 | 1,226 | 1,156 |
|
Tatiana Giraldo
400 Warren Ave |
$46.58 | 1,221 | 1,078 |
|
Kimberley Townsend
450 Veterans Memorial Pkwy |
$68.23 | 1,212 | 1,122 |
|
Lauren S Ward
900 Warren Ave |
$74.78 | 1,028 | 952 |
|
Stefani Hillrich
450 Veterans Memorial Pkwy Bldg 6 |
$29.07 | 989 | 897 |
|
Preeti Gupta
375 Wampanoag Trail |
$47.21 | 973 | 961 |
|
Kelly Fitzgerald Cohen
900 Warren Ave Ste 200 |
$80.10 | 939 | 872 |
|
William Turtle
450 Veterans Memorial Pkwy |
$61.66 | 861 | 771 |
|
Katherine Snape
900 Warren Ave |
$85.81 | 856 | 798 |
|
Scott F Sullivan
450 Veterans Memorial Pkwy # 15B |
$60.24 | 848 | 809 |
|
Russell Daniel Parks
1 Kettle Point Ave |
$24.09 | 789 | 564 |
|
David E Leibowitz
450 Veterans Memorial Pkwy # 15B |
$49.36 | 715 | 589 |
|
Rajnish Bansal
900 Warren Ave |
$45.78 | 710 | 670 |
|
Jennifer Gallison
1 Kettle Point Ave |
$79.60 | 692 | 679 |
|
Priscilla Ponte
1 Kettle Point Ave |
$27.50 | 661 | 651 |
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 East Providence, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Providence, RI is $66.28 per claim, based on 145,181 claims from 159 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 East Providence, RI?
There are 159 Medicaid providers offering Office Visit related services in East Providence, RI according to public payment data.
What is the price range for Office Visit in East Providence, RI?
Medicaid reimbursement for Office Visit in East Providence, RI ranges from $0.00 to $308.45 per claim, with an average of $66.28. 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 East Providence, RI
Blood Work & Lab Tests
Avg $11.84
1,421,079 claims
Urinalysis & Urine Tests
Avg $4.79
194,275 claims
Personal Care Services
Avg $109.93
161,638 claims
Culture & Microbiology Tests
Avg $8.35
63,076 claims
Physical Therapy
Avg $30.65
61,174 claims
Ambulance Transport
Avg $51.00
60,543 claims
Eye Exam
Avg $30.13
58,579 claims
X-Ray
Avg $8.88
40,825 claims