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 |
|---|---|---|---|
|
Jessica Pepitone
450 Veterans Memorial Pkwy |
$46.32 | 12 | 12 |
|
Michele Middleton
975 Waterman Ave |
$0.00 | 12 | 12 |
|
Vamsy Siva Bobba
1 Kettle Point Ave |
$116.89 | 12 | 12 |
|
Ocean State Primary Care Center Of East Providence Inc
450 Veterans Memorial Pkwy Unit 15B |
$68.87 | 12 | 12 |
|
Jeffrey Cumplido
900 Warren Ave Ste 400 |
$57.67 | 12 | 12 |
|
Daniel Lee Dragomire
318 Waterman Ave |
$59.31 | 12 | 12 |
|
Audrey Kupchan
900 Warren Ave |
$49.42 | 12 | 12 |
|
Daniel Paul Dickstein
1011 Veterans Memorial Pkwy |
$103.40 | 13 | 12 |
|
Sarah Madeline Bertsch
1 Kettle Point Ave |
$93.18 | 13 | 13 |
|
Brett D Owens
1 Kettle Point Ave |
$89.32 | 13 | 13 |
|
Mara Harkins
1 Kettle Point Ave |
$79.56 | 13 | 13 |
|
Roger D. Raymond
950 Warren Ave |
$101.78 | 13 | 13 |
|
Crystal Li Zhang
450 Veterans Memorial Pkwy Bldg 5 |
$118.40 | 13 | 13 |
|
Marc Alexander Jaffe
38 Amaral St |
$34.10 | 13 | 13 |
|
Marilyn Weigner
450 Veterans Memorial Pkwy |
$110.45 | 13 | 13 |
|
Gina Natalizia-Huntoon
2761 Pawtucket Ave |
$49.02 | 14 | 14 |
|
May Min
950 Warren Ave Ste 301 |
$194.32 | 14 | 14 |
|
Ryan A. Hoffman
1 Kettle Point Ave |
$128.02 | 15 | 15 |
|
Michael F Gilson
950 Warren Ave |
$91.12 | 15 | 15 |
|
Larry Schoenfeld
900 Warren Ave |
$53.08 | 15 | 13 |
|
Vincenzo Gianfrancesco
1970 Pawtucket Ave |
$46.17 | 24 | 24 |
|
April Lynn Brown
400 Warren Ave |
$48.57 | 25 | 25 |
|
Philip H Stockwell
950 Warren Ave |
$84.72 | 26 | 26 |
|
Suzanne Burns
900 Warren Ave |
$46.81 | 27 | 26 |
|
Michael A Thursby
318 Waterman Ave |
$17.76 | 29 | 26 |
|
Judith Shaw
900 Warren Ave |
$51.97 | 29 | 27 |
|
Michael Antoine
400 Massasoit Ave Ste 300 |
$88.57 | 29 | 25 |
|
Cayla Richardson
900 Warren Ave Ste 302 |
$54.69 | 29 | 27 |
|
Andrew Francis Moody
684 Warren Ave |
$50.08 | 35 | 31 |
|
Renee Heidi Miguel
900 Warren Ave |
$46.22 | 37 | 34 |
|
Vladislav Zayas
450 Veterans Memorial Pkwy |
$52.96 | 40 | 25 |
|
Lucia Fontes-Borts
450 Veterans Memorial Parkway |
$49.31 | 42 | 40 |
|
Michael J Monsour
318 Waterman Ave |
$41.96 | 46 | 40 |
|
Primary Medical Center And Walk-In Llc
684 Warren Ave |
$48.64 | 48 | 42 |
|
Jill L Welte
900 Warren Ave Ste 401 |
$84.25 | 49 | 44 |
|
Taylor Lynn Reall
450 Veterans Memorial Pkwy Bldg 6 |
$55.56 | 55 | 50 |
|
Laura Elizabeth Tavares
900 Warren Ave Ste 400 |
$83.10 | 64 | 58 |
|
Chloe Hawkridge Conrad
1 Kettle Point Ave |
$58.74 | 64 | 59 |
|
Andrew Chen
1 Kettle Point Ave |
$79.93 | 65 | 62 |
|
Edward Mcgookin
900 Warren Ave |
$69.94 | 66 | 65 |
|
Robert W. Hill
400 Warren Ave |
$45.75 | 67 | 61 |
|
Lionel Mcintosh
900 Warren Ave Ste 401 |
$308.45 | 68 | 65 |
|
Christopher Joseph Cosgrove
318 Waterman Ave |
$17.08 | 68 | 56 |
|
Shadi Shakoori
176 Taunton Ave |
$57.87 | 72 | 71 |
|
Madeline Jones Cancian
450 Veterans Memorial Pkwy Bldg 14 |
$71.97 | 73 | 72 |
|
Kirsten Harrington
1 Kettle Point Ave |
$34.63 | 76 | 55 |
|
Madison Macaruso Wiggin
1 Kettle Point Ave |
$80.47 | 78 | 70 |
|
Kara Faye Curry
400 Massasoit Ave Ste 305 |
$65.69 | 83 | 79 |
|
Danielle Bessette
1 Kettle Point Ave |
$82.75 | 86 | 69 |
|
Christopher Song
950 Warren Ave |
$82.17 | 87 | 83 |
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