Average Medicaid Office Visit Payments in Johnston, RI: $61.49
Avg. Paid
$61.49
Range
$0.00 – $125.83
Total Claims
265,940
Providers
94
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 Johnston, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William J Andreoni
1524 Atwood Ave |
$49.26 | 13 | 12 |
|
Ocean State Counseling And Wellness Center
1395 Atwood Ave |
$47.50 | 13 | 12 |
|
Fred Ferri
1539 Atwood Ave |
$52.66 | 13 | 13 |
|
Christina Brennan
1443 Hartford Ave |
$21.61 | 16 | 12 |
|
Ocean State Medical, Llc
1539 Atwood Ave Ste 101 |
$59.85 | 29 | 29 |
|
Michael A Battey
1524 Atwood Ave |
$40.37 | 37 | 32 |
|
Amanda Murchison Berry
1524 Atwood Ave Ste 243 |
$0.63 | 43 | 40 |
|
Tracey Macdonald
1443 Hartford Ave |
$38.47 | 49 | 33 |
|
Melix Diaz
1524 Atwood Ave Ste 327 |
$91.93 | 51 | 50 |
|
Eric Michael Prytula
1277 Hartford Ave |
$47.94 | 55 | 48 |
|
John A Phillip
1524 Atwood Ave |
$42.91 | 58 | 53 |
|
Anthony Robert Buonanno
1524 Atwood Ave |
$62.43 | 62 | 52 |
|
The Journey To Hope, Health & Healing, Inc
985 Plainfield Street |
$60.50 | 71 | 54 |
|
Savannah Marcelino
1524 Atwood Ave Ste 140 |
$125.83 | 81 | 81 |
|
Arthur J Corvese
1524 Atwood Ave 240 |
$58.03 | 93 | 90 |
|
Esther Morency
1126 Hartford Ave |
$48.82 | 104 | 98 |
|
Habiba H. Kure
1126 Hartford Ave |
$67.14 | 126 | 121 |
|
Karen Varney
1443 Hartford Ave |
$22.61 | 137 | 129 |
|
Coastal Derm & Cosmetic Center, Inc
1539 Atwood Ave |
$52.20 | 166 | 164 |
|
Vincent D'Alessandro
1857 Atwood Ave |
$60.15 | 172 | 158 |
|
Suzanne E Lowe
1524 Atwood Ave |
$46.14 | 189 | 179 |
|
Gateway Healthcare, Inc
1443 Hartford Ave |
$0.00 | 193 | 172 |
|
Kristen Heather Frias
1443 Hartford Ave |
$32.62 | 209 | 172 |
|
Jason Boie
1443 Hartford Ave |
$33.55 | 213 | 156 |
|
Leif Eric Olsson
1524 Atwood Ave |
$47.24 | 217 | 194 |
|
Claire Amanda Nadeau
1524 Atwood Ave |
$63.98 | 219 | 189 |
|
Atwood Medical Associates Ltd
1524 Atwood Avenue |
$53.54 | 225 | 218 |
|
J S Toder
1524 Atwood Ave |
$55.14 | 257 | 191 |
|
Brittany Paige Bertone
1526 Atwood Ave Ste 200 |
$57.80 | 280 | 252 |
|
Thomas Robert Rocco
1526 Atwood Ave Ste 200 |
$66.45 | 363 | 339 |
|
Michael Alavian
1524 Atwood Ave Ste 322 |
$46.26 | 374 | 345 |
|
Jeannine Giovanni
Rhode Island Surgeons, Inc |
$107.74 | 425 | 418 |
|
Samantha Heim
1395 Atwood Ave Ste 201 |
$49.68 | 436 | 319 |
|
Katherine Pierce
11 Commerce Way Ste 5 |
$111.25 | 495 | 480 |
|
Farhad Amani
1443 Hartford Ave |
$104.67 | 525 | 497 |
|
Dieter Pohl
Rhode Island Surgeons Inc |
$119.01 | 602 | 587 |
|
Maureen L. Harkavy
1516 Atwood Ave |
$77.78 | 625 | 582 |
|
Kathleen P Gordon
1524 Atwood Ave |
$43.35 | 728 | 675 |
|
Kiley Toder
1524 Atwood Ave |
$57.45 | 740 | 692 |
|
Melissa Ferdinandi
1126 Hartford Ave |
$45.45 | 776 | 669 |
|
Janis Lee Baccari
1524 Atwood Ave |
$66.45 | 783 | 712 |
|
Gennaro Frank Pasquariello
1524 Atwood Ave |
$69.56 | 791 | 729 |
|
Daniel Marcus Christian
1524 Atwood Ave Ste 245 |
$104.48 | 831 | 795 |
|
Kaleigh Rapoza
1539 Atwood Ave Ste 301 |
$76.65 | 843 | 797 |
|
Maria Silva
1526 Atwood Ave |
$69.82 | 881 | 804 |
|
Michael A Bellucci
1524 Atwood Ave |
$61.45 | 905 | 874 |
|
Maria Christine Botsko Brennan
1526 Atwood Ave Ste 220 |
$63.15 | 1,008 | 961 |
|
Giulio G Diamante
1277 Hartford Ave |
$39.02 | 1,029 | 871 |
|
Steven Marc Colagiovanni
1524 Atwood Ave |
$35.51 | 1,075 | 980 |
|
Marc W Diamond
1524 Atwood Ave Suite 110 |
$55.64 | 1,079 | 990 |
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 Johnston, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Johnston, RI is $61.49 per claim, based on 265,940 claims from 94 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 Johnston, RI?
There are 94 Medicaid providers offering Office Visit related services in Johnston, RI according to public payment data.
What is the price range for Office Visit in Johnston, RI?
Medicaid reimbursement for Office Visit in Johnston, RI ranges from $0.00 to $125.83 per claim, with an average of $61.49. 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 Johnston, RI
Substance Abuse Treatment
Avg $61.16
210,965 claims
Personal Care Services
Avg $145.36
142,068 claims
Physical Therapy
Avg $20.43
96,275 claims
Case Management Services
Avg $56.95
95,179 claims
Dental Cleaning & Exam
Avg $17.73
91,631 claims
Psychiatric Evaluation
Avg $56.69
39,940 claims
Speech Therapy
Avg $11.42
37,689 claims
Eye Exam
Avg $30.62
18,173 claims