Average Medicaid Office Visit Payments in Lincoln, RI: $64.33
Avg. Paid
$64.33
Range
$28.24 – $125.45
Total Claims
138,203
Providers
82
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 Lincoln, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rebecca M Fisher
6 Blackstone Valley Pl Ste 500 |
$69.48 | 9,622 | 8,467 |
|
Stephanie L Marlin
3 Wake Robin Rd Unit 5 |
$46.81 | 8,916 | 8,505 |
|
Cheryl Flynn
2 Wake Robin Rd |
$76.90 | 8,538 | 7,682 |
|
William Tyler Smith
2 Wake Robin Rd |
$76.24 | 6,037 | 5,186 |
|
Roxanne Marie Simmons
6 Blackstone Valley Pl Ste 500 |
$65.36 | 5,984 | 5,408 |
|
Shawn Binns
701 George Washington Hwy Ste 104 |
$80.89 | 5,468 | 4,506 |
|
Craig Alan Smith
640 George Washington Highway |
$52.99 | 5,204 | 4,361 |
|
Nathan B Beraha
1 Commerce St |
$72.27 | 4,937 | 4,672 |
|
Kathleen B Hughes
1 Commerce St Ste 100 |
$73.12 | 4,787 | 4,482 |
|
Hua C Lu
6 Blackstone Valley Pl |
$59.28 | 4,468 | 3,753 |
|
Shane C Morgan
3 Wake Robin Rd Unit 5 |
$45.62 | 4,296 | 4,110 |
|
Linda S Young
6 Blackstone Valley Place |
$67.24 | 4,096 | 3,040 |
|
Hugo Yamada
6 Blackstone Valley Pl |
$53.00 | 3,141 | 2,651 |
|
Martha Rose Leonard
1 Commerce St Ste 100 |
$67.71 | 3,107 | 2,864 |
|
Ruth Chevez
132 Old River Rd |
$69.70 | 2,967 | 2,525 |
|
Jacquelyn M Arieta
1 Commerce St |
$69.77 | 2,929 | 2,687 |
|
James J Whalen
6 Blackstone Valley Pl |
$88.49 | 2,892 | 2,557 |
|
Christopher J Superczynski
652 George Washington Hwy Unit 201 |
$56.51 | 2,710 | 2,480 |
|
Lincoln Urgent Care Center, Inc.
2 Wake Robin Rd |
$60.62 | 2,663 | 2,421 |
|
Niall B Mitchell
1 Commerce St Ste 100 |
$74.30 | 2,584 | 2,414 |
|
Susan Elizabeth Gagnon
652 George Washington Hwy Unit 400 |
$47.40 | 2,281 | 2,115 |
|
Ginger L Manzo
2 Wake Robin Rd Unit 206 |
$63.15 | 2,233 | 1,919 |
|
Walter Dulany Fitzhugh
8 Blackstone Valley Pl |
$51.06 | 2,112 | 1,981 |
|
Evelyn Virginia Stein
3 Wake Robin Rd Ste 5 |
$51.81 | 2,072 | 1,960 |
|
Gerardo Concilio
132 Old River Rd |
$94.48 | 2,027 | 1,647 |
|
Thomas Patrick Hines
6 Blackstone Valley Place Suite 306B |
$62.22 | 1,917 | 1,695 |
|
Joseph P Mazza
6 Blackstone Valley Pl Ste 105 |
$36.24 | 1,787 | 1,579 |
|
Corey Elizabeth Picken
1 Commerce St Ste 100 |
$69.70 | 1,577 | 1,512 |
|
Linda Louise Rexford
1 Commerce St |
$51.67 | 1,431 | 1,349 |
|
Heather P Abrahams
132 Old River Rd |
$44.03 | 1,349 | 1,049 |
|
Christina Onassis Lewis
100 Middle St |
$103.26 | 1,203 | 596 |
|
Daniel Walter Mulligan
2 Wake Robin Rd |
$51.00 | 1,192 | 908 |
|
Taylor Dryden
3 Wake Robin Rd Ste 5 |
$48.53 | 1,148 | 1,085 |
|
Tabitha Ann Imondi
1525 Old Louisquisset Pike Ste 203 |
$45.90 | 1,145 | 974 |
|
Simone Elise Tessier
6 Blackstone Valley Pl Ste 500 |
$99.54 | 1,098 | 1,023 |
|
Maria F Ferreira
6 Blackstone Valley Pl |
$51.03 | 1,095 | 931 |
|
Nicholas Chasse
6 Blackstone Valley Pl Ste 701 |
$67.40 | 1,077 | 943 |
|
John Chece
2 Wake Robin Rd |
$56.26 | 1,075 | 934 |
|
Ana Raquel Degrazia
2 Wake Robin Rd |
$42.30 | 1,055 | 1,012 |
|
Marta S Sowa
6 Blackstone Valley Place |
$62.17 | 833 | 748 |
|
Michelle O Bland
1 Commerce St Ste 100 |
$62.72 | 726 | 704 |
|
Alexandria Gervelis
6 Blackstone Valley Pl Ste 306B |
$82.47 | 692 | 614 |
|
Daniel K Asiedu
6 Blackstone Valley Pl |
$42.55 | 671 | 586 |
|
Chelsea M Mckiernan
2 Wake Robin Rd |
$55.19 | 668 | 587 |
|
Elizabeth Anne Maranzano
6 Blackstone Valley Pl |
$98.07 | 660 | 492 |
|
Allison Rose Taskin
16 Pine Grove Ave |
$28.24 | 607 | 584 |
|
Fellowship Health Resources, Inc
24 Albion Rd Ste 210 |
$37.17 | 602 | 484 |
|
Erin Hough
132 Old River Rd. |
$76.60 | 571 | 547 |
|
Karen Ann Sclama
640 George Washington Hwy |
$51.68 | 562 | 523 |
|
Karen Diane Grande
2 Wake Robin Rd |
$60.83 | 542 | 531 |
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 Lincoln, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lincoln, RI is $64.33 per claim, based on 138,203 claims from 82 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 Lincoln, RI?
There are 82 Medicaid providers offering Office Visit related services in Lincoln, RI according to public payment data.
What is the price range for Office Visit in Lincoln, RI?
Medicaid reimbursement for Office Visit in Lincoln, RI ranges from $28.24 to $125.45 per claim, with an average of $64.33. 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 Lincoln, RI
Personal Care Services
Avg $105.09
93,896 claims
Behavioral & Mental Health Therapy
Avg $86.60
75,250 claims
Psychiatric Evaluation
Avg $69.87
52,549 claims
Speech Therapy
Avg $12.35
39,445 claims
Case Management Services
Avg $22.20
29,325 claims
Vaccines & Immunizations
Avg $18.03
27,477 claims
Physical Therapy
Avg $16.83
26,248 claims
EKG / ECG (Electrocardiogram)
Avg $7.76
14,238 claims