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Based on public Medicaid payment data.

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
Greg Ross Waldorf

132 Old River Rd Ste 201

 $50.64 12 12
Cardiovascular Institute Of New England Pc

6 Blackstone Valley Pl Ste 105

 $34.84 13 13
Linda A Deluca

132 Old River Rd

 $48.74 13 12
Stephen Cullen

3 Wake Robin Rd

 $43.15 14 13
Anna Baumann

6 Blackstone Valley Pl Ste 306B

 $92.66 27 24
Anjelica K Mercadante

1 Commerce St Ste 100

 $80.20 28 26
Nicholas Paul Bruno

3 Wake Robin Rd Unit 5

 $52.35 36 27
George L Connors

1 Commerce St

 $47.49 46 37
Robert H Cohen

1 Commerce St

 $50.52 57 54
David Kadmon

132 Old River Rd

 $107.17 70 54
Jan J Penkala

6 Blackstone Valley Pl

 $44.23 121 100
Inez Galvez Ramos

652 George Washington Hwy Unit 400

 $52.41 136 120
Anne Cushing-Brescia

6 Blackstone Valley Pl

 $45.72 137 112
Lawrence Sumner Cohen

620 George Washington Hwy

 $73.25 141 141
Alfred Henry Liddle

2 Wake Robin Rd

 $62.03 141 121
Jacquelyn Marie Silva

1 Commerce St Ste 100

 $91.14 153 128
Melissa Afonso Duarte Santos

6 Blackstone Valley Pl Ste 502

 $70.91 168 159
John Robert Pugliese

622 George Washington Highway

 $56.09 210 191
Frank Michael D'Alessandro, Md Inc

2 Wake Robin Rd

 $54.01 221 186
Lincoln Pediatric Assoc Inc

6 Blackstone Vally Place

 $57.07 246 231
Kristin Evelyn Macdonald

6 Blackstone Valley Pl Ste 701

 $48.83 254 233
Brooke Anne Morgan

6 Blackstone Valley Pl Ste 701

 $53.91 264 249
Amanda Azar

6 Blackstone Valley Pl Ste 306B

 $85.61 325 294
Anchor Medical Associates

1 Commerce St Ste 100

 $52.96 348 327
Shrenik Vyas

2 Wake Robin Rd Unit 103

 $64.26 397 369
Andrew Thomas Thorp

6 Blackstone Valley Pl

 $31.91 409 319
Jennifer M. Lafleur

6 Blackstone Valley Pl Ste 306B

 $52.75 436 419
Frank Michael D'Alessandro

2 Wake Robin Rd

 $51.50 438 384
Prerana Baranwal

701 George Washington Hwy Ste 104

 $125.45 475 475
Allison Cameron

6 Blackstone Valley Pl Ste 306B

 $79.69 482 447
Paul J Padula

6 Blackstone Valley Pl

 $65.54 513 484
Mridula Menon

6 Blackstone Valley Pl

 $47.80 518 445
Karen Diane Grande

2 Wake Robin Rd

 $60.83 542 531
Karen Ann Sclama

640 George Washington Hwy

 $51.68 562 523
Erin Hough

132 Old River Rd.

 $76.60 571 547
Fellowship Health Resources, Inc

24 Albion Rd Ste 210

 $37.17 602 484
Allison Rose Taskin

16 Pine Grove Ave

 $28.24 607 584
Elizabeth Anne Maranzano

6 Blackstone Valley Pl

 $98.07 660 492
Chelsea M Mckiernan

2 Wake Robin Rd

 $55.19 668 587
Daniel K Asiedu

6 Blackstone Valley Pl

 $42.55 671 586
Alexandria Gervelis

6 Blackstone Valley Pl Ste 306B

 $82.47 692 614
Michelle O Bland

1 Commerce St Ste 100

 $62.72 726 704
Marta S Sowa

6 Blackstone Valley Place

 $62.17 833 748
Ana Raquel Degrazia

2 Wake Robin Rd

 $42.30 1,055 1,012
John Chece

2 Wake Robin Rd

 $56.26 1,075 934
Nicholas Chasse

6 Blackstone Valley Pl Ste 701

 $67.40 1,077 943
Maria F Ferreira

6 Blackstone Valley Pl

 $51.03 1,095 931
Simone Elise Tessier

6 Blackstone Valley Pl Ste 500

 $99.54 1,098 1,023
Tabitha Ann Imondi

1525 Old Louisquisset Pike Ste 203

 $45.90 1,145 974
Taylor Dryden

3 Wake Robin Rd Ste 5

 $48.53 1,148 1,085

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