Average Medicaid Office Visit Payments in Middletown, RI: $59.22
Avg. Paid
$59.22
Range
$0.00 – $202.49
Total Claims
54,686
Providers
80
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 Middletown, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Newport County Community Mental Health Centers Inc
42 Valley Road |
$8.06 | 6,191 | 4,399 |
|
Casey Eldert
1272 W Main Rd |
$65.57 | 4,766 | 4,424 |
|
Brooke Roebuck
1272 W Main Rd |
$78.83 | 4,466 | 4,202 |
|
Matthew Anthony Marques
99 E Main Rd |
$62.31 | 4,405 | 4,288 |
|
Cara Moeller
4 High St |
$68.74 | 4,071 | 3,780 |
|
Karen Wood
1272 W Main Rd Bldg 3 |
$81.77 | 3,559 | 3,348 |
|
Michael Sison Duque
674 Aquidneck Ave Ste 1 |
$61.42 | 2,554 | 2,194 |
|
Natalie Driscoll
102 Valley Rd |
$66.44 | 2,097 | 958 |
|
Jennifer Marie Silvia
1360 W Main Rd |
$101.10 | 1,683 | 1,621 |
|
Marc Belisle
1360 W Main Rd |
$19.86 | 1,410 | 1,321 |
|
Ashlin Paige Brown
102 Valley Rd |
$117.83 | 1,118 | 1,080 |
|
Meaghan Macrae
333 Valley Rd Ste 4 |
$53.03 | 1,098 | 1,022 |
|
Elizabeth Jean Jones
1360 W Main Rd |
$102.43 | 1,054 | 1,020 |
|
Mark Ryan Gauvin
1360 W Main Rd |
$107.13 | 997 | 971 |
|
Newport County Community Mental Health Center
127 Johnny Cake Hill Rd |
$0.00 | 791 | 641 |
|
Jennifer Grant Budacki
1272 W Main Rd |
$52.37 | 786 | 764 |
|
Lillian Rachel Thompson
65 Valley Rd |
$33.76 | 761 | 376 |
|
Jason Michaels
102 Valley Road |
$85.93 | 693 | 641 |
|
Andrea M Burdon
99 E Main Rd Ste 19A |
$80.35 | 649 | 553 |
|
Gary Lee Waterman
102 Valley Rd |
$34.95 | 597 | 367 |
|
Sharon R Keating
1272 W Main Rd Ste 1 |
$83.32 | 594 | 584 |
|
Amy Lyn Carroll
127 Johnny Cake Hill Rd |
$30.31 | 573 | 368 |
|
Ocean State Urgent Care Center Of Newport Llc
67 Valley Rd |
$46.66 | 526 | 486 |
|
Elizabeth Clark
127 Johnny Cake Hill Rd |
$33.05 | 523 | 434 |
|
Paul V Delguercio
672 Aquidneck Ave |
$80.66 | 523 | 464 |
|
Kendra Ryan Pimenta
99 E Main Rd Ste 19A |
$57.87 | 515 | 449 |
|
Dee Anne Bates
58 E Main Rd |
$43.58 | 514 | 313 |
|
Jonathan G Sabourin
850 Aquidneck Ave Ste 15 |
$30.02 | 455 | 384 |
|
Laura Raposa
127 Johnny Cake Hill Rd |
$25.38 | 450 | 280 |
|
Amy Catherine Whitelaw
127 Johnny Cake Hill Rd |
$25.37 | 403 | 339 |
|
Erinn Michelle Seyler
102 Valley Rd |
$62.68 | 397 | 314 |
|
Rebbecca Shea
102 Valley Rd |
$53.98 | 362 | 329 |
|
James Julias Turanski
127 Johnny Cake Hill Rd |
$57.45 | 337 | 319 |
|
Robert Cicchelli
99 E Main Rd Ste 19A |
$45.72 | 313 | 263 |
|
Taylor Selke
850 Aquidneck Ave |
$50.87 | 299 | 229 |
|
Gwynne A Bragdon
345 Valley Rd |
$83.18 | 278 | 268 |
|
Karen Briggs
127 Johnny Cake Hill Rd |
$32.76 | 269 | 202 |
|
Krista Dalton
127 Johnny Cake Hill Rd |
$32.20 | 259 | 208 |
|
Aleah W Kirchner
850 Aquidneck Ave |
$51.22 | 256 | 231 |
|
Anita Chase Tzovolos
345 Valley Rd |
$95.49 | 230 | 224 |
|
Blanka Sumbarauskas
127 Johnny Cake Hill Rd |
$24.41 | 218 | 167 |
|
Meghan Grafton King
102 Valley Rd |
$65.10 | 213 | 201 |
|
Michael Patrick Staebler
345 Valley Rd |
$63.45 | 202 | 186 |
|
Angela Volpicelli
127 Johnny Cake Hill Rd |
$23.39 | 177 | 154 |
|
Ramin R Davoudi
676 Aquidneck Ave |
$32.51 | 160 | 149 |
|
Aquidneck Pediatrics Llc
1272 W Main Rd |
$59.97 | 154 | 149 |
|
Wendy P Regan
714 Aquidneck Ave |
$103.32 | 143 | 132 |
|
Ross Michael Budacki
345 Valley Rd |
$107.15 | 116 | 110 |
|
James O. Maher
345 Valley Rd |
$91.56 | 112 | 106 |
|
Bayo Ivyl Owens
227 W Main Rd |
$31.05 | 111 | 91 |
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 Middletown, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Middletown, RI is $59.22 per claim, based on 54,686 claims from 80 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 Middletown, RI?
There are 80 Medicaid providers offering Office Visit related services in Middletown, RI according to public payment data.
What is the price range for Office Visit in Middletown, RI?
Medicaid reimbursement for Office Visit in Middletown, RI ranges from $0.00 to $202.49 per claim, with an average of $59.22. 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 Middletown, RI
Behavioral & Mental Health Therapy
Avg $133.10
117,707 claims
Case Management Services
Avg $35.60
94,962 claims
Physical Therapy
Avg $37.52
67,375 claims
Psychiatric Evaluation
Avg $69.97
43,483 claims
Eye Exam
Avg $31.73
14,289 claims
Substance Abuse Treatment
Avg $59.47
10,326 claims
Vaccines & Immunizations
Avg $8.51
9,283 claims
Dental Cleaning & Exam
Avg $24.70
8,811 claims