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 |
|---|---|---|---|
|
Amanda N Fredette
102 Valley Rd |
$78.16 | 12 | 12 |
|
Autumn H Jackson
73 Valley Rd |
$41.75 | 12 | 12 |
|
Joanna Lanz
1 Corporate Pl |
$99.56 | 13 | 13 |
|
Michelle A Boyle
672 Aquidneck Ave |
$113.49 | 13 | 13 |
|
Holly C Komar
676 Aquidneck Ave |
$76.89 | 13 | 13 |
|
Newport County Medical Treatment Office
67 Valley Rd |
$38.50 | 14 | 14 |
|
Shannnon Mercier
127 Johnny Cake Hill Road |
$41.03 | 17 | 14 |
|
Christopher A Abadi
676 Aquidneck Ave |
$55.53 | 18 | 12 |
|
Joanne M Mckenna
58 E Main Rd |
$77.46 | 18 | 17 |
|
Robert L Gordon
67 Valley Rd |
$34.29 | 21 | 19 |
|
Cassandra M Marchand
65 Valley Rd |
$27.90 | 25 | 16 |
|
Robert H Schwengel
676 Aquidneck Ave |
$80.71 | 25 | 24 |
|
Susan M Bordonaro
102 Valley Rd |
$56.60 | 29 | 29 |
|
Robert Carrellas
674 Aquidneck Ave |
$58.92 | 30 | 27 |
|
Erin Beth Burdick
127 Johnny Cake Hill Rd |
$38.50 | 30 | 25 |
|
Erin Rae Godfrin
65 Valley Rd |
$31.47 | 46 | 39 |
|
Joan M Mchugh
1360 W Main Rd |
$137.09 | 48 | 15 |
|
Janet Hawkins
127 Johnny Cake Hill Rd |
$15.47 | 48 | 24 |
|
Teresa Carolyn Roney
127 Johnny Cake Hill Rd |
$73.58 | 53 | 50 |
|
Victoria Hartley
1360 W Main Rd |
$73.24 | 54 | 51 |
|
Julie Elizabeth Anderson
127 Johnny Cake Hill Rd |
$21.67 | 54 | 31 |
|
Aspire Dermatology Llc
102 Valley Rd |
$51.99 | 56 | 53 |
|
Cynthia Homen
127 Johnny Cake Hill Rd |
$24.05 | 58 | 52 |
|
Holly P Holdgate
127 Johnny Cake Hill Rd |
$35.27 | 64 | 52 |
|
Steven Franklin Freedman
850 Aquidneck Ave |
$66.63 | 65 | 65 |
|
Nina Phillips
127 Johnny Cake Hill Rd |
$20.49 | 67 | 40 |
|
Sarah Elizabeth Belden
102 Valley Rd |
$100.14 | 76 | 62 |
|
Frederic J Kelley
939 W Main Rd |
$44.93 | 80 | 64 |
|
Richard Vincent Morgera
203 Prospect Ave |
$202.49 | 91 | 28 |
|
Russell Anthony Settipane
850 Aquidneck Ave, #B3A |
$46.22 | 108 | 97 |
|
Bayo Ivyl Owens
227 W Main Rd |
$31.05 | 111 | 91 |
|
James O. Maher
345 Valley Rd |
$91.56 | 112 | 106 |
|
Ross Michael Budacki
345 Valley Rd |
$107.15 | 116 | 110 |
|
Wendy P Regan
714 Aquidneck Ave |
$103.32 | 143 | 132 |
|
Aquidneck Pediatrics Llc
1272 W Main Rd |
$59.97 | 154 | 149 |
|
Ramin R Davoudi
676 Aquidneck Ave |
$32.51 | 160 | 149 |
|
Angela Volpicelli
127 Johnny Cake Hill Rd |
$23.39 | 177 | 154 |
|
Michael Patrick Staebler
345 Valley Rd |
$63.45 | 202 | 186 |
|
Meghan Grafton King
102 Valley Rd |
$65.10 | 213 | 201 |
|
Blanka Sumbarauskas
127 Johnny Cake Hill Rd |
$24.41 | 218 | 167 |
|
Anita Chase Tzovolos
345 Valley Rd |
$95.49 | 230 | 224 |
|
Aleah W Kirchner
850 Aquidneck Ave |
$51.22 | 256 | 231 |
|
Krista Dalton
127 Johnny Cake Hill Rd |
$32.20 | 259 | 208 |
|
Karen Briggs
127 Johnny Cake Hill Rd |
$32.76 | 269 | 202 |
|
Gwynne A Bragdon
345 Valley Rd |
$83.18 | 278 | 268 |
|
Taylor Selke
850 Aquidneck Ave |
$50.87 | 299 | 229 |
|
Robert Cicchelli
99 E Main Rd Ste 19A |
$45.72 | 313 | 263 |
|
James Julias Turanski
127 Johnny Cake Hill Rd |
$57.45 | 337 | 319 |
|
Rebbecca Shea
102 Valley Rd |
$53.98 | 362 | 329 |
|
Erinn Michelle Seyler
102 Valley Rd |
$62.68 | 397 | 314 |
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