Average Medicaid Office Visit Payments in Newport, RI: $59.78
Avg. Paid
$59.78
Range
$17.80 – $163.23
Total Claims
52,343
Providers
51
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 Newport, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jordan F Hebert
19 Friendship St Unit 240 |
$105.07 | 12 | 12 |
|
Joseph D. Heineman
38 Powel Ave |
$79.03 | 12 | 12 |
|
Karolyn Zambrotta
19 Friendship St |
$57.41 | 12 | 12 |
|
John Philip Heffernan
38 Powel Ave |
$21.85 | 13 | 13 |
|
Laureen J. Martin
19 Friendship St |
$64.69 | 13 | 12 |
|
Judi B Rosenthal
19 Friendship St |
$81.30 | 14 | 12 |
|
George T Charlton
19 Friendship St |
$80.79 | 16 | 14 |
|
Ralph Thomas Earp
50 Memorial Blvd |
$46.32 | 17 | 15 |
|
Gail E Carreau
19 Friendship St |
$67.40 | 18 | 15 |
|
Brenda J. Burke
19 Friendship St |
$75.01 | 26 | 25 |
|
Chyi Chyi Chong
11 Friendship St |
$43.47 | 32 | 29 |
|
Marina E Zambrotta
11 Friendship St |
$163.23 | 67 | 60 |
|
Matthew Michael Sheehan
11 Friendship St |
$122.85 | 68 | 67 |
|
Michael N Knowlan
19 Friendship St |
$63.20 | 68 | 66 |
|
Joseph Benjamin Weiss
19 Friendship St |
$64.86 | 93 | 80 |
|
Estefany J Flores-Godaire
20 Powel Avenue |
$39.01 | 93 | 90 |
|
Michael Anthony Mcgourty
93 Thames St |
$36.12 | 96 | 90 |
|
Alessandro Papa
19 Friendship St |
$41.45 | 97 | 85 |
|
Leigh Burleson Price
11 Friendship St |
$33.60 | 101 | 92 |
|
David Davis
43 Smith Rd |
$74.73 | 114 | 67 |
|
Olivia Milena Maxell
50 Memorial Blvd |
$78.03 | 123 | 118 |
|
Samir Khanjar
11 Friendship St |
$62.22 | 152 | 127 |
|
Renee M Desrosiers
11 Friendship St |
$54.28 | 168 | 164 |
|
Melvin Madampil Philip
50 Memorial Blvd |
$72.22 | 218 | 203 |
|
Preston W Douglas
19 Friendship St |
$71.92 | 268 | 254 |
|
Stefanie Dias
20 Powel Ave |
$114.11 | 382 | 327 |
|
Shane Mcnamara Gazzo
6 John H Chafee Blvd |
$48.51 | 389 | 364 |
|
Valerie Anderson
50 Memorial Blvd |
$81.47 | 432 | 370 |
|
Chidinma Ifechukwu Gubor
270 Bellevue Ave |
$45.80 | 455 | 359 |
|
James Anthony Mastrostefano
50 Memorial Blvd |
$82.16 | 539 | 455 |
|
Usman Ghani Lashari
6 John H Chafee Blvd |
$36.49 | 642 | 566 |
|
Archen Krupadev
50 Memorial Blvd |
$80.30 | 671 | 642 |
|
Jana Paige Magarian
19 Friendship St |
$70.18 | 714 | 540 |
|
Kristin Meegan Obrien
100 Ochre Point Ave |
$56.22 | 754 | 646 |
|
Kathleen Marie Johnston
20 Powel Avenue |
$104.92 | 851 | 593 |
|
Laert Rusha
11 Friendship St |
$160.55 | 887 | 851 |
|
Christopher Skeehan
11 Friendship St |
$50.58 | 1,006 | 989 |
|
Jill Ann Berk
19 Friendship St Unit 340 |
$67.73 | 1,085 | 924 |
|
Matthew J Reuter
11 Friendship St |
$41.85 | 1,163 | 1,084 |
|
Emily Jina Thompson Carrillo
11 Friendship St |
$63.93 | 1,235 | 922 |
|
Karen L Cadwalader
87 Kay St |
$17.80 | 1,473 | 1,436 |
|
Wei Song
19 Friendship St |
$92.39 | 1,506 | 1,366 |
|
Adrian De Guzman Velasquez
11 Friendship St |
$60.15 | 1,540 | 1,475 |
|
Doreen Donnelly
6 John H Chafee Blvd |
$45.78 | 2,460 | 2,368 |
|
Meredith Morenz
6 John H Chafee Blvd |
$55.08 | 2,912 | 2,715 |
|
Farrel Ivan Klein
19 Friendship St |
$86.82 | 2,941 | 2,715 |
|
Martha Ann Ullman
50 Memorial Blvd |
$60.42 | 3,021 | 2,813 |
|
Anthony Michael Amaio
43 Smith Rd |
$64.48 | 3,600 | 3,414 |
|
Nelsy Lopes
6 John H Chafee Blvd |
$40.81 | 4,309 | 3,973 |
|
Jennifer Marie Salm
50 Memorial Blvd |
$71.60 | 5,003 | 4,671 |
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 Newport, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newport, RI is $59.78 per claim, based on 52,343 claims from 51 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 Newport, RI?
There are 51 Medicaid providers offering Office Visit related services in Newport, RI according to public payment data.
What is the price range for Office Visit in Newport, RI?
Medicaid reimbursement for Office Visit in Newport, RI ranges from $17.80 to $163.23 per claim, with an average of $59.78. 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 Newport, RI
Emergency Room Visit
Avg $71.45
32,455 claims
Case Management Services
Avg $98.42
29,317 claims
Personal Care Services
Avg $34.76
25,997 claims
EKG / ECG (Electrocardiogram)
Avg $7.78
25,164 claims
Non-Emergency Medical Transportation
Avg $135.00
24,269 claims
Dental Cleaning & Exam
Avg $16.61
24,073 claims
Physical Therapy
Avg $60.09
22,800 claims
Psychiatric Evaluation
Avg $60.27
20,173 claims