Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in North Providence, RI: $61.56

Avg. Paid

$61.56

Range

$21.85 – $126.39

Total Claims

123,545

Providers

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 North Providence, RI

Provider	Avg. Paid	Claims	Patients
Rafael Montalvo Ayala 967 Mineral Spring Ave	$69.69	20,498	18,532
Miguel A Fuentes 967 Mineral Spring Ave	$71.68	16,084	14,898
Teresa Lorena Jeraldo 967 Mineral Spring Ave	$67.22	12,257	11,403
Dilip D. Sawant 200 High Service Ave	$61.88	8,305	8,005
Ronald C Gobeil 200 High Service Avenue	$71.50	7,486	7,136
Anthony G Farina 1830 Mineral Spring Ave	$60.95	6,941	5,686
Debra L. Dale-Walek 200 High Service Ave	$55.93	5,503	5,154
North Providence Urgent Care 1830 Mineral Spring Ave	$50.32	5,248	4,598
Paul Dionisopoulos 1637 Mineral Spring Ave	$65.69	5,220	3,824
Oluseyi G Abioye-Akanji 1515 Smith St Ste A	$55.48	4,949	4,399
Monique Lanice Anderson-Mccurbin 1830 Mineral Spring Ave	$46.09	4,805	4,445
Carolyn K. Mcgrath 200 High Service Ave	$67.29	3,550	2,964
Aaron Brett Milam 464 Smithfield Rd	$24.22	3,543	3,191
Nancy G Serabian 1804 Mineral Spring Ave	$35.94	2,138	1,978
Claude Elias Younes 1300 Mineral Spring Ave	$64.63	1,930	1,170
Javid A Calcatti 1635 Mineral Spring Ave Ste 203	$68.83	1,720	1,481
Doreen M Ciancaglini 1169 Mineral Spring Avenue	$67.75	1,635	1,460
Amy G. Lafontaine 200 High Service Ave	$48.96	1,463	1,342
Amir Alizadeh,Md Inc. 1637 Mineral Spring Ave 107	$51.64	1,134	1,005
Thomas A. Couturier 1630 Mineral Spring Ave Ste 2	$28.63	951	890
Rodrigo Nardi 200 High Service Ave	$28.63	768	661
Lutsiya Huang 1637 Mineral Spring Ave	$35.39	733	648
Roshani Shrestha 1630 Mineral Spring Ave	$34.47	732	647
James D Sullivan 200 High Service Ave	$86.82	644	640
Sarah Faria 200 High Service Ave	$37.47	640	626
Ocean State Urgent Care Center Of North Providence, Llc 1637 Mineral Spring Ave Ste 115	$28.64	587	543
David A Carcieri 1637 Mineral Spring Ave	$52.18	516	464
Frank Bruno D'Alessandro 1515 Smith St	$51.99	503	479
Maria R. Bianchi 200 High Service Ave	$126.39	421	413
Denis E Moonan 1515 Smith St	$50.84	352	298
Angelo J Bigelli 464 Smithfield Rd	$26.69	335	316
Catherine Trim-Deignan 200 High Service Ave	$58.50	269	250
Donald Vincent Fargnoli 1358 Smith St	$49.23	253	198
Norma-Ann G. Swenson 1543 Smith St	$65.56	232	227
Lissa Pierre 1630 Mineral Spring Ave Ste 2	$59.15	232	220
Netesha Reid 1830 Mineral Spring Ave	$55.61	202	193
William Durst 200 High Service Ave	$47.55	201	179
David A. Dicecco 200 High Service Avenue	$39.98	194	179
Prospect Chartercare Sjhsri, Llc 200 High Service Ave	$46.36	182	169
Naftali Sabo 214 High Service Avenue	$39.41	82	73
Elizabeth Da Silva 1243 Mineral Spring Ave Unit 7	$21.85	76	73
Santiago Medical Group, Inc. 967 Mineral Spring Avenue	$56.70	16	16
Constance Marie Ducharme 966 Mineral Spring Ave	$59.25	15	13

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 North Providence, RI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Providence, RI is $61.56 per claim, based on 123,545 claims from 43 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 North Providence, RI?

There are 43 Medicaid providers offering Office Visit related services in North Providence, RI according to public payment data.

What is the price range for Office Visit in North Providence, RI?

Medicaid reimbursement for Office Visit in North Providence, RI ranges from $21.85 to $126.39 per claim, with an average of $61.56. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in North Providence, RI: $61.56

Providers Offering Office Visit in North Providence, RI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in North Providence, RI

Home Health Visit

Personal Care Services

Emergency Room Visit

Physical Therapy

Speech Therapy

Substance Abuse Treatment

Vaccines & Immunizations

Non-Emergency Medical Transportation