Average Medicaid Office Visit Payments in North Smithfield, RI: $45.31
Avg. Paid
$45.31
Range
$0.01 – $93.57
Total Claims
77,960
Providers
30
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 Smithfield, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey Alan Sorokin
594 Great Rd |
$0.01 | 19,790 | 10,187 |
|
Chellee Debor Furbert
63 Eddie Dowling Hwy Ste 8 |
$62.41 | 13,588 | 9,257 |
|
John J Solomon
594 Great Rd |
$75.10 | 13,087 | 12,172 |
|
Syed Iftikhar Hussain
63 Eddie Dowling Hwy Ste 10 |
$52.89 | 5,205 | 4,497 |
|
North Smithfield Urgent Care,Llc
594 Great Rd |
$53.98 | 3,112 | 2,786 |
|
Suzanne Farinella
65 Eddie Dowling Hwy |
$45.33 | 2,550 | 2,294 |
|
Danielle Marie Rodrigues
65 Eddie Dowling Hwy |
$52.85 | 2,277 | 2,267 |
|
Sharon Nancy Benson
116 Eddie Dowling Hwy |
$52.32 | 2,165 | 1,690 |
|
Timothy J. Pepin
63 Eddie Dowling Hwy Ste 8 |
$63.89 | 2,000 | 1,826 |
|
Rose Tarsio
65 Eddie Dowling Hwy |
$48.20 | 1,740 | 1,624 |
|
Joseph K Domenico
249 Eddie Dowling Hwy |
$50.29 | 1,720 | 1,604 |
|
Oxana Coroliuc
63 Eddie Dowling Hwy Ste 8 |
$55.97 | 1,372 | 1,078 |
|
Fauzia Wali-Khan
63 Eddie Dowling Hwy Ste 9 |
$58.73 | 1,294 | 1,186 |
|
Whitney Ogbo
63 Eddie Dowling Hwy Ste 8 |
$36.73 | 1,196 | 1,055 |
|
Ronald Romano
176 Eddie Dowling Hwy |
$48.20 | 1,143 | 1,056 |
|
Kayla M Rose
621 Pound Hill Rd Ste 104 |
$58.70 | 1,125 | 1,053 |
|
Rhode Island Health Group Pc
65 Eddie Dowling Hwy |
$73.25 | 1,099 | 701 |
|
Jo-Ann M Moore
65 Eddie Dowling Hwy |
$66.83 | 996 | 483 |
|
Chi-Kuang Lai
117 Eddie Dowling Hwy |
$57.75 | 623 | 597 |
|
Rebecca Wallitsch
120 Eddie Dowling Hwy |
$44.94 | 387 | 372 |
|
Michael A. Luke
501 Great Rd |
$93.57 | 318 | 252 |
|
Thomas E Mcgunigal
116 Eddie Dowling Hwy |
$80.32 | 282 | 207 |
|
Danielle Elizabeth Brannan
594 Great Rd Ste 102 |
$52.21 | 272 | 270 |
|
Meaghan R Gasparri
120 Eddie Dowling Hwy |
$18.92 | 183 | 171 |
|
James C Sullivan
249 Eddie Dowling Hwy |
$43.48 | 124 | 104 |
|
Amelia A Pires
120 Eddie Dowling Hwy |
$41.43 | 124 | 118 |
|
Joseph P. Turner
117 Eddie Dowling Hwy |
$76.12 | 82 | 76 |
|
Erik Dingley
621 Pound Hill Rd Ste 104 |
$47.07 | 80 | 70 |
|
Rhode Island Health Group Pain Management, Pc
63 Eddie Dowling Hwy |
$50.08 | 14 | 14 |
|
Fadi F Al-Bilbeisi
63 Eddie Dowling Hwy |
$75.46 | 12 | 12 |
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 Smithfield, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Smithfield, RI is $45.31 per claim, based on 77,960 claims from 30 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 Smithfield, RI?
There are 30 Medicaid providers offering Office Visit related services in North Smithfield, RI according to public payment data.
What is the price range for Office Visit in North Smithfield, RI?
Medicaid reimbursement for Office Visit in North Smithfield, RI ranges from $0.01 to $93.57 per claim, with an average of $45.31. 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 North Smithfield, RI
Blood Work & Lab Tests
Avg $26.24
15,885 claims
Physical Therapy
Avg $17.92
14,748 claims
Speech Therapy
Avg $9.76
10,788 claims
Eye Exam
Avg $29.77
7,979 claims
Psychiatric Evaluation
Avg $66.71
6,478 claims
Vaccines & Immunizations
Avg $0.50
3,662 claims
Ambulance Transport
Avg $41.98
3,287 claims
Urinalysis & Urine Tests
Avg $2.37
1,521 claims