Average Medicaid Office Visit Payments in Pawtucket, RI: $58.11
Avg. Paid
$58.11
Range
$0.00 – $132.55
Total Claims
389,301
Providers
200
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 Pawtucket, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hector R Oshiro
109 Beechwood Ave |
$65.02 | 19,824 | 17,689 |
|
Karl Felber
209 Armistice Blvd |
$72.63 | 17,604 | 16,896 |
|
Jonathan D Kaplan
2 Dexter St |
$80.85 | 11,256 | 10,853 |
|
David S Pomerantz
333 School Street |
$62.85 | 11,068 | 10,649 |
|
Armistice Urgent Care & Occupational Health, Inc.
209 Armistice Blvd |
$59.92 | 10,771 | 9,667 |
|
Pamela Marie Bagdasian
333 School St Ste 109 |
$49.10 | 9,971 | 7,470 |
|
Adriana Reyna
42 Park Pl |
$37.61 | 9,877 | 9,043 |
|
Ahmad Al-Raqqad
333 School St |
$62.93 | 8,817 | 7,768 |
|
Kunjbala Sharma
1145 Main St |
$58.36 | 8,672 | 7,428 |
|
Charlie Imonah
39 East Ave |
$48.74 | 8,536 | 7,640 |
|
Anne Barylick
39 East Ave |
$64.96 | 8,408 | 7,484 |
|
Morgan Motia
39 East Ave |
$48.71 | 6,962 | 6,106 |
|
Katelyn Mae Larsson
1145 Main St |
$49.86 | 6,914 | 6,335 |
|
Cameron Elizabeth Walker Lang
39 East Ave |
$53.87 | 6,615 | 5,391 |
|
Dawn M Borschel
21 Division St |
$73.74 | 5,934 | 5,602 |
|
Rodolfo M Galinatti
39 East Ave |
$47.56 | 5,520 | 5,180 |
|
Mark Warren Enander
333 School St |
$50.60 | 5,227 | 4,696 |
|
M Aurora Balerdi
407 East Ave |
$60.50 | 5,178 | 4,855 |
|
Elena Burns
727 East Ave |
$0.07 | 4,556 | 3,276 |
|
Janine Mary Medeiros
39 East Ave |
$56.51 | 4,223 | 3,465 |
|
Gateway Healthcare Inc
101-103 Bacon St |
$0.61 | 4,068 | 3,741 |
|
Fadya Elrayess
111 Brewster Street |
$67.70 | 3,924 | 3,711 |
|
Margaret Tryforos
111 Brewster St |
$68.19 | 3,920 | 3,646 |
|
Corissa Ann Pond
39 East Ave |
$52.29 | 3,918 | 3,742 |
|
Nicole Snapper
39 East Ave |
$41.68 | 3,714 | 3,349 |
|
Steven Graff
588 Pawtucket Ave |
$102.43 | 3,645 | 3,386 |
|
Jaron Keough
232 Pawtucket Ave Apt 1 |
$49.86 | 3,614 | 3,333 |
|
Natalia Lukankina
111 Brewster St |
$75.45 | 3,581 | 3,238 |
|
Anne Therese Valez
126 Prospect St |
$70.07 | 3,522 | 2,853 |
|
Rabin Chandran
111 Brewster St |
$70.23 | 3,434 | 3,163 |
|
Alison Block
111 Brewster St |
$14.85 | 3,426 | 2,582 |
|
David C Anthony
111 Brewster St |
$68.27 | 3,332 | 3,126 |
|
Cristina Mitchell
727 East Ave |
$58.08 | 3,307 | 3,070 |
|
Kayla Rose-Elaine Vicino
126 Prospect St Ste 202 |
$56.28 | 3,294 | 2,812 |
|
Motasem A Al-Yacoub
333 School St |
$53.25 | 3,278 | 2,934 |
|
Molly Anne Cook
111 Brewster St |
$78.73 | 3,248 | 3,084 |
|
Stephen L Chabot
101 Bacon St |
$64.88 | 3,221 | 2,262 |
|
Kelly Anne Collins
101 Bacon St |
$87.81 | 3,129 | 2,931 |
|
Richard C Anderson
209 Armistice Blvd |
$74.88 | 3,100 | 2,995 |
|
Philomene Fortes
39 East Ave |
$51.60 | 3,050 | 2,805 |
|
Elizabeth M Gomes
407 East Ave Ste 150 |
$59.61 | 3,040 | 2,771 |
|
Aaron J Shemenski
333 School St |
$52.05 | 2,974 | 2,574 |
|
Tanya Jean Becker
126 Prospect St |
$58.96 | 2,957 | 2,212 |
|
Mckinzie Eggers
39 East Ave |
$57.03 | 2,896 | 2,725 |
|
Neelam Thapa
42 Park Pl |
$88.16 | 2,882 | 2,609 |
|
Cristina Pacheco
39 East Ave |
$52.04 | 2,875 | 2,513 |
|
Alice Omerhi
39 East Ave |
$42.09 | 2,731 | 2,452 |
|
Muhammad Ehtisham
111 Brewster St |
$44.05 | 2,618 | 2,298 |
|
Iulia C. Grillo
111 Brewster St |
$72.14 | 2,567 | 2,242 |
|
James Frederic Appleton
649 East Ave |
$47.90 | 2,524 | 2,326 |
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 Pawtucket, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pawtucket, RI is $58.11 per claim, based on 389,301 claims from 200 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 Pawtucket, RI?
There are 200 Medicaid providers offering Office Visit related services in Pawtucket, RI according to public payment data.
What is the price range for Office Visit in Pawtucket, RI?
Medicaid reimbursement for Office Visit in Pawtucket, RI ranges from $0.00 to $132.55 per claim, with an average of $58.11. 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 Pawtucket, RI
Personal Care Services
Avg $87.82
876,711 claims
Physical Therapy
Avg $42.03
419,253 claims
Substance Abuse Treatment
Avg $40.18
393,238 claims
Behavioral & Mental Health Therapy
Avg $147.50
354,418 claims
Ambulance Transport
Avg $51.61
174,800 claims
Dental Cleaning & Exam
Avg $27.50
171,073 claims
Psychiatric Evaluation
Avg $69.48
108,093 claims
Case Management Services
Avg $37.47
97,241 claims