Based on public Medicaid payment data.

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
Kathleen Kirchmeier-Kroessler 333 School St Ste 211	$70.75	12	12
Peter S. Gill 333 School St	$51.97	12	12
Felicia Meila 407 East Ave Ste 110	$35.13	12	12
Jenna Marie Georgiou 727 East Ave	$71.18	13	13
David A Marcoux 407 East Ave Ste 110	$48.26	13	12
Stacey Peckham Lievense 333 School St	$40.78	13	12
Julie M Wilson 111 Brewster St	$48.96	13	13
John Manuel Simoes 407 East Ave Ste 120	$35.00	14	13
David S. Pomerantz Md Inc 333 School Street	$45.55	14	14
Akiko Minami 111 Brewster St	$61.31	15	15
Andrew Richard Hordes 333 School St	$21.45	16	13
Raquel Marie Larocca 21 Division Street	$104.67	22	21
Caroline R Richardson 111 Brewster St	$76.73	28	27
Naomi Ruth Kramer 111 Brewster St	$75.71	28	28
Fadi Mansourati 886 Mineral Spring Ave	$59.65	28	26
Marven Leftick 407 East Ave.	$50.08	30	29
Elizabeth Anne Mayhall 333 School St	$45.66	35	33
Kate Catudal 333 School St Ste 302	$35.84	35	33
Gabriela Graciela Bowman 39 East Ave	$48.06	40	39
Joseph A. Diaz 111 Brewster St	$65.71	41	40
Shaun Michael Flynn 111 Brewster St, Fcc A	$14.01	48	44
Anne F Kiernan 2 Dexter St	$103.99	48	48
Erkan Ozturk 407 East Ave	$61.78	49	41
Kristin Lynch Gregg 111 Brewster Street	$24.34	55	55
Lauren Elizabeth Aponte 111 Brewster St	$11.12	59	58
Stevens Eric Kelly 21 Division St	$65.89	59	54
Matthew J Lavoie 70 Gill Ave.	$60.35	89	52
Vinit Joseph Gilvaz 407 East Ave Ste 250	$108.12	91	89
Samuel Edwin Donovan 111 Brewster St	$30.85	112	110
Daria L Szkwarko 111 Brewster St	$64.85	117	113
Michaela Regina Duquenoy 333 School St Ste 112B	$47.61	123	104
Naji Wagih Mazloum 333 School St	$95.21	137	123
East Bay Neurology Professional Corporation 333 School St Ste 216	$69.56	141	138
Andrew A Nowak 407 East Ave	$104.22	148	144
Jocelyn Marie Cobb 111 Brewster St	$42.89	151	146
Steven Blazar 588 Pawtucket Ave	$89.21	153	147
Norana Irene Caivano 101-103 Bacon Street	$126.12	155	147
Sadia Iftikhar 126 Prospect St Ste 205	$30.07	169	151
Zsolt Orban 111 Brewster St	$77.93	183	169
Ashley Michelle Lakin 111 Brewster St	$65.20	184	172
Rosalie Margaret Elkinton 21 Division St	$67.23	199	184
John Michael Conte 407 East Ave.	$90.61	205	154
Marisa Ann Singleton 101-105 Bacon St	$46.99	211	189
Charles B. Eaton 111 Brewster St	$62.66	213	206
Emily Keator Stallings 21 Division St	$48.78	214	195
Jon K Lambrecht 407 East Ave	$58.64	217	208
Teresa Slomka 111 Brewster St	$67.14	230	224
Brian Andrew Hammock 101 Bacon St Ste 103	$109.31	237	228
Aimee R James 21 Division St	$66.94	238	233
Southern New England Healthcare For Women, Llc 333 School St.	$46.13	238	225

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.

Average Medicaid Office Visit Payments in Pawtucket, RI: $58.11

Providers Offering Office Visit in Pawtucket, RI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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