Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Providence, RI: $73.05

Avg. Paid

$73.05

Range

$0.00 – $783.41

Total Claims

1,843,254

Providers

1,198

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 Providence, RI

Provider	Avg. Paid	Claims	Patients
Rhode Island Hospital 593 Eddy St	$120.74	79,438	65,819
Paulo R Pina 593 Eddy Street	$181.68	67,593	51,490
Paul W Wehbe 1 Randall Sq	$67.78	40,178	35,812
Miriannys Rivas 655 Broad St Ste 201	$72.39	28,190	15,928
Rhode Island Hospital 593 Eddy St	$160.04	23,639	22,405
Arlinda Santos 170 Rhodes St	$73.55	17,980	11,035
Phyllis Losikoff 593 Eddy St	$69.09	15,115	10,086
Rhode Island Hospital 593 Eddy St	$156.85	14,246	11,735
Razi Hasan 1 Randall Sq	$83.24	13,605	12,725
Cesar Mora Jaramillo 355 Prairie Ave	$46.71	13,285	12,779
Lynn A Bowlby 245 Chapman St Ste 300	$26.89	13,036	11,824
The Providence Center Inc 530 N Main St	$57.44	12,830	11,584
Kelvin D Gillman 845 North Main Street	$59.79	12,607	10,982
Rhode Island Hospital 593 Eddy St	$97.78	12,462	11,591
Robert Emanuel Eden 100 Highland Ave	$77.09	12,394	11,126
Emad Awa 1 Randall Sq Ste 404	$69.64	12,350	11,277
Elaine K. Parker-Williams 355 Prairie Ave	$44.07	12,277	11,959
Beth A. Toolan 40 Candace St	$61.92	12,043	10,890
Vinod Thomas 40 Candace St	$45.97	11,819	10,704
Karen Y Ng 31 Atwood St	$55.23	11,640	10,747
Walter A. Hollinger 21 Peace St	$48.63	11,585	10,803
Melissa S. Mills 355 Prairie Ave	$40.44	11,492	11,141
Stanley H. Block 1 Randall Sq	$57.71	11,411	9,641
Emilio Rodriguez-Peris 655 Broad Street	$68.45	11,041	9,098
Boris Skurkovich 239 Cranston St	$65.71	11,026	10,266
James Edward Greer 520 Hope St	$92.69	10,917	9,902
Tenesha R Lisbon 355 Prairie Ave	$49.06	10,876	9,876
Willy A. Salas Sanchez 239 Cranston St	$50.68	10,466	9,040
Kerry A Clark 2 Dudley St	$94.91	10,438	9,417
Jacob Hettinger 891 Westminster St	$62.38	10,413	10,025
Magdi L Salmon 355 Prairie Ave	$52.27	10,203	8,903
David W Ashley 345 Blackstone Blvd	$92.29	10,017	7,016
Erick R. Soria Galvarro Duran 31 Atwood St	$42.22	10,000	8,932
Katherine S. Williams 355 Prairie Ave	$48.07	9,982	9,663
John Paul A Abroguena 1 Randall Sq	$50.61	9,790	8,974
Oscar Glieberman 333 Slater Ave	$43.02	9,578	5,546
Jamil Chaudhry 520 Hope St	$93.39	9,557	8,589
Recovery Connection Centers Of America, Inc. 381 Wickenden St	$84.39	8,755	5,481
Natasha Bica 355 Prairie Ave	$50.24	8,700	7,251
Sheldon D. E. Malcolm 355 Prairie Ave	$53.29	8,521	7,519
Mofoluso O Agbelese 239 Cranston St	$44.83	8,339	7,377
Lonice M. Thomas 31 Atwood St	$62.27	8,253	7,549
Chandan Lakhiani 593 Eddy St	$92.68	8,236	7,788
Erin E. Rawson 1 Warren Way	$53.89	8,162	7,318
Ivan S. Wolfson 375 Allens Ave	$48.69	8,145	6,252
Heidi N. Kurrus 1 Warren Way	$52.63	8,132	7,676
Nicole J. Saquet 434 Mount Pleasant Ave	$47.50	7,928	7,584
Melanie Dubois 530 N Main St	$78.54	7,719	6,064
Allison Heinly 593 Eddy St	$90.81	7,656	7,075
Nelsy Robles 355 Prairie Ave	$46.14	7,651	7,164

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 Providence, RI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Providence, RI is $73.05 per claim, based on 1,843,254 claims from 1198 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 Providence, RI?

There are 1198 Medicaid providers offering Office Visit related services in Providence, RI according to public payment data.

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

Medicaid reimbursement for Office Visit in Providence, RI ranges from $0.00 to $783.41 per claim, with an average of $73.05. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Providence, RI: $73.05

Providers Offering Office Visit in Providence, RI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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