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
Thomas P Lang 150 E Manning St	$32.09	12	12
Laina E Crowthers 695 Eddy St	$47.19	12	12
Mason Alexander Bragg 593 Eddy St	$78.06	12	12
Megan E Silveira 208 Collyer St	$85.61	12	12
Tineke L Chan 2 Dudley St	$96.14	12	12
Meredith Blair Horton 593 Eddy St	$80.12	12	12
Paul J Ramos 2 Dudley St	$82.05	12	12
Jennifer Susan Kaplan 593 Eddy Street	$100.67	12	12
Paul Breiding 909 N Main St	$46.59	12	12
Matthew A. Esposito 101 Plain St Fl 6	$13.32	12	12
Amanda B Pressman 146 West River Street	$73.34	12	12
Todd S Stafford 195 Collyer St Ste 302	$72.32	12	12
Judith A Owens 593 Eddy St	$61.38	12	12
Peter Michael Barth 593 Eddy St	$70.41	12	12
Kelsey Van Housen 2 Dudley St Ste 190	$152.17	12	12
Colleen Planchon 593 Eddy St	$24.00	12	12
Christopher W Digiovanni 100 Butler Dr	$46.64	12	12
Beverly Casinelli 765 Allens Ave	$115.36	12	12
Robert James Koness 830 Chalkstone Ave	$28.68	12	12
Jennifer Y Hwang 593 Eddy St	$178.33	12	12
Carrie L Kelly 593 Eddy St	$55.41	12	12
David Alexander Leenen 593 Eddy Street	$51.22	12	12
Kristen A Hannigan 101 Dudley St	$22.42	12	12
Jeremy Agu Parker 825 Chalkstone Ave	$0.00	12	12
Steven J. Hirsch 1 Richmond Sq Ste 104C	$99.00	12	12
Thomas Francis Bliss 100 Butler Dr	$76.64	13	13
Matthew Daniel Vrees 208 Collyer St Ste 301A	$55.92	13	12
Debra Goldman 148 W River St Ste 8	$66.83	13	12
Joshua Nathanael Honeyman 2 Dudley St Ste 190	$100.06	13	13
Nicole Breting 593 Eddy Street	$71.87	13	13
Kristen Nicole L'Esperance 593 Eddy St	$29.04	13	13
Alexandra Meditch Campbell Goodwin 593 Eddy St	$23.30	13	13
Cynthia A Esteban 593 Eddy St	$64.70	13	12
Laura L Holman 101 Dudley St	$139.86	13	12
Randall Ingham 593 Eddy St	$56.93	13	13
Jeremy Spector 44 W River St	$118.40	13	13
Michael Jan Hulstyn 2 Dudley St	$125.72	13	12
Ingrid Lauer Arnold 345 Blackstone Blvd	$107.89	13	13
Donald Ramos 695 Eddy St	$48.46	13	12
Erik Alexander Hoy 101 Plain St	$106.31	13	13
Patrick Camara 799 Hope St	$1.41	13	12
Zachary Joseph Langevin 593 Eddy St	$11.99	13	12
Mary R Walton 321 Hope St	$47.50	13	12
Jami A Star 146 West River St 3Rd Floor	$18.35	13	13
David Robbins Tien 2 Dudley St	$123.30	13	12
William D Brown 335R Prairie Ave	$34.32	13	13
Laura Beth Doherty 101 Dudley St	$63.93	13	12
Mental Health Consultant Service 400 Reservoir Ave Ste 2G	$40.19	13	12
Kaelyn Zakrajsek 593 Eddy St	$62.61	13	13
Travis Mcfarlane Cotton 2 Dudley St	$51.62	14	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 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

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Providence, RI

Personal Care Services

Emergency Room Visit

Behavioral & Mental Health Therapy

Dental Cleaning & Exam

Case Management Services

Psychiatric Evaluation

Substance Abuse Treatment

Physical Therapy