Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Smithfield, RI: $59.36

Avg. Paid

$59.36

Range

$28.06 – $94.65

Total Claims

47,336

Providers

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 Smithfield, RI

Provider	Avg. Paid	Claims	Patients
Lindsey Monti 400 Putnam Pike	$62.57	10,651	8,308
Cheryl A Trager 400 Putnam Pike	$57.85	4,634	4,203
Ellen Frances Brady 400 Putnam Pike	$77.02	4,227	4,049
Ocean State Urgent Care Center Of Smithfield Llc 400 Putnam Pike	$50.48	4,218	3,833
Mark Edward Clarke 100 Clark Rd	$47.49	4,192	3,455
Timothy Thomas 400 Putnam Pike	$55.31	3,799	3,448
Brett Buskey 400 Putnam Pike	$55.54	2,688	2,544
Miriam R. Okero 500 Salem St	$50.41	2,052	1,792
John Michael Corsi 28 Cedar Swamp Rd	$48.52	1,967	1,780
Dylan Gene Godyn 9 Summer Ct	$94.65	1,901	1,849
Keith A Perry 14 Cedar Swamp Rd	$60.46	1,714	1,419
Lisa Marie Turner 41 Sanderson Rd	$63.04	978	738
Frank Fraioli 41 Sanderson Rd	$48.01	740	627
Peter Ameck 41 Sanderson Rd Ste 201	$49.19	714	628
Stephanie Jo Penchuk 41 Sanderson Rd Ste 202	$55.52	679	584
Ashley Liese 41 Sanderson Rd Ste 206	$47.75	272	231
Sydney A Amado-Tuthill 900 Douglas Pike	$52.05	252	233
Dhara Shah 41 Sanderson Rd Ste 206	$47.98	225	211
Roderick C Spears 900 Douglas Pike	$80.89	221	216
Abdul Rahman Al Hout 41 Sanderson Rd Ste 206A	$56.55	186	169
Eileen Crawford 41 Sanderson Rd	$72.74	186	184
Luis Emilio Lopez La Rosa 41 Sanderson Rd	$70.50	183	170
Abbey E Barkley Davis 900 Douglas Pike	$57.45	176	165
Gretchen Carr 900 Douglas Pike Ste B1	$65.81	85	78
Noressa Doval Santomenna Bryant University	$48.55	77	75
Nidhi B Sharma 41 Sanderson Rd	$28.06	67	58
Silky Kataria 41 Sanderson Rd Ste 206A	$61.47	53	49
Caroline Alden Shea 1150 Douglas Pike	$44.66	47	46
Megan Ward 96 Orchard Meadows Dr	$44.40	40	37
William Levin 41 Sanderson Rd	$53.76	26	26
Dominic John Roda 41 Sanderson Rd	$74.36	25	24
David M Colannino 41 Sanderson Rd	$36.62	17	17
Deborah Thomas 41 Sanderson Rd Ste 201	$47.45	16	12
Lauren Michal De Leon 41 Sanderson Rd	$36.49	15	12
Gary D Johnson 900 Douglas Pike	$62.67	13	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 Smithfield, RI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Smithfield, RI is $59.36 per claim, based on 47,336 claims from 35 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 Smithfield, RI?

There are 35 Medicaid providers offering Office Visit related services in Smithfield, RI according to public payment data.

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

Medicaid reimbursement for Office Visit in Smithfield, RI ranges from $28.06 to $94.65 per claim, with an average of $59.36. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Smithfield, RI: $59.36

Providers Offering Office Visit in Smithfield, RI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Smithfield, RI

Physical Therapy

Speech Therapy

Case Management Services

Personal Care Services

Non-Emergency Medical Transportation

Psychiatric Evaluation

EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests