Average Medicaid Office Visit Payments in Wakefield, RI: $52.58
Avg. Paid
$52.58
Range
$21.49 – $105.19
Total Claims
113,230
Providers
96
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 Wakefield, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thundermist Health Center
1 River St |
$48.17 | 6,734 | 6,132 |
|
David J Chronley
4979 Tower Hill Rd |
$54.91 | 5,809 | 4,911 |
|
Darlene Patricia Males
481 Kingstown Rd |
$46.91 | 5,439 | 4,461 |
|
Sara E Watson
1 River St |
$47.58 | 5,161 | 4,376 |
|
Jessica Coliflores
1 River St |
$53.69 | 4,655 | 4,303 |
|
Camia Crawford Dimock
1 River St |
$51.86 | 4,600 | 4,153 |
|
Roger F Fazio
49 S County Commons Way Unit F5 |
$68.22 | 3,721 | 3,391 |
|
Christopher Ryan Klaus
1 River St |
$45.22 | 3,678 | 3,371 |
|
Christine Omerhi Pincince
1 River St |
$45.98 | 3,578 | 3,194 |
|
Abram Collard
1 River St |
$75.81 | 3,360 | 3,112 |
|
Nickesha Romaine Mckenzie
1 River St |
$23.19 | 3,231 | 2,769 |
|
Alison Wilkens
1 River St |
$58.30 | 3,112 | 2,953 |
|
Ann Pearce Bisland
231 Old Tower Hill Rd Ste 208 |
$58.07 | 3,060 | 2,286 |
|
Susan Beth Burgoyne
1 River St |
$44.58 | 2,960 | 2,696 |
|
Christine Stout
100 Kenyon Ave |
$58.97 | 2,716 | 2,432 |
|
Heather A Dibiasio
46 Holley St |
$72.46 | 2,483 | 2,296 |
|
Christophe Vanhemelrijck
1 River St |
$46.88 | 2,407 | 2,164 |
|
Nancy Felty Morin
100 Kenyon Ave |
$30.80 | 2,305 | 2,130 |
|
Cristina Mota Mccormick
1 River St |
$42.99 | 2,266 | 1,966 |
|
Jacob T Abraham
24 Salt Pond Rd |
$79.92 | 2,211 | 1,971 |
|
Joline C.S. Macfarlan
1 River St |
$44.60 | 2,208 | 2,008 |
|
Phoebe F Hall
1 River St |
$45.02 | 2,058 | 1,964 |
|
Jeffrey W Bouley
1 River St |
$46.37 | 1,973 | 1,890 |
|
Michael James Weaver
553 Kingstown Rd |
$62.51 | 1,952 | 1,472 |
|
Brian D Cilley
70 Kenyon Ave |
$49.16 | 1,919 | 1,829 |
|
Sarah J Donahue
100 Kenyon Ave |
$54.24 | 1,887 | 1,834 |
|
Lauren C Noel
49 S County Commons Way Unit F5 |
$69.43 | 1,851 | 1,632 |
|
Kim Sylvestre
1 River St |
$51.02 | 1,716 | 1,637 |
|
Kayla Marie Denis
1 High St |
$83.64 | 1,494 | 1,286 |
|
Aaron W Way
55 Cherry Ln Ste 1B |
$55.91 | 1,490 | 1,324 |
|
Tina Rizack
85 Kenyon Ave |
$29.89 | 1,398 | 1,269 |
|
Ryan David Boehm
70 Kenyon Ave |
$43.72 | 1,349 | 1,258 |
|
Sharon Anne Mclimans
1 River St |
$44.65 | 1,191 | 1,078 |
|
Erin Marie Smith
1 High St |
$51.69 | 981 | 873 |
|
Gianna Delgado
1 River St |
$53.71 | 950 | 934 |
|
Gerald A Colvin
100 Kenyon Ave |
$55.53 | 940 | 822 |
|
Zachary Mitchell Hudson
1 High St |
$50.06 | 866 | 789 |
|
Maureen F. Mckone
100 Kenyon Ave |
$62.27 | 746 | 640 |
|
Heidi J Dorris
481 Kingstown Rd |
$69.21 | 741 | 691 |
|
Joan M Spencer
70 Kenyon Ave |
$46.18 | 735 | 632 |
|
Michael Patrick Bradley
1 High St |
$70.42 | 671 | 621 |
|
Deborah A. Spaight
4979 Tower Hill Rd |
$52.88 | 657 | 612 |
|
Aino Linn Floderus
100 Kenyon Ave |
$73.68 | 606 | 550 |
|
Kristine A. Cunniff
100 Kenyon Ave |
$46.53 | 597 | 464 |
|
Benjamin Z Phillips
1 High St |
$48.80 | 576 | 491 |
|
Malinda Bridgette Anderson
55 Cherry Ln Ste 1B |
$70.35 | 555 | 548 |
|
Silver Spring Health Care Management, Inc.
100 Kenyon Ave |
$52.49 | 490 | 436 |
|
Olivia Macaskill
1 River St |
$44.17 | 456 | 414 |
|
Diane Mckeeff
55 Cherry Ln |
$62.55 | 438 | 400 |
|
Hannah N Deutschman
100 Kenyon Ave |
$41.53 | 334 | 296 |
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 Wakefield, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wakefield, RI is $52.58 per claim, based on 113,230 claims from 96 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 Wakefield, RI?
There are 96 Medicaid providers offering Office Visit related services in Wakefield, RI according to public payment data.
What is the price range for Office Visit in Wakefield, RI?
Medicaid reimbursement for Office Visit in Wakefield, RI ranges from $21.49 to $105.19 per claim, with an average of $52.58. 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 Wakefield, RI
Dental Cleaning & Exam
Avg $11.80
48,156 claims
Physical Therapy
Avg $23.63
30,116 claims
Psychiatric Evaluation
Avg $53.11
30,111 claims
Speech Therapy
Avg $12.86
26,838 claims
Emergency Room Visit
Avg $85.47
23,620 claims
Vaccines & Immunizations
Avg $13.59
20,854 claims
Non-Emergency Medical Transportation
Avg $3.61
18,019 claims
Substance Abuse Treatment
Avg $126.29
16,315 claims