Average Medicaid Office Visit Payments in Warwick, RI: $57.76
Avg. Paid
$57.76
Range
$0.00 – $357.47
Total Claims
480,077
Providers
319
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 Warwick, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lifespan Physician Group, Inc.
17 Airport Rd |
$70.81 | 29,580 | 26,853 |
|
David E Kroessler
33 College Hill Rd |
$44.16 | 24,429 | 20,595 |
|
Anna Marie Flaherty
Alexander Scagnelli, Md, Pc |
$37.19 | 13,328 | 11,467 |
|
Carewell Urgent Care Of Rhode Island, P.C.
535 Centerville Rd |
$67.26 | 10,258 | 9,104 |
|
Susan Jane Perry
469 Centerville Rd. |
$36.76 | 9,770 | 8,601 |
|
Maurizio Zambenedetti
33 College Hill Rd |
$46.12 | 8,520 | 7,370 |
|
Alexander Scagnelli
469 Centerville Rd Ste 103 |
$43.70 | 7,614 | 6,450 |
|
Cindy Jo Johnson
469 Centerville Road |
$35.55 | 7,508 | 6,814 |
|
Alla Matsievskaya
430 Toll Gate Rd |
$59.18 | 7,502 | 6,381 |
|
Warren Andrew Ong
2756 Post Rd |
$70.72 | 7,262 | 6,435 |
|
Keith R Brecher
227 Centerville Rd |
$61.90 | 7,235 | 6,971 |
|
Terrie Annette Mailhot
75 Lambert Lind Hwy |
$47.35 | 6,856 | 6,485 |
|
Cameron Mckenna Biller
2756 Post Rd |
$37.78 | 6,299 | 5,152 |
|
Felicia Walker Lospaluto
75 Lambert Lind Hwy |
$36.30 | 6,004 | 4,912 |
|
Gerald Exil
215 Toll Gate Road |
$94.27 | 5,895 | 5,542 |
|
Mark Lewis Petrarca
455 Toll Gate Rd |
$37.05 | 5,886 | 5,501 |
|
Vincent James Zizza
400 Bald Hill Rd |
$64.88 | 5,805 | 5,562 |
|
Mark James Gauthier
75 Lambert Lind Hwy |
$47.53 | 5,399 | 4,936 |
|
Leena Davis
300 Tollgate Rd |
$71.63 | 5,395 | 4,307 |
|
David Robert Katzen
400 Bald Hill Rd |
$51.89 | 5,254 | 4,726 |
|
Thrive Behavioral Health, Inc.
2756 Post Rd & 50 Health Lane |
$6.31 | 5,180 | 4,388 |
|
Kristen A Stewart
226 Buttonwoods Ave |
$47.72 | 5,160 | 4,769 |
|
Deborah Horvitz
300 Toll Gate Rd Ste 300 |
$45.73 | 5,148 | 4,539 |
|
William F Brennan
120 Centerville Rd |
$67.49 | 4,793 | 4,454 |
|
Raymond Paul Zarlengo
176 Toll Gate Rd |
$65.41 | 4,691 | 4,225 |
|
Desirae D Heys
215 Toll Gate Rd Ste 309310 |
$48.07 | 4,604 | 4,186 |
|
Brian A Hickey
300 Centerville Road |
$38.39 | 4,581 | 4,011 |
|
Johnny Chavarria
161 Airport Rd |
$70.64 | 4,558 | 3,519 |
|
Shannon M Doran
400 Bald Hill Rd |
$46.32 | 4,513 | 4,023 |
|
Marjorie S Carges
300 Centerville Rd |
$68.15 | 4,513 | 4,210 |
|
Carole Alice Lengyel
300 Centerville Rd |
$64.53 | 4,243 | 3,966 |
|
Cathy Lynn Kennedy
2756 Post Rd |
$51.27 | 4,163 | 3,840 |
|
Jason Tartaglione
120 Centerville Rd |
$67.56 | 4,003 | 3,567 |
|
Robert Salk
166 Toll Gate Rd |
$50.37 | 3,979 | 2,424 |
|
Anthony J Alario
300 Centerville Rd Ste 110 |
$68.41 | 3,858 | 3,687 |
|
Olivier M Gherardi
17 Airport Rd |
$84.51 | 3,837 | 3,513 |
|
Katherine Lowe Weingartner
300 Centerville Rd Ste 110 |
$80.37 | 3,827 | 3,624 |
|
Mary Karen Emanuel
300 Centerville Rd Ste 110 |
$52.58 | 3,702 | 3,446 |
|
Cheryl Haynes
2756 Post Rd |
$44.98 | 3,700 | 3,363 |
|
Sylvester C Sviokla
875 Centerville Rd |
$59.54 | 3,685 | 2,932 |
|
Roger Niles Mennillo
176 Toll Gate Rd |
$64.30 | 3,640 | 3,301 |
|
Patricia J Doolin
300 Quaker Ln # C2-4 |
$45.36 | 3,567 | 3,168 |
|
Laura Elaine Hodges
2756 Post Rd |
$78.06 | 3,564 | 3,084 |
|
Cindy Diane Patrick
75 Lambert Lind Hwy |
$49.19 | 3,545 | 3,085 |
|
Romi A Webster
300 Centerville Rd Ste 110 |
$72.04 | 3,451 | 3,218 |
|
Laura Dawson
176 Toll Gate Rd |
$69.99 | 3,312 | 2,991 |
|
Matthew Evan Brown
455 Toll Gate Rd |
$82.71 | 3,303 | 3,169 |
|
Maureen Lynne Mckenna
176 Toll Gate Rd Ste 101 |
$94.70 | 3,245 | 3,049 |
|
Jeremy Daniel Dibiasio
17 Airport Rd |
$128.55 | 3,135 | 3,020 |
|
Julie Ann Lemaire
226 Buttonwoods Ave |
$48.90 | 3,130 | 2,913 |
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 Warwick, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Warwick, RI is $57.76 per claim, based on 480,077 claims from 319 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 Warwick, RI?
There are 319 Medicaid providers offering Office Visit related services in Warwick, RI according to public payment data.
What is the price range for Office Visit in Warwick, RI?
Medicaid reimbursement for Office Visit in Warwick, RI ranges from $0.00 to $357.47 per claim, with an average of $57.76. 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 Warwick, RI
Personal Care Services
Avg $141.55
742,253 claims
Psychiatric Evaluation
Avg $74.63
405,525 claims
Physical Therapy
Avg $22.71
330,997 claims
Case Management Services
Avg $51.95
304,808 claims
Substance Abuse Treatment
Avg $71.84
262,030 claims
X-Ray
Avg $9.01
225,137 claims
Behavioral & Mental Health Therapy
Avg $104.85
208,321 claims
Home Health Visit
Avg $127.52
167,400 claims