Average Medicaid Office Visit Payments in West Warwick, RI: $51.89
Avg. Paid
$51.89
Range
$0.00 – $90.40
Total Claims
157,707
Providers
70
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 West Warwick, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Karim Z Khanbhai
37 Washington St |
$77.29 | 9,907 | 8,619 |
|
Frank W Lafazia
37 Washington St |
$51.13 | 8,916 | 6,531 |
|
Beth Cleary
186 Providence St |
$51.96 | 6,512 | 5,714 |
|
Jessica Marie Marrero
186 Providence St |
$49.74 | 6,352 | 5,787 |
|
Brittany A. Malachowski
186 Providence St |
$46.72 | 5,569 | 5,346 |
|
Michael T Poshkus
186 Providence St |
$42.78 | 5,300 | 4,840 |
|
Alexandra Elizabeth Chabot
186 Providence St |
$38.95 | 4,987 | 4,493 |
|
Marla Rene Hansel
186 Providence St |
$52.12 | 4,942 | 4,473 |
|
Taylor Leigh Robbins
186 Providence St |
$47.12 | 4,773 | 4,561 |
|
Julianne Marie Abramson
186 Providence St |
$45.73 | 4,638 | 4,447 |
|
Michelle Blade Mello
186 Providence St |
$47.31 | 4,448 | 3,825 |
|
Daniel Harris
186 Providence St |
$44.82 | 4,413 | 3,660 |
|
Chelsea Erin Graham
186 Providence St |
$56.09 | 4,220 | 3,889 |
|
Claudia A Clarke
186 Providence St |
$53.40 | 3,955 | 3,337 |
|
Kaci Lynn Potter
186 Providence St |
$44.58 | 3,684 | 3,488 |
|
Patricia P Kao
186 Providence St |
$7.93 | 3,631 | 3,259 |
|
Jessica Cardillo Douglas
186 Providence St |
$47.72 | 3,497 | 3,109 |
|
Meghan Elizabeth Grant
186 Providence St |
$55.36 | 3,388 | 3,069 |
|
Elizabeth Ashley Bellini
186 Providence St |
$46.81 | 3,297 | 3,196 |
|
Jaimie Borden
186 Providence St |
$46.83 | 3,177 | 2,855 |
|
Faridah T Rodriguez
186 Providence St |
$83.42 | 3,149 | 2,534 |
|
Arnold Goldberg
186 Providence St |
$56.37 | 3,088 | 2,900 |
|
Marcela Barros
186 Providence St |
$47.28 | 3,052 | 2,980 |
|
Mary Rose
186 Providence Street |
$41.80 | 3,045 | 2,841 |
|
Caitlin Ann Gillooly
186 Providence St |
$58.08 | 2,990 | 2,732 |
|
Emily C Harrison
186 Providence St |
$55.17 | 2,943 | 2,716 |
|
Melissa Ochoa-Trochez
186 Providence St |
$50.74 | 2,607 | 2,265 |
|
Robin M Masi
1079 Main St |
$56.23 | 2,470 | 2,096 |
|
Kimberly A Ainsworth
186 Providence St |
$49.43 | 2,433 | 2,372 |
|
Leanne Myatt
186 Providence St |
$56.85 | 2,298 | 2,096 |
|
Angela Jacavone
186 Providence St |
$58.30 | 2,192 | 1,999 |
|
Inna Ryvkin
186 Providence St |
$52.43 | 2,098 | 1,823 |
|
Jenna Westerman
186 Providence St |
$46.90 | 2,036 | 1,751 |
|
Alice Jacob
186 Providence St |
$50.48 | 1,990 | 1,734 |
|
Brittany Hazelton
325 Quaker Ln Unit 2 |
$62.48 | 1,797 | 1,757 |
|
Dayna Renee Canzone
186 Providence St |
$51.68 | 1,735 | 1,600 |
|
Madeline Carrellas
186 Providence St |
$54.06 | 1,675 | 1,568 |
|
Hollie Ann Colucci
215 Legris Ave |
$57.93 | 1,467 | 1,260 |
|
Kelly E Albro
186 Providence St |
$57.91 | 1,311 | 1,210 |
|
Amber Marie Peirolo
186 Providence St |
$50.85 | 1,019 | 900 |
|
Edward M Donnelly
1 James P Murphy Ind Hwy Ste 120 |
$73.75 | 1,005 | 993 |
|
Luann M Kelly
37 Washington Street |
$53.68 | 951 | 789 |
|
Alexandra E Zimish
37 Washington St |
$44.51 | 836 | 588 |
|
Noelle Mary Fiontella
186 Providence St |
$42.21 | 820 | 782 |
|
Diana M. Wohler
186 Providence St |
$53.74 | 792 | 742 |
|
Laura G Richard
51 Sunrise Ave |
$55.92 | 790 | 699 |
|
Marylin Michelle Powers
186 Providence St |
$45.92 | 790 | 753 |
|
Eduard Breytman
186 Providence St |
$43.46 | 704 | 659 |
|
Benjamin Robinson Adler
1079 Main St Ste A |
$85.09 | 691 | 583 |
|
Jennifer Lynn Buckley
186 Providence St |
$57.25 | 677 | 639 |
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 West Warwick, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Warwick, RI is $51.89 per claim, based on 157,707 claims from 70 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 West Warwick, RI?
There are 70 Medicaid providers offering Office Visit related services in West Warwick, RI according to public payment data.
What is the price range for Office Visit in West Warwick, RI?
Medicaid reimbursement for Office Visit in West Warwick, RI ranges from $0.00 to $90.40 per claim, with an average of $51.89. 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 West Warwick, RI
Dental Cleaning & Exam
Avg $11.12
83,068 claims
Substance Abuse Treatment
Avg $39.19
60,916 claims
Speech Therapy
Avg $7.59
51,085 claims
Psychiatric Evaluation
Avg $49.37
45,860 claims
Vaccines & Immunizations
Avg $17.06
21,747 claims
Personal Care Services
Avg $53.88
18,601 claims
Ambulance Transport
Avg $47.84
17,909 claims
Non-Emergency Medical Transportation
Avg $4.07
16,800 claims