Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Westerly, RI: $37.19

Avg. Paid

$37.19

Range

$0.02 – $93.30

Total Claims

53,303

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 Westerly, RI

Provider	Avg. Paid	Claims	Patients
Robert E Fox 268 Post Rd	$54.19	12	12
Marianne T Longacre 45 Wells St Ste 201	$29.53	13	13
Mark J Mancini 268 Post Rd Ste 204	$5.11	18	12
Christopher M. Lehrach 25 Wells St	$23.53	19	15
Woo Jin Lee 11 Wells St Ste 1	$93.30	26	25
Timothy H Olson 25 Wells St	$47.57	27	25
Mina Gamal Nasr Wilson 25 Wells St	$32.99	27	27
Edsell Carlos Bernardo 46 Wells St	$46.25	28	28
Steven R Yolen 45 Wells St	$41.79	32	27
Freja Burger 45 Wells St	$65.79	34	29
Lisa Panzini 45 Wells St	$68.42	35	32
Franklin Fraser Leddy 35 Wells St	$42.93	39	37
Colin Brian Burns 25 Wells St	$29.89	42	40
Brad Evan Green 45 Wells St Ste 204	$37.95	62	46
Daniel Pievsky 45 Wells St Ste 103	$39.62	69	61
John Carmen Beauchamp 85 Beach St	$64.01	73	63
Adrian Karl Hamburger 25 Wells St	$22.38	88	73
Jeffrey Feldman 17 Wells St	$70.10	90	88
Stephen M Kutz 45 Wells St	$16.80	104	95
Robin Anne Sidari 151 Franklin St	$79.09	117	117
Miranda Mary Zielinski 268 Post Rd Ste 103	$61.13	119	109
Barbara A Muir 77 Franklin St Ste 104	$39.79	119	110
Stratton Danes 35 Wells St Unit 3	$21.83	120	82
Ocean State Urgent Care Center Of Westerly, Llc 77 Franklin Street	$32.62	127	115
Nancy Staley 55 Beach St	$47.33	142	128
Bernard V. Marzilli, Jr. 60 Wells St	$51.83	166	156
David S. Cameron 17 Wells St	$60.78	185	166
Joseph P Giancaspro 77 Franklin St	$59.15	186	164
Erik Gunnar Enquist 35 Wells St	$22.29	205	170
Jon Stephen Solis 17 Wells St	$75.72	215	206
James G Stuart 46 Wells Street	$43.31	235	202
Anne M. Garvey 81 Beach St	$54.06	247	218
Stephen B Gross 45 Wells St Ste 204	$59.35	249	214
Bridget Zern 25 Wells St	$16.19	363	236
Rebecca Anne Vanasse 11 Wells St	$37.00	366	316
Michael J Harwood 41 East Ave	$30.88	368	298
Jon F Scheiber 45 Wells St	$12.07	386	336
Margaret Wallace 25 Wells St	$11.51	388	253
Sumaira Ali 45 Wells St Ste 201	$45.29	462	389
Niall J Duhig 81 Beach Street	$27.13	492	283
Ashley Marie Wood 77 Franklin St	$59.06	493	435
Debra Lee Furtado 27 East Ave	$54.21	516	442
Insu Kong 31 Crestview Dr	$41.10	587	530
Susan S Seidler 80 Beach Street	$57.45	614	495
Westerly Urgent Care, Inc 77 Franklin St	$49.23	782	684
Susan M. Stuart 45 Wells St	$59.36	808	741
Eugene E Stec 17 Wells St Ste 201	$50.33	1,008	984
Laryl R Riley 45 Wells St	$41.93	1,120	917
Kevin James Torres 25 Wells St	$24.29	1,156	788
Shivani Myer 25 Wells St	$63.77	1,171	1,002

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 Westerly, RI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Westerly, RI is $37.19 per claim, based on 53,303 claims from 65 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 Westerly, RI?

There are 65 Medicaid providers offering Office Visit related services in Westerly, RI according to public payment data.

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

Medicaid reimbursement for Office Visit in Westerly, RI ranges from $0.02 to $93.30 per claim, with an average of $37.19. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Westerly, RI: $37.19

Providers Offering Office Visit in Westerly, RI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Emergency Room Visit

Case Management Services

Speech Therapy

Psychiatric Evaluation