Average Medicaid Office Visit Payments in Woonsocket, RI: $53.32
Avg. Paid
$53.32
Range
$0.00 – $127.10
Total Claims
327,843
Providers
153
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 Woonsocket, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Emily R Ganem
450 Clinton St |
$59.77 | 12 | 12 |
|
Faridoon Khan
219 Cass Ave |
$44.99 | 12 | 12 |
|
Jennifer Crowley
800 Clinton St |
$9.38 | 12 | 12 |
|
Jartu K Wleh
450 Clinton St |
$57.09 | 12 | 12 |
|
Sarah Anne Hanna
115 Cass Ave |
$44.10 | 12 | 12 |
|
Arti Shah
1 Cvs Dr |
$12.66 | 13 | 13 |
|
Erica Beth Brousseau
55 Cummings Way |
$76.89 | 13 | 13 |
|
Badiallo Sidibe
191 Social St Ste 180 |
$38.57 | 14 | 13 |
|
Benilda Bayani Seballos
450 Clinton St |
$65.36 | 14 | 12 |
|
Jennifer Leno
181 Cumberland St |
$29.46 | 14 | 12 |
|
Susan Curran
1054 Cass Ave |
$32.31 | 15 | 15 |
|
Christine S Gee
1 Cvs Dr |
$51.50 | 15 | 13 |
|
Blackstone Valley Eye Care, P.C.
385 Mendon Rd |
$50.08 | 17 | 16 |
|
Sarah Picchioni
55 Cummings Way |
$0.00 | 21 | 12 |
|
Matthew J Rogalski
1625 Diamond Hill Rd |
$78.00 | 24 | 23 |
|
Melanie Anne Hertzfeld
450 Clinton St |
$46.47 | 32 | 27 |
|
Shaylyn Kathleen Mcteague
20 Cumberland Hill Rd Unit 210 |
$60.52 | 32 | 27 |
|
Stephanie Ann Earle
450 Clinton St |
$57.79 | 34 | 31 |
|
Colette R Whitby
115 Cass Ave |
$71.68 | 39 | 39 |
|
Ralph Eugene
191 Social St Ste 180 |
$47.50 | 44 | 39 |
|
Robert R Bowden
25 John A Cummings Way |
$38.42 | 45 | 37 |
|
Adekemi Shodunke
450 Clinton St |
$80.07 | 46 | 46 |
|
Shanna Schmidt
1054 Cass Ave |
$41.69 | 49 | 47 |
|
Elizabeth J Granata
20 Cumberland Hill Rd |
$38.11 | 49 | 39 |
|
Neung Kwon
1 Cvs Dr |
$40.19 | 53 | 41 |
|
Chantal Nicole Tape
450 Clinton St |
$0.00 | 54 | 51 |
|
Heather Andreozzi
55 Cummings Way |
$0.00 | 82 | 82 |
|
Shriraj Chandrakant Shah
2000 Diamond Hill Rd Ste 18 |
$38.28 | 89 | 75 |
|
Thomas V Lanna
68 Cumberland St |
$49.00 | 93 | 88 |
|
Denise Flint
55 Cummings Way |
$11.76 | 95 | 79 |
|
Natasha Marie Furtado Dalomba
450 Clinton St |
$94.15 | 99 | 89 |
|
Deborah Jane Rich
450 Clinton St |
$68.72 | 108 | 104 |
|
Jennifer Alban
115 Cass Ave |
$86.80 | 120 | 118 |
|
Ashley Olivia Martin
191 Social St |
$55.23 | 121 | 117 |
|
Woonsocket Urgent Care
25 John A Cummings Way |
$127.10 | 139 | 139 |
|
Bethany Marie Mistone
1 Cvs Dr |
$7.97 | 142 | 140 |
|
Tomasso Montini
245 Main St |
$29.50 | 145 | 139 |
|
Neal Christopher Kelley
68 Cumberland St |
$49.63 | 149 | 146 |
|
Richard Andrew Regnante
68 Cumberland St |
$56.29 | 189 | 183 |
|
Susan Ann Marceau
1 Cvs Dr |
$19.63 | 197 | 181 |
|
Kenneth Matuszek
55 Cummings Way |
$24.38 | 200 | 166 |
|
Tamara Michele Chin
450 Clinton St |
$67.66 | 201 | 145 |
|
Joseph Louis Rowey
148 Social St |
$73.09 | 207 | 196 |
|
Irfan Ahmad
68 Cumberland St Ste 205 |
$56.21 | 208 | 180 |
|
Catherine Horton
55 Cummings Way |
$12.81 | 209 | 167 |
|
Leanne Benson
115 Cass Ave |
$41.78 | 248 | 220 |
|
Roberto A Baca
450 Clinton St |
$76.52 | 263 | 257 |
|
Katherine Daugherty
1 Cvs Dr |
$47.89 | 264 | 190 |
|
Mary F. Dwyer
55 John A Cummings Way |
$44.04 | 278 | 272 |
|
Samuel Harry Van Rensburg
450 Clinton St |
$36.40 | 286 | 209 |
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 Woonsocket, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Woonsocket, RI is $53.32 per claim, based on 327,843 claims from 153 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 Woonsocket, RI?
There are 153 Medicaid providers offering Office Visit related services in Woonsocket, RI according to public payment data.
What is the price range for Office Visit in Woonsocket, RI?
Medicaid reimbursement for Office Visit in Woonsocket, RI ranges from $0.00 to $127.10 per claim, with an average of $53.32. 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 Woonsocket, RI
Substance Abuse Treatment
Avg $28.63
586,192 claims
Personal Care Services
Avg $32.94
208,760 claims
Case Management Services
Avg $56.49
196,583 claims
Psychiatric Evaluation
Avg $59.35
194,771 claims
Speech Therapy
Avg $13.13
166,444 claims
Non-Emergency Medical Transportation
Avg $28.14
132,506 claims
Physical Therapy
Avg $20.07
127,903 claims
Behavioral & Mental Health Therapy
Avg $125.85
116,802 claims