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 |
|---|---|---|---|
|
Beata Felicia Nelken
450 Clinton St |
$57.20 | 31,855 | 22,147 |
|
Nebyou Belay
55 Cummings Way |
$64.25 | 15,850 | 11,507 |
|
Dennis William Kirsten
4 Saint Joseph St |
$48.27 | 14,188 | 12,933 |
|
Minuteclinic Diagnostic Of Rhode Island, Llc
1054 Cass Ave |
$35.26 | 13,087 | 11,871 |
|
Jibran Khan
20 Cumberland Hill Rd |
$54.04 | 12,625 | 9,852 |
|
Linda J Berman
450 Clinton St |
$53.88 | 9,432 | 8,359 |
|
Pervez A Khatib
2000 Diamond Hill Rd Ste 18 |
$51.02 | 8,969 | 8,019 |
|
Marina N Korneeva
450 Clinton St |
$66.93 | 7,693 | 6,977 |
|
Gabriel J Pleasants
450 Clinton St |
$58.10 | 7,524 | 6,491 |
|
David B. Stoll
55 Hamlet Ave |
$60.55 | 6,959 | 6,097 |
|
Lisa Marie Zerdelian
450 Clinton St |
$57.53 | 6,090 | 5,175 |
|
Jennifer Lynn Hopgood
450 Clinton St |
$47.23 | 5,709 | 5,004 |
|
Sripriya Srinivasan
800 Clinton St |
$65.82 | 5,547 | 4,790 |
|
Jason Rafferty
450 Clinton St |
$75.02 | 5,421 | 4,914 |
|
Marissa Roberge
450 Clinton St |
$38.72 | 5,357 | 4,558 |
|
Jeanne E. Ziter
450 Clinton St Fl 4 |
$65.44 | 5,184 | 4,413 |
|
Benjamin David Lederer
55 John E Cummings Way |
$60.95 | 5,148 | 4,353 |
|
Edgar A Pollak
450 Clinton St |
$75.10 | 5,048 | 4,500 |
|
Megan Elizabeth Kingman
450 Clinton St |
$46.89 | 4,989 | 4,773 |
|
Richard James Tyler
450 Clinton St |
$73.70 | 4,950 | 4,504 |
|
Crystal Lise Souza
450 Clinton St |
$44.89 | 4,919 | 4,690 |
|
Walid S Saber
191 Social St Ste 100 |
$51.02 | 4,703 | 4,036 |
|
Christina Mary Giblin
450 Clinton St |
$47.38 | 4,685 | 4,562 |
|
Kristen Goad
450 Clinton St |
$43.71 | 4,464 | 3,938 |
|
Matthew Michael Malek
450 Clinton St |
$52.49 | 4,337 | 3,907 |
|
Danielle Smith
450 Clinton St |
$42.67 | 4,159 | 3,531 |
|
Ibrahim A. Elgabry
191 Social St |
$60.48 | 3,674 | 3,163 |
|
Mary Walsh Malek
450 Clinton St |
$57.93 | 3,441 | 3,075 |
|
Nithin Joseph Paul
450 Clinton St |
$61.19 | 3,394 | 2,877 |
|
Stephen S Falkenberry
450 Clinton St |
$44.13 | 3,228 | 2,904 |
|
Margaret Janci
55 Cummings Way |
$59.27 | 3,165 | 2,694 |
|
Carolyn Sammon
68 Cumberland St |
$51.85 | 3,103 | 2,846 |
|
Jessica Johnson
450 Clinton St |
$48.73 | 2,996 | 2,716 |
|
Vanessa Campbell Krasinski
450 Clinton St |
$42.38 | 2,937 | 2,309 |
|
Maleny Fitzpatrick
450 Clinton St |
$47.74 | 2,903 | 2,577 |
|
Kathryn Marie Horan
450 Clinton St |
$46.89 | 2,888 | 2,518 |
|
Paul George
450 Clinton St |
$57.59 | 2,801 | 2,343 |
|
Ravi Tandon
219 Cass Ave |
$67.92 | 2,678 | 1,940 |
|
Sajid Siddiq
68 Cumberland St |
$42.49 | 2,542 | 2,249 |
|
Chanta Pou
68 Cumberland St |
$42.58 | 2,540 | 2,332 |
|
David M Bourassa
450 Clinton Street |
$54.86 | 2,476 | 2,269 |
|
Jules Chyten-Brennan
450 Clinton St |
$15.05 | 2,452 | 1,558 |
|
Sarah Elizabeth Sterns
450 Clinton St |
$74.46 | 2,421 | 2,353 |
|
Community Care Alliance
800 Clinton St |
$29.38 | 2,397 | 1,855 |
|
Melissa Lorien Palma
450 Clinton St |
$57.15 | 2,329 | 2,183 |
|
Amber Cardoos
450 Clinton St |
$61.85 | 2,192 | 1,811 |
|
Megan Crawford Mckain
450 Clinton St |
$40.91 | 2,040 | 1,802 |
|
Kristen Jean Bates
450 Clinton St |
$46.43 | 2,014 | 1,955 |
|
Penelope Anne Yanni
68 Cumberland St |
$48.42 | 1,993 | 1,729 |
|
Cara R Zimmerman
450 Clinton St |
$58.99 | 1,946 | 1,775 |
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