Average Medicaid Office Visit Payments in Cape Coral, FL: $46.23
Avg. Paid
$46.23
Range
$0.00 – $194.55
Total Claims
227,811
Providers
152
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 Cape Coral, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah Michelle Becker
316 Del Prado Blvd S |
$3.88 | 22,184 | 13,971 |
|
Alejandro Barreda Vidal
636 Del Prado Blvd |
$20.61 | 16,150 | 13,359 |
|
David A Mackoul
206 Se 16Th Pl |
$91.85 | 15,987 | 14,621 |
|
Stanley L Wiggins
1261 Viscaya Pkwy Ste 101 |
$97.27 | 10,041 | 9,443 |
|
Juan Carlos Rodriguez
2721 Del Prado Blvd S Ste 200 |
$59.41 | 8,758 | 7,749 |
|
Ralph N Landefeld
1261 Viscaya Pkwy Ste 101 |
$87.19 | 7,783 | 7,381 |
|
Jose R Orellana
1682 Ne Pine Island Rd |
$51.71 | 7,339 | 6,259 |
|
Ariel Figueredo
602 Se 16Th Pl |
$33.52 | 7,201 | 6,729 |
|
Alfonso Garcia-Bello
629 Sw 4Th St |
$32.12 | 6,829 | 5,842 |
|
Alexander Lastra Cabeza
414 Cape Coral Pkwy E Ste 103 |
$25.24 | 6,344 | 5,610 |
|
Thomas Lee Seitz
650 Del Prado Boulevard |
$95.03 | 6,081 | 5,743 |
|
Remone Tharwat Yousif
650 Del Prado Blvd S Ste 106 |
$38.27 | 5,959 | 5,453 |
|
Liliya Gerasymchuk
1261 Viscaya Pkwy Ste 101 |
$80.72 | 5,879 | 5,610 |
|
Daniel Adolfo Nieto Alvarado
316 Del Prado Blvd S |
$24.68 | 5,661 | 5,181 |
|
Remberto Lopez
949 Chiquita Blvd S |
$33.12 | 4,793 | 4,191 |
|
Maria Fernanda Montiel Quintero
305 Sw 2Nd Ter |
$25.70 | 3,526 | 3,158 |
|
Maja Delibasic
224 Santa Barbara Blvd Ste 102 |
$41.12 | 3,378 | 2,790 |
|
Russell L. Robinson
316 Del Prado Blvd S |
$54.03 | 3,294 | 2,651 |
|
Jorge Cesar Diaz
414 Cape Coral Pkwy E Ste 104 |
$70.85 | 3,231 | 3,074 |
|
Regina Gayle Germonprez
1682 Ne Pine Island Rd |
$38.10 | 3,116 | 2,250 |
|
Naimeh Carolina Da Silva Daoud
305 Sw 2Nd Ter |
$26.59 | 3,091 | 2,697 |
|
Shayhira Suazo Herrera
1528 Del Prado Blvd S |
$31.48 | 2,919 | 2,887 |
|
Danielle C Atiyeh
414 Cape Coral Pkwy E Ste 103 |
$52.70 | 2,810 | 2,612 |
|
Divya Panneerselvam
316 Del Prado Blvd S |
$35.87 | 2,713 | 2,558 |
|
Jeannie Michelle Arana
1435 Se 8Th Ter |
$34.11 | 2,630 | 2,420 |
|
Alison Marie Baker
650 Del Prado Blvd S Ste 100 |
$143.46 | 2,566 | 1,939 |
|
Rolando L Gonzalez
1682 Ne Pine Island Rd |
$7.19 | 2,538 | 2,050 |
|
Ananthalakshmi Krishnan
414 Cape Coral Pkwy E Ste 103 |
$85.35 | 2,474 | 2,207 |
|
Lindsay J Schwandner
650 Del Prado Blvd |
$47.03 | 2,164 | 1,981 |
|
Luz E Peguero
2301 Del Prado Blvd S |
$51.40 | 2,103 | 1,041 |
|
Gamini S Sooriyaarachchi
1708 Cape Coral Pkwy W Ste 10 |
$20.69 | 2,058 | 1,501 |
|
Hannah Baston
650 Del Prado Blvd S Ste 100 |
$33.16 | 2,016 | 1,923 |
|
Sabine Beaugris
650 Del Prado Blvd S Ste 106 |
$31.56 | 1,775 | 1,640 |
|
Stacy Parker
126 Del Prado Blvd N Ste 103 |
$30.89 | 1,661 | 1,588 |
|
Brunette Bastien
1425 Viscaya Pkwy Ste 101 |
$14.06 | 1,525 | 1,378 |
|
Katherine Aguilera Zambrano
1682 Ne Pine Island Rd |
$86.92 | 1,505 | 1,207 |
|
Chad E Filson
316 Del Prado Blvd S Fl 1 |
$31.09 | 1,504 | 1,391 |
|
Jacqueline Payne
3571 Del Prado Blvd N Ste 2 |
$51.11 | 1,458 | 1,266 |
|
Beth A. Schott-Peckham
2441 Surfside Blvd |
$47.95 | 1,403 | 1,288 |
|
Bethany Chidley
1435 Se 8Th Ter Ste E |
$27.61 | 1,365 | 1,170 |
|
Dirk Peterson
650 Del Prado Blvd S Ste 100 |
$37.26 | 1,343 | 1,258 |
|
Liliana Bustamante
1030 Commerce Creek Blvd |
$22.40 | 1,214 | 1,033 |
|
Amanda Leigh Nuzzo
737 Cape Coral Pkwy E Fl 8551 |
$10.04 | 1,200 | 1,111 |
|
Judith Shue
825 Santa Barbara Blvd |
$73.88 | 1,173 | 1,017 |
|
Tadeu F Ambros
1030 Commerce Creek Blvd |
$25.28 | 1,086 | 908 |
|
Kimberly A. Knight
1682 Ne Pine Island Rd |
$30.83 | 915 | 882 |
|
Ashley M Yazdani
1261 Viscaya Pkwy Ste 101 |
$42.50 | 902 | 864 |
|
Eunice Lee
650 Del Prado Blvd S Ste 100 |
$59.68 | 896 | 860 |
|
Sarina Cinco Lumapas
650 Del Prado Blvd S Ste 107 |
$18.03 | 876 | 820 |
|
Anusha Mittapalli
316 Del Prado Blvd S |
$26.96 | 847 | 793 |
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 Cape Coral, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cape Coral, FL is $46.23 per claim, based on 227,811 claims from 152 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 Cape Coral, FL?
There are 152 Medicaid providers offering Office Visit related services in Cape Coral, FL according to public payment data.
What is the price range for Office Visit in Cape Coral, FL?
Medicaid reimbursement for Office Visit in Cape Coral, FL ranges from $0.00 to $194.55 per claim, with an average of $46.23. 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 Cape Coral, FL
Personal Care Services
Avg $44.15
207,444 claims
Substance Abuse Treatment
Avg $14.60
174,899 claims
Behavioral & Mental Health Therapy
Avg $93.73
169,897 claims
Home Health Visit
Avg $74.08
161,686 claims
Emergency Room Visit
Avg $80.50
81,798 claims
Vaccines & Immunizations
Avg $11.01
75,519 claims
Case Management Services
Avg $53.37
71,859 claims
Blood Work & Lab Tests
Avg $26.51
69,871 claims