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 |
|---|---|---|---|
|
Tan-Long Pham
316 Del Prado Blvd S |
$31.48 | 12 | 12 |
|
Rasa Deletrain
507 Cape Coral Pkwy E |
$29.94 | 12 | 12 |
|
Suzanne Chick
708 Del Prado Blvd S Ste 7 |
$19.33 | 13 | 13 |
|
Jonathan Wayne Vonkoenig
2489 Diplomat Pkwy E |
$52.71 | 14 | 13 |
|
Bianca Ferrari
1030 Commerce Creek Blvd |
$32.67 | 15 | 13 |
|
Heather Close
414 Cape Coral Pkwy E Ste 103 |
$28.53 | 15 | 15 |
|
Nicole Pascual
507 Cape Coral Pkwy E |
$23.24 | 16 | 14 |
|
Adriane Argenio
708 Del Prado Blvd S Ste 6 |
$13.60 | 18 | 15 |
|
Angela Vallejo
126 Del Prado Blvd N Ste 104 |
$1.77 | 18 | 12 |
|
Sailys Nunez Diaz
110 Ne 2Nd Pl Ste 106 |
$38.95 | 18 | 18 |
|
Jessica Cahill
2441 Surfside Blvd Ste 200 |
$25.96 | 18 | 17 |
|
Deiorio Beaulieu & Fuller
657 Del Prado Blvd S |
$0.00 | 18 | 16 |
|
Kelley Janet Cole
1229 Sw 54Th St |
$29.61 | 18 | 17 |
|
Yanysel Gonzalez Torres
3501 Del Prado Blvd S Ste 303 |
$32.07 | 19 | 19 |
|
Annet Tamara Lister Perez
3501 Del Prado Blvd S Ste 303 |
$1.69 | 20 | 13 |
|
Pablo Rodrigo Banderas
126 Del Prado Blvd N |
$1.77 | 20 | 12 |
|
Jose Gustavo Cevallos Yepez
140 Santa Barbara Blvd Ste 122 |
$0.00 | 23 | 20 |
|
William P. Evans
507 Del Prado Blvd S |
$40.52 | 26 | 26 |
|
Preeth Kada Sundaran
708 Del Prado Blvd S Ste 7 |
$22.33 | 26 | 26 |
|
Lian Elizabeth Fraga Alfonso
1682 Ne Pine Island Rd |
$29.88 | 26 | 24 |
|
Alejandro N Martinez
1255 Viscaya Pkwy |
$0.31 | 29 | 25 |
|
Blas Ricardo Martinez Sehara
414 Cape Coral Pkwy E Ste 202 |
$34.19 | 30 | 29 |
|
Tara Jill Printz
1224 Del Prado Blvd S Ste A |
$29.60 | 36 | 28 |
|
Felix Mestas
507 Cape Coral Pkwy E |
$27.68 | 37 | 25 |
|
James D Borden
507 Del Prado Blvd S |
$42.58 | 38 | 36 |
|
Jesus Ernesto Diaz Regalado
507 Cape Coral Pkwy E |
$32.92 | 40 | 37 |
|
Jennifer Galan
636 Del Prado Blvd S |
$21.32 | 41 | 40 |
|
Kelsey Vokes
1682 Ne Pine Island Rd |
$30.95 | 42 | 37 |
|
Paul Oswiecimski
414 Cape Coral Pkwy E Ste 202 |
$22.44 | 44 | 42 |
|
Carolyn L Hoffman
1682 Ne Pine Island Rd |
$23.32 | 46 | 40 |
|
Noel L Helmic
2721 Del Prado Blvd S Ste 200 |
$30.46 | 47 | 46 |
|
Alyssa Keating
2301 Del Prado Blvd S Ste 820 |
$194.55 | 49 | 46 |
|
Jack Clark
1528 Del Prado Blvd S |
$7.94 | 52 | 38 |
|
Damian Charles Hanekom
2441 Surfside Blvd Ste 200 |
$40.19 | 54 | 53 |
|
Lauren Marie Corey
507 Cape Coral Pkwy E |
$41.61 | 57 | 54 |
|
Estrella M Carballido
1708 Cape Coral Pkwy W |
$27.93 | 62 | 39 |
|
Sarada Penukonda
323 Del Prado Blvd S Ste 100 |
$2.50 | 62 | 52 |
|
Amy Katherine Borkowski
1265 Viscaya Pkwy |
$48.98 | 64 | 62 |
|
Sandra P Desai
316 Del Prado Blvd S |
$9.62 | 64 | 56 |
|
Karen Desouza Ferreira Hunt
1528 Del Prado Blvd S |
$24.27 | 65 | 65 |
|
Richard J Torricelli
126 Del Prado Blvd N |
$0.61 | 66 | 44 |
|
Erin Ray Hartwick
708 Del Prado Blvd S Ste 9 |
$19.00 | 69 | 29 |
|
Reina Maria Figueras
2441 Surfside Blvd Ste 200 |
$33.45 | 74 | 67 |
|
Manuel Diaz
923 Del Prado Blvd S Ste 103 |
$18.02 | 77 | 55 |
|
Melissa J Noblitt
1020 Cultural Park Blvd S |
$24.43 | 77 | 73 |
|
Coastal Physicians Inc
811 Del Prado Blvd S Ste B |
$20.67 | 78 | 63 |
|
Jerry Matthew Lanza
1708 Cape Coral Pkwy W Ste 6 |
$31.10 | 80 | 78 |
|
Alejandro Trujillo
1411 Se 16Th Pl |
$2.46 | 80 | 76 |
|
Leavitt Medical Associates Of Florida Inc
632 Del Prado Blvd N |
$0.25 | 84 | 62 |
|
Michael G. Raymond
1030 Commerce Creek Blvd |
$66.99 | 87 | 65 |
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