Average Medicaid Office Visit Payments in Clearwater, FL: $43.07
Avg. Paid
$43.07
Range
$0.00 – $211.09
Total Claims
331,263
Providers
229
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 Clearwater, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rajendra Kochikar Pai
2370 Drew St |
$70.25 | 15,119 | 13,472 |
|
Dwic Of Tampa Bay, Inc.
26812 Us Highway 19 N |
$79.02 | 13,128 | 12,112 |
|
Maria Victoria Lopez Dominguez
14100 58Th St N |
$67.94 | 10,773 | 8,355 |
|
Anwar Siddiqui
13600 Icot Blvd |
$0.04 | 10,369 | 7,139 |
|
Bamidele Ayoola Olatunbosun
4520 E Bay Dr |
$9.53 | 10,357 | 6,774 |
|
Danuta Theresa Jackson Curtis
28960 Us Highway 19 N |
$91.19 | 9,687 | 8,203 |
|
Natasha Hughes
1020 Lakeview Rd |
$79.80 | 8,991 | 7,907 |
|
Katina Monet Bonaparte
1260 S Mlk Jr Ave |
$23.77 | 8,917 | 7,159 |
|
Hillary K Lungren
14100 58Th St N |
$26.74 | 8,461 | 6,938 |
|
Steven Charles Bowman
3251 N Mcmullen Booth Rd |
$28.54 | 7,102 | 5,910 |
|
Carlos R Rodriguez
14100 58Th St N |
$28.08 | 7,069 | 5,871 |
|
Mohammad Ilyas Yamani
1745 S Highland Ave |
$37.79 | 6,714 | 6,038 |
|
Jennifer Bustamante
14100 58Th St N |
$23.28 | 6,125 | 5,199 |
|
Glivery Mary Gayahan Elvambuena
14100 58Th St N |
$29.60 | 5,344 | 4,407 |
|
Antony G Sankoorikal Md Pa
2655 State Road 580 |
$211.09 | 5,310 | 4,609 |
|
Monica Kharbanda
2531 Landmark Dr Ste 103 |
$75.02 | 5,251 | 4,359 |
|
Radhika Sriram
1106 Druid Rd S |
$82.56 | 5,016 | 4,498 |
|
Robert Anthony Kickish
14100 58Th St N |
$33.66 | 4,834 | 4,131 |
|
Mary Elaine Bailey
2210 State Road 580 |
$42.14 | 4,594 | 4,042 |
|
Dineshkumar R. Patel
2370 Drew St Ste B |
$18.79 | 4,449 | 4,186 |
|
Iriana Perez Belongie
3165 N Mcmullen Booth Rd Bldg B |
$43.76 | 4,430 | 3,914 |
|
Norman Urich
1762 N Fort Harrison Ave |
$34.61 | 4,420 | 4,214 |
|
Daniel Minchev Chernaev
807 N Myrtle Ave |
$28.98 | 4,414 | 3,289 |
|
Fred H Brennan
807 N Myrtle Ave |
$32.19 | 4,341 | 3,381 |
|
Carol Blanca Czerwinski
14100 58Th St N |
$28.17 | 4,220 | 3,291 |
|
Gwendolyn Young Henson
611 Druid Rd E Ste 511 |
$5.85 | 4,073 | 3,562 |
|
Dawit Amare
3251 N Mcmullen Booth Rd Ste 100 |
$78.84 | 4,026 | 2,854 |
|
Jason Alexander Peklinsky
807 N Myrtle Ave |
$61.29 | 3,952 | 2,592 |
|
Nabil Saad Gerges
2250 Drew St |
$12.27 | 3,646 | 3,191 |
|
Charisse Jeanine Huot
807 N Myrtle Ave |
$31.98 | 3,589 | 2,743 |
|
Mouna Bacha
1173 Turner St |
$17.92 | 3,504 | 2,736 |
|
Irvin Manuel Rubio
1969 Sunset Piont Rd #15 |
$0.38 | 3,499 | 2,915 |
|
Ted A Farrar
807 N Myrtle Ave |
$31.82 | 3,495 | 2,645 |
|
Wayne C Anderson
807 N Myrtle Ave |
$32.48 | 3,251 | 2,516 |
|
Emily Jones
2370 Drew St Ste B |
$53.57 | 3,195 | 3,026 |
|
Julia Jenkins
807 N Myrtle Ave |
$33.60 | 3,175 | 2,487 |
|
Dmytro Sava
707 Druid Rd E |
$23.98 | 2,959 | 2,330 |
|
Kathryn B Mcneely
1105 S Fort Harrison Ave |
$66.26 | 2,939 | 2,389 |
|
Elizabeth Ann Lawrence
807 N Myrtle Ave |
$27.95 | 2,840 | 2,288 |
|
Norman Urich,Do.,P.A.
1762 N Fort Harrison Ave |
$29.56 | 2,833 | 2,498 |
|
Sarah Kelley
14100 58Th St N |
$27.80 | 2,817 | 2,424 |
|
Alyssa Benson
14100 58Th St N |
$22.53 | 2,777 | 2,177 |
|
Jeanette Cancel
2349 Sunset Point Rd Ste 405 |
$6.83 | 2,748 | 1,583 |
|
Focus Healthcare Systems, Llc
1500 N Mcmullen Booth Rd |
$97.80 | 2,737 | 2,506 |
|
Spinecare Associates, Llc
2250 Drew Street |
$6.85 | 2,698 | 2,357 |
|
Gurkiran K Gill
14100 58Th St N |
$64.51 | 2,678 | 2,390 |
|
Chandni Nilesh Patel
14100 58Th St N |
$22.54 | 2,642 | 2,257 |
|
Amy J Gabriel
707 Druid Rd E |
$26.38 | 2,569 | 2,132 |
|
Laurie Montague
14100 58Th St N Ste 100 |
$23.26 | 2,485 | 1,641 |
|
Khan Adnan
1020 Lakeview Rd |
$75.13 | 2,465 | 2,018 |
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 Clearwater, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clearwater, FL is $43.07 per claim, based on 331,263 claims from 229 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 Clearwater, FL?
There are 229 Medicaid providers offering Office Visit related services in Clearwater, FL according to public payment data.
What is the price range for Office Visit in Clearwater, FL?
Medicaid reimbursement for Office Visit in Clearwater, FL ranges from $0.00 to $211.09 per claim, with an average of $43.07. 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 Clearwater, FL
Behavioral & Mental Health Therapy
Avg $55.74
403,212 claims
X-Ray
Avg $2.23
382,256 claims
Blood Work & Lab Tests
Avg $4.17
363,236 claims
Podiatry (Foot Care)
Avg $3.02
235,881 claims
Nursing Facility Care
Avg $6.96
205,762 claims
Case Management Services
Avg $42.48
146,740 claims
Physical Therapy
Avg $45.11
127,782 claims
Emergency Room Visit
Avg $68.14
122,364 claims