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 |
|---|---|---|---|
|
Michael O'Neill Barry
455 Pinellas St |
$0.00 | 12 | 12 |
|
Dalal Ahmad Kanaan
2344 Forest Dr |
$24.04 | 12 | 12 |
|
Bolanle Elenitoba-Johnson
400 Pinellas St Ste 220 |
$22.01 | 12 | 12 |
|
Sarah Feeney
455 Pinellas St Ste 320 |
$77.92 | 12 | 12 |
|
Michael U Yu
1840 N Highland Ave |
$0.45 | 13 | 12 |
|
Cara N Palermo
3131 N Mcmullen Booth Rd |
$87.98 | 13 | 12 |
|
Mariah Barker Pate
1330 S Fort Harrison Ave |
$55.78 | 13 | 12 |
|
Catharine Odonohoe
14808 49Th St N |
$2.08 | 14 | 14 |
|
Matthew Clavenna
1330 S Fort Harrison Ave |
$47.42 | 14 | 13 |
|
Fernando Alexis Quintanilla Leyva
14100 58Th St N |
$21.79 | 14 | 14 |
|
Toluwalase Oluwakemi Ogunsola
1122 Druid Rd E |
$8.11 | 14 | 13 |
|
Idelys Valdes Crespo
855 S Highland Ave |
$25.01 | 14 | 13 |
|
Adrian Gomez
300 Pinellas St |
$53.93 | 14 | 14 |
|
Advanced Rheumatology Of Central Florida, P.L.
100 S Belcher Rd |
$0.00 | 15 | 15 |
|
Umesh Choudhry
920 S Myrtle Ave |
$17.78 | 15 | 14 |
|
Kevin D. Creed
4400 140Th Avenue North |
$199.99 | 15 | 12 |
|
Timothy Lee Light
1573 S Fort Harrison Ave |
$0.00 | 15 | 13 |
|
Wenge Lu
430 Pinellas St Ste 400 |
$18.43 | 15 | 12 |
|
Maurice Foster
1437 S Belcher Rd |
$1.93 | 15 | 12 |
|
Andrew Sean Mallon
1330 S Fort Harrison Ave |
$115.75 | 15 | 13 |
|
Idelfia A Marte
3280 N Mcmullen Booth Rd Ste 200 |
$6.53 | 16 | 13 |
|
Sheila Pabon
601 S Belcher Rd |
$77.43 | 16 | 12 |
|
Ifeoma Anagboso
855 S Highland Ave |
$24.65 | 16 | 15 |
|
Nareesha Khan
855 S Highland Ave |
$68.00 | 17 | 15 |
|
Danielle Nicholson
1001 S Fort Harrison Ave Ste 101 |
$48.05 | 18 | 14 |
|
Marlin Hurry
14100 58Th St N |
$64.37 | 19 | 16 |
|
Sreejithkumar Sasidharan Nair
1437 S Belcher Rd |
$7.11 | 19 | 19 |
|
Christopher D Muller
1330 S Fort Harrison Ave |
$50.20 | 21 | 17 |
|
Gourisankar Prasad Degala
920 S Myrtle Ave |
$8.71 | 26 | 24 |
|
Timothy L. Light D.O., P.A.
1573 S Fort Harrison Ave |
$0.00 | 29 | 25 |
|
Susan Marie Glatter
430 Morton Plant St Ste 400 |
$16.13 | 29 | 24 |
|
Shreya Patel
3190 N Mcmullen Booth Rd Ste 200 |
$11.80 | 30 | 29 |
|
Jessica Watts
14100 58Th St N |
$17.53 | 30 | 27 |
|
Scott Michael Greene
1330 S Fort Harrison Ave |
$84.26 | 31 | 27 |
|
Natalie P Shnitser
611 Druid Rd E |
$0.77 | 33 | 27 |
|
Selina Jia-Hwa Lin
3001 Eastland Blvd Ste 1 |
$2.88 | 34 | 12 |
|
Virginia Amanda Ulloa
3251 N Mcmullen Booth Rd |
$76.64 | 37 | 20 |
|
Alexander Williams
430 Morton Plant St Ste 400 |
$14.78 | 38 | 30 |
|
Joel A. Di Santi
2699 Seville Blvd Unit 402 |
$8.00 | 40 | 28 |
|
Dai Qi Zheng
300 Pinellas St |
$33.98 | 44 | 30 |
|
Kelly E Sommers
3131 N Mcmullen Booth Rd |
$4.10 | 48 | 35 |
|
Eden A Zeleke
400 Pinellas St Ste 400 |
$69.11 | 50 | 39 |
|
Allison Kalmon Reineke
2370 Drew St Ste B |
$28.94 | 53 | 53 |
|
Kathleen Kay Davis
611 Druid Rd E Ste 511 |
$60.61 | 53 | 48 |
|
Alexis Leigh Barbour
4895 E Bay Dr Unit 120 |
$21.20 | 55 | 38 |
|
Jose Gustavo Torres
29750 Us Highway 19 N Ste 101 |
$21.75 | 56 | 38 |
|
Nicole Angermeier
11300 Us Highway 19 N |
$105.21 | 58 | 51 |
|
Joel Wayne Phillips
708 Druid Rd E |
$33.38 | 60 | 52 |
|
Harshadkumar Chimanbhai Patel
300 Pinellas St |
$5.40 | 61 | 44 |
|
Mariko Diann Brandon
1437 S Belcher Rd |
$4.75 | 61 | 50 |
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