Average Medicaid Office Visit Payments in Coral Gables, FL: $34.53
Avg. Paid
$34.53
Range
$0.00 – $315.07
Total Claims
357,757
Providers
179
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 Coral Gables, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vitor Filipa Weinman
401 Coral Way |
$35.30 | 31,191 | 26,747 |
|
Belkys Bravo
1920 Coral Way |
$55.07 | 25,918 | 23,209 |
|
Antonio Eugenio Tauler
3850 W Flagler St |
$18.13 | 16,995 | 13,868 |
|
Sebastian A Padron
4141 Sw 6Th St |
$33.60 | 15,508 | 13,358 |
|
Arthur J Bregman
1550 Madruga Ave Ste 406 |
$32.13 | 14,721 | 12,646 |
|
Humberto C Machado Jr Md Pa
747 Ponce De Leon Blvd Ste 503 |
$31.84 | 13,924 | 11,711 |
|
Angel F. San Roman M.D., P.A.
5965 Ponce De Leon Blvd |
$44.77 | 12,634 | 10,722 |
|
Humberto Carlos Machado
747 Ponce De Leon Blvd |
$48.13 | 10,657 | 9,250 |
|
Dario D Lirman
1567 San Remo Ave |
$30.94 | 9,620 | 9,127 |
|
Carlos E. Hernandez
5955 Ponce De Leon Blvd |
$41.79 | 8,325 | 4,990 |
|
Nelson L Gonzalez
5331 Sw 8Th St |
$8.40 | 7,061 | 5,234 |
|
Ileana Fuentes Md, Pa
4343 W Flagler St Ste 210 |
$30.31 | 6,330 | 5,481 |
|
Lorenzo Ramon Riera
5455 Sw 8Th St Ste 235 |
$0.56 | 5,953 | 4,826 |
|
Lissa Kary Goldstein
2000 Salzedo St Apt 1008 |
$52.25 | 5,695 | 4,850 |
|
Liana Korytowski Seldin
2828 Coral Way Ste 309 |
$14.54 | 5,357 | 3,229 |
|
Angelica Monique Johnson
5955 Ponce De Leon Blvd |
$97.88 | 4,998 | 4,943 |
|
Manuela Georgescu
3850 W Flagler St |
$21.09 | 4,925 | 4,166 |
|
Ariel Cagigas
3733 W Flagler St |
$16.90 | 4,834 | 2,929 |
|
Michel Elias Akl
806 S Douglas Rd Ste 101 |
$47.04 | 4,804 | 4,196 |
|
Angel Veloso
5101 Sw 8Th Street |
$23.05 | 4,732 | 3,173 |
|
William Darpini
3800 W Flagler St |
$36.11 | 4,529 | 4,026 |
|
Gary M Karmer M.D. P.A.
4950 S Le Jeune Rd Ste F |
$39.90 | 4,525 | 2,431 |
|
Mario Salgado
5200 Sw 8Th St |
$3.25 | 4,205 | 2,467 |
|
Jorge Perez
5955 Ponce De Leon Blvd |
$103.74 | 4,075 | 3,774 |
|
Carmen Lissett Lopez
5555 Ponce De Leon Blvd Ste 128 |
$44.98 | 3,960 | 2,404 |
|
Ramon Moreda Md Pa
747 Ponce De Leon Blvd Ste 502 |
$0.95 | 3,857 | 2,568 |
|
Jorge Gil
5101 Sw 8Th Street |
$15.36 | 3,527 | 2,061 |
|
Rheinchard Reyes Md Pa
4659 W Flagler St |
$3.56 | 3,491 | 1,934 |
|
Juan Carlos Acevedo-Crespo
747 Ponce De Leon Blvd |
$5.36 | 3,333 | 2,315 |
|
Marquez & Bengochea
135 Madeira Ave |
$56.82 | 3,224 | 2,225 |
|
Christian Michael Andrade
5101 Sw 8Th St |
$41.57 | 3,162 | 2,552 |
|
Christina Lynn Smith
5955 Ponce De Leon Blvd |
$32.05 | 3,096 | 3,013 |
|
Mario A. Delgado-Fernandez
1871 Coral Way |
$11.20 | 2,986 | 2,698 |
|
Gloria Lopez
747 Ponce De Leon Blvd |
$51.73 | 2,933 | 2,632 |
|
Pastor M Torres
299 Alhambra Cir Ste 210 |
$0.51 | 2,780 | 1,884 |
|
Francisco M Macias
5200 Sw 8Th St Ste 150 |
$20.55 | 2,653 | 2,258 |
|
Alexander Veloso
5101 Sw 8Th Street |
$34.28 | 2,619 | 1,931 |
|
Frank J. Martell
475 Biltmore Way |
$74.89 | 2,583 | 2,083 |
|
Jason Edward Levine
5555 Ponce De Leon Blvd Fl 3 |
$19.00 | 2,550 | 2,020 |
|
Ileana Acosta
401 Sw 42Nd Ave Ste 300 |
$5.98 | 2,528 | 1,593 |
|
Manuel Vega
3733 W Flagler St |
$36.82 | 2,382 | 1,847 |
|
Efrem Gubieda
4141 Sw 6Th St |
$23.98 | 2,352 | 2,088 |
|
Maria Elena Kendall
356 Alhambra Cir |
$177.86 | 2,254 | 1,006 |
|
Marie Christophe Normil
5555 Ponce De Leon Blvd |
$59.11 | 2,238 | 2,178 |
|
M. Elena Kendall Md Pa
356 Alhambra Circle |
$130.70 | 2,220 | 1,638 |
|
Armando Luis Hassun
555 Biltmore Way |
$25.70 | 2,153 | 1,870 |
|
Antonio Maria Gordon
5351 Sw 8Th St |
$0.26 | 2,152 | 169 |
|
Elizabeth Bech Vainder
2020 Salzedo St Ste 200 |
$19.84 | 2,092 | 2,017 |
|
Ivo Alonso
3934 Sw 8Th St |
$49.06 | 1,903 | 1,732 |
|
Aida Franco Julian
3850 W Flagler St |
$22.12 | 1,675 | 1,533 |
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 Coral Gables, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Coral Gables, FL is $34.53 per claim, based on 357,757 claims from 179 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 Coral Gables, FL?
There are 179 Medicaid providers offering Office Visit related services in Coral Gables, FL according to public payment data.
What is the price range for Office Visit in Coral Gables, FL?
Medicaid reimbursement for Office Visit in Coral Gables, FL ranges from $0.00 to $315.07 per claim, with an average of $34.53. 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 Coral Gables, FL
Behavioral & Mental Health Therapy
Avg $81.70
592,741 claims
Home Health Visit
Avg $52.98
428,286 claims
Personal Care Services
Avg $27.28
376,825 claims
Emergency Room Visit
Avg $100.21
231,998 claims
Case Management Services
Avg $67.89
211,237 claims
Physical Therapy
Avg $51.47
175,871 claims
Speech Therapy
Avg $56.34
83,985 claims
Vaccines & Immunizations
Avg $6.73
81,504 claims