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 |
|---|---|---|---|
|
Omar M Issa
475 Biltmore Way Ste 201 |
$0.00 | 12 | 12 |
|
Fenix Medical Patners, Llc
2695 Le Jeune Road |
$0.00 | 13 | 13 |
|
Bernhard Brijbag, D.O., P,A.
1150 Campo Sano Ave |
$0.00 | 14 | 12 |
|
Marien Rodriguez Kelly
3146 Coral Way |
$0.00 | 14 | 13 |
|
Brenda Gonzalez
5000 University Dr Ste 2200 |
$2.46 | 14 | 14 |
|
Elisa Oliver Mcdaniel George
836 Ponce De Leon Blvd Ste 200 |
$7.30 | 15 | 12 |
|
Bregman Psychiatry Llc
1550 Madruga Ave Ste 201 |
$0.00 | 15 | 12 |
|
Maria Josefa Vega
717 Ponce De Leon Blvd |
$31.57 | 16 | 15 |
|
Nikolaos Spilias
5555 Ponce De Leon Blvd |
$91.54 | 16 | 14 |
|
Danielle Renee Burke
6705 Red Road |
$7.56 | 17 | 13 |
|
Priscilla Mercy Juncadella
3800 W Flagler St |
$7.62 | 18 | 18 |
|
Alejandro Bernot
5200 Sw 8Th St |
$0.00 | 18 | 13 |
|
Sarah Lugones
4200 Sw 8Th St |
$34.69 | 21 | 18 |
|
Maria Martinez
2550 S Douglas Rd |
$11.23 | 24 | 14 |
|
Gastromed, Llc
5101 Sw 8Th Street |
$1.78 | 24 | 18 |
|
Joel David Aronowicz-Gallego
1097 S Lejeune Rd |
$46.25 | 30 | 26 |
|
Melissa Dawn Kivitz-Krantzow
5955 Ponce De Leon Blvd |
$36.13 | 30 | 12 |
|
Elizabeth Parra Garnica
5513 Merrick Dr |
$27.62 | 31 | 29 |
|
Sajid Lopez
100 Edgewater Dr |
$3.66 | 33 | 24 |
|
Camilo Sandino
115 Calabria Ave Apt 8 |
$1.48 | 33 | 26 |
|
Luis C Quintero Md Pa
420 S Dixie Hwy Ste 4E |
$0.00 | 36 | 28 |
|
Dawn Anne Albright O'Leary
5555 Ponce De Leon Blvd |
$16.99 | 38 | 30 |
|
Kathleen Melendez
5555 Ponce De Leon Blvd Ste 128 |
$31.15 | 41 | 35 |
|
Denisse Linares
836 Ponce De Leon Blvd |
$9.80 | 43 | 36 |
|
Stefanie Pena
5555 Ponce De Leon Blvd |
$21.96 | 45 | 41 |
|
Belkys Bravo Md Pa
1920 Coral Way |
$0.00 | 46 | 45 |
|
The Derm Group Llp
3275 Ponce De Leon Blvd |
$0.00 | 55 | 54 |
|
Jessica Angela Morlok-Prince
5955 Ponce De Leon Blvd |
$66.73 | 55 | 50 |
|
Soraya Maria Lopez
951 South Lejeune Road |
$35.13 | 57 | 45 |
|
Blanca Zoe Rodriguez
5521 Sw 8Th St |
$1.06 | 65 | 42 |
|
Palm Access, Llc
2601 S Douglas Rd Ste 704 |
$1.39 | 69 | 59 |
|
Shilpa Kadam
5955 Ponce De Leon Blvd. |
$56.36 | 93 | 91 |
|
Amy Marcia Pearlman
475 Biltmore Way Ste 314 |
$35.18 | 95 | 89 |
|
Jaime Alkon
5955 Ponce De Leon Blvd |
$115.09 | 99 | 98 |
|
Fraga Medical Center, Inc.
951 S Le Jeune Rd Ste 302 |
$0.00 | 101 | 82 |
|
Baptist Health Medical Group Orthopedics, Llc
1150 Campo Sano Ave |
$1.63 | 106 | 91 |
|
Olga Luna Medina
5555 Ponce De Leon Blvd Fl 3 |
$20.43 | 110 | 92 |
|
Juan Pedro Aguilar
747 Ponce De Leon Blvd |
$81.42 | 116 | 109 |
|
Carlos A. Selema Md Pa
747 Ponce De Leon Blvd |
$42.16 | 117 | 102 |
|
Leslie F Safer
318 Alhambra Cir |
$76.61 | 122 | 107 |
|
Guy Mathew Young
6250 Dolphin Dr |
$61.61 | 123 | 123 |
|
Oscar R. Guerra
836 Ponce De Leon Blvd |
$3.46 | 127 | 110 |
|
Mario A Almeida Suarez
1150 Campo Sano Ave |
$2.84 | 127 | 103 |
|
Liat Corcia
4425 Ponce De Leon Blvd |
$112.74 | 130 | 123 |
|
Jonathon Robert Lindner
1150 Campo Sano Ave Fl 2 |
$47.49 | 131 | 119 |
|
Thesalee Nicola Randon
5955 Pouce De Leon Blvd. |
$10.44 | 136 | 136 |
|
Rigoberto P Reguero
5200 Sw 8Th St Ste 205A |
$29.32 | 139 | 80 |
|
Richard Hochman
475 Biltmore Way |
$26.85 | 141 | 132 |
|
Eduardo Gonzalez-Hernandez
401 Sw 42Nd Ave |
$1.66 | 142 | 68 |
|
Maria Cecilia Mas
3181 Coral Way |
$0.36 | 145 | 119 |
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