Average Medicaid Office Visit Payments in Defuniak Springs, FL: $35.44
Avg. Paid
$35.44
Range
$0.00 – $110.75
Total Claims
46,670
Providers
23
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 Defuniak Springs, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James W Howell
21 W Main Ave |
$30.24 | 14,954 | 11,796 |
|
Dale A Volquartsen
1045 Us Highway 331 S |
$23.85 | 11,676 | 7,226 |
|
Jennifer Vital Whitfield
1045 Us Highway 331 S |
$64.17 | 6,559 | 5,300 |
|
Ruben R Garcia
411 E Nelson Ave |
$25.25 | 5,914 | 4,788 |
|
Elizabeth Anne Dixon
362 State Highway 83 |
$62.27 | 1,464 | 1,176 |
|
Kerrian A Hazley
362 State Highway 83 |
$49.85 | 1,289 | 752 |
|
Garcia Medical Clinic Llc
411 E Nelson Ave |
$22.06 | 1,066 | 895 |
|
Brittany Anne Mosley
1045 Us Highway 331 N |
$22.56 | 633 | 527 |
|
Francis Edward Tenewitz
4413 Us Highway 331 S |
$10.91 | 547 | 431 |
|
Jami L Seagle
362 Highway 83 N |
$52.50 | 526 | 447 |
|
Tammy Howerton
1045 Us Highway 331 S |
$21.89 | 407 | 355 |
|
Elissa Hope Purvis
4413 Us Highway 331 S |
$89.21 | 343 | 304 |
|
Shirley Dianne Guillory
475 State Highway 83 |
$71.51 | 289 | 245 |
|
Healthmark Of Walton Rural Health Clinic Inc
4415 Us Highway 331 S |
$110.75 | 191 | 179 |
|
Fawzi Fawaz
962 Us Highway 331 S |
$0.00 | 175 | 163 |
|
Caroline P. Lawrence
21 W Main Ave |
$105.14 | 171 | 150 |
|
Kimberly Nichole Bryant
4415 Us Highway 331 S |
$89.44 | 144 | 129 |
|
Angela Renee Pool
4415 Us Highway 331 S |
$76.56 | 82 | 68 |
|
Loyd Thomas Simmons
1424 Us Highway 331 S |
$39.09 | 81 | 69 |
|
Ashleigh Skipper
886 Baldwin Ave |
$15.36 | 52 | 47 |
|
Doctors Medical Center Of Walton County Pa
21 W Main Ave |
$21.89 | 44 | 34 |
|
Judy Lynn Hoffman
4413 Us Highway 331 S |
$25.50 | 36 | 32 |
|
Charles Gordon Stevenson
770 Hwy 331 South |
$68.20 | 27 | 27 |
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 Defuniak Springs, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Defuniak Springs, FL is $35.44 per claim, based on 46,670 claims from 23 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 Defuniak Springs, FL?
There are 23 Medicaid providers offering Office Visit related services in Defuniak Springs, FL according to public payment data.
What is the price range for Office Visit in Defuniak Springs, FL?
Medicaid reimbursement for Office Visit in Defuniak Springs, FL ranges from $0.00 to $110.75 per claim, with an average of $35.44. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Defuniak Springs, FL
Speech Therapy
Avg $5.59
38,602 claims
Emergency Room Visit
Avg $56.93
21,218 claims
Vaccines & Immunizations
Avg $6.26
17,996 claims
Nursing Facility Care
Avg $7.60
15,979 claims
Ambulance Transport
Avg $75.98
13,353 claims
Eye Exam
Avg $81.90
9,085 claims
Physical Therapy
Avg $13.16
6,529 claims
Blood Work & Lab Tests
Avg $1.92
5,237 claims