Average Medicaid Office Visit Payments in Dunedin, FL: $42.03
Avg. Paid
$42.03
Range
$1.39 – $316.67
Total Claims
22,322
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 Dunedin, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Suzanne Marie Gregorio
870 Patricia Ave |
$32.98 | 11,242 | 10,181 |
|
Norma Lopez-Molina
1721 Main St |
$26.71 | 5,642 | 4,467 |
|
Jacquelyn Gianni
1105 Admiral Rd |
$156.47 | 1,673 | 1,253 |
|
Sherrie Thomas
Evara Health 1721 Main Street |
$22.99 | 748 | 642 |
|
Vonda Marie Love
2175 Main St |
$66.07 | 645 | 511 |
|
Felix Chukwuemeka Nwokolo
537 Douglas Ave Ste 15 |
$2.74 | 640 | 461 |
|
Robert A. Black
646 Virginia St Ste 200 |
$10.02 | 367 | 249 |
|
Andrew Michael Maley
646 Virginia St Ste 204 |
$54.46 | 276 | 258 |
|
James Breen
1022 Main St Ste R |
$33.78 | 230 | 218 |
|
Pradeep K Narotam
2323 Curlew Rd Ste 6B |
$52.16 | 171 | 158 |
|
Rachelle Walton
2175 Main St |
$316.67 | 124 | 124 |
|
Dwight Clarke
646 Virginia St Ste 421 |
$48.68 | 113 | 106 |
|
Harris Boyiadzis
646 Virginia St Ste 200 |
$15.61 | 88 | 80 |
|
Suzanne Margaret Desrosiers
1477 Main St |
$7.37 | 68 | 28 |
|
Rachel A Mitnick
2175 Main St |
$53.56 | 64 | 62 |
|
Megan Lynn Golightly
180 Patricia Ave |
$39.06 | 51 | 49 |
|
Erika A Mulligan
2210 Main Street |
$42.37 | 44 | 40 |
|
Julie Ann Bearce
609 Lexington St |
$13.49 | 42 | 12 |
|
Karolina Urbaniak-Duraj
585 Main St Ste 101 |
$1.39 | 28 | 12 |
|
Christopher Michael Hayes
516 Patricia Ave |
$56.60 | 27 | 27 |
|
Beverly Encarnacion
2128 Main St |
$1.89 | 14 | 13 |
|
Brooke Chiodo
703 Virginia St |
$67.20 | 13 | 12 |
|
Vivian Maria Herrero
424 Douglas Ave |
$89.08 | 12 | 12 |
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 Dunedin, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dunedin, FL is $42.03 per claim, based on 22,322 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 Dunedin, FL?
There are 23 Medicaid providers offering Office Visit related services in Dunedin, FL according to public payment data.
What is the price range for Office Visit in Dunedin, FL?
Medicaid reimbursement for Office Visit in Dunedin, FL ranges from $1.39 to $316.67 per claim, with an average of $42.03. 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 Dunedin, FL
Nursing Facility Care
Avg $6.64
206,431 claims
Blood Work & Lab Tests
Avg $2.42
63,095 claims
Emergency Room Visit
Avg $77.50
15,354 claims
Psychiatric Evaluation
Avg $13.57
13,002 claims
Urinalysis & Urine Tests
Avg $0.90
7,444 claims
Vaccines & Immunizations
Avg $3.76
6,153 claims
Speech Therapy
Avg $27.09
5,456 claims
Pathology & Lab Services
Avg $40.63
5,398 claims