Average Medicaid Office Visit Payments in Gainesville, FL: $44.68
Avg. Paid
$44.68
Range
$0.00 – $665.35
Total Claims
885,779
Providers
906
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 Gainesville, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Donna Boucher
6440 W Newberry Rd Ste 508 |
$59.44 | 12 | 12 |
|
Barnhill Clinic, P.A.
5270 Nw 34Th Street |
$43.11 | 12 | 12 |
|
Thomas Adam Burkart
1600 Sw Archer Rd |
$3.46 | 12 | 12 |
|
Jessica Frey
1600 Sw Archer Rd |
$23.36 | 12 | 12 |
|
Crystal Johnson-Mann
1600 Sw Archer Rd |
$66.33 | 12 | 12 |
|
Lisa C Tumarkin
6440 W Newberry Rd |
$44.84 | 12 | 12 |
|
Basheer Sufyan
3925 Nw 43Rd St |
$24.36 | 12 | 12 |
|
Natalie Shiff
1600 Sw Archer Rd |
$49.02 | 12 | 12 |
|
Jessica Rachael Holder
1515 Sw Archer Rd |
$12.85 | 12 | 12 |
|
Erin Nichole Mattocks
4645 Nw 8Th Ave |
$54.87 | 12 | 12 |
|
Timothy Paul Foster
1600 Sw Archer Rd |
$71.40 | 12 | 12 |
|
R Stan Williams
1600 Sw Archer Rd |
$13.39 | 12 | 12 |
|
Kristina Glaser
1699 Sw 16Th Ave |
$11.99 | 12 | 12 |
|
Christina Leigh Mitchell
1600 Sw Archer Rd |
$52.88 | 12 | 12 |
|
Timothy R Jones
1600 Sw Archer Rd |
$62.28 | 12 | 12 |
|
Susanna Joy Roberts
4500 W Newberry Rd |
$47.43 | 13 | 12 |
|
Tarah Daly Doshi
1600 Sw Archer Rd |
$82.20 | 13 | 13 |
|
Gillian Kathleen Johnson
8311 Sw 57Th Pl |
$39.72 | 13 | 12 |
|
Uma Ganapathy Iyer
6420 W Newberry Rd East Wing, Suite 100 |
$9.90 | 13 | 12 |
|
Kirsten Joy Jordan
1600 Sw Archer Rd |
$85.45 | 13 | 13 |
|
Brian Xavier Contreras
7485 Sw 17Th Rd |
$0.00 | 13 | 13 |
|
Carolyn Geis
3450 Hull Road |
$29.47 | 13 | 12 |
|
Florida Woman Care Llc
6440 W Newberry Rd Ste 111 |
$0.00 | 13 | 12 |
|
Mustafa Yehya
1600 Sw Archer Rd |
$37.77 | 13 | 12 |
|
Elizabeth Mary Dillon
1600 Sw Archer Rd |
$19.14 | 13 | 12 |
|
David Minh Tran
1600 Sw Archer Rd |
$81.89 | 13 | 12 |
|
Sheryl B Fleisch
1600 Sw Archer Rd |
$64.17 | 13 | 12 |
|
James Steven Cook
1600 Sw Archer Rd |
$115.79 | 13 | 12 |
|
Kelsey Wehrenberg
1600 Sw Archer Rd |
$51.74 | 13 | 12 |
|
Shawn Simek
1600 Sw Archer Rd |
$18.34 | 13 | 12 |
|
Mayra Montalvo Perero
3009 Sw Williston Rd |
$29.77 | 13 | 13 |
|
Brian Bishop Hughley
1600 Sw Archer Rd |
$31.30 | 13 | 12 |
|
Andrew William Thompson
1149 Newell Dr L4-100 |
$60.66 | 13 | 12 |
|
Jonathan Carroll
1600 Sw Archer Rd |
$15.63 | 13 | 13 |
|
Judy F Lew
1600 Sw Archer Rd |
$70.20 | 13 | 13 |
|
Chancellor Folsom Gray
7540 W University Ave |
$25.20 | 13 | 12 |
|
Paulette C Hahn
1600 Sw Archer Rd |
$17.49 | 14 | 12 |
|
Diane Day
6900 Nw 9Th Blvd |
$11.79 | 14 | 13 |
|
David Michael Becnel
1600 Sw Archer Rd # 100225 |
$49.23 | 14 | 14 |
|
Asha Anil Vishnagara
1601 Sw Archer Rd |
$0.00 | 14 | 13 |
|
Adam Buck
4645 Nw 8Th Ave |
$6.87 | 14 | 12 |
|
Michelle Butler
1600 Sw Archer Rd |
$57.64 | 14 | 13 |
|
Candace Malinosky
3140 Stadium Rd |
$14.19 | 14 | 12 |
|
Paul Edward Funderburk
6757 W Newberry Rd |
$38.88 | 14 | 12 |
|
Kevin Michael Sutton
5270 Nw 34Th Blvd |
$69.67 | 14 | 14 |
|
Troy Arcand
1600 Sw Archer Rd |
$17.49 | 14 | 13 |
|
Reem Sameer Abu-Rustum
1600 Sw Archer Rd |
$24.23 | 14 | 13 |
|
Paul Luther Crispen
1600 Sw Archer Rd |
$15.83 | 14 | 12 |
|
Scott L. Myers
1600 Sw Archer Rd |
$5.53 | 14 | 13 |
|
Naomi Mostkoff
5310 Nw 8Th Ave Ste 1 |
$19.65 | 14 | 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 Gainesville, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gainesville, FL is $44.68 per claim, based on 885,779 claims from 906 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 Gainesville, FL?
There are 906 Medicaid providers offering Office Visit related services in Gainesville, FL according to public payment data.
What is the price range for Office Visit in Gainesville, FL?
Medicaid reimbursement for Office Visit in Gainesville, FL ranges from $0.00 to $665.35 per claim, with an average of $44.68. 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 Gainesville, FL
Blood Work & Lab Tests
Avg $2.72
2,132,563 claims
Emergency Room Visit
Avg $81.28
751,230 claims
X-Ray
Avg $4.46
646,866 claims
Speech Therapy
Avg $20.88
349,074 claims
Urinalysis & Urine Tests
Avg $1.01
338,004 claims
EKG / ECG (Electrocardiogram)
Avg $6.02
236,914 claims
Dental Cleaning & Exam
Avg $32.15
203,652 claims
Behavioral & Mental Health Therapy
Avg $63.66
185,732 claims