Average Medicaid Office Visit Payments in Hialeah, FL: $31.22
Avg. Paid
$31.22
Range
$0.00 – $309.64
Total Claims
1,061,174
Providers
446
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 Hialeah, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carmen A Molina
625 E 49Th St |
$73.14 | 27,756 | 21,144 |
|
Belkys Altagracia Romero Ruiz
315 West 49 Street |
$41.12 | 26,261 | 21,557 |
|
Julio Cesar Egusquiza
7100 W 20Th Ave |
$56.72 | 24,695 | 19,414 |
|
Mario R Palomino
3805 W 20Th Ave |
$2.51 | 22,626 | 17,113 |
|
Rene Andino
3416 W 84Th St |
$68.12 | 22,513 | 19,983 |
|
Zoila M Alen
2100 W 76Th St Fl 5 |
$7.59 | 22,263 | 10,782 |
|
Thresia B Gambon
551 West 51St Place |
$22.49 | 20,239 | 14,613 |
|
Maria Teresa Pol-Carballo
3520 W 18Th Ave Ste 115 |
$3.89 | 20,119 | 14,653 |
|
Ihosvani Barroso
4835 E 4Th Ave Ste B |
$59.09 | 19,822 | 14,745 |
|
Maria Antonieta Carballosa
4395 Palm Ave |
$86.28 | 18,896 | 15,075 |
|
Gilda Torres-Portalatin
4861 W 4Th Ave |
$57.55 | 18,387 | 15,941 |
|
Ismael S Morera
777 East 25Th St |
$89.91 | 16,950 | 14,688 |
|
Luisa Maria Guzman
3520 W 18Th Ave Ste 115 |
$3.11 | 16,587 | 11,957 |
|
Adrian Akhavan
7000 W 12Th Ave |
$22.85 | 16,359 | 11,739 |
|
Alberto Dominguez Bali
777 E 25Th St |
$36.75 | 15,640 | 13,630 |
|
Oscar J Benavides
1193 W 49Th St |
$28.85 | 15,584 | 14,436 |
|
Martha Bustamante
4160 W 16Th Ave Ste 100 |
$129.32 | 15,540 | 15,273 |
|
Damarys Cuan
690 E 49Th St |
$9.72 | 15,189 | 12,544 |
|
Jose A Gonzalez
1340 W 68Th St |
$3.56 | 14,359 | 8,574 |
|
Jorge L Barbeito
259 E 49Th St |
$2.90 | 14,170 | 2,730 |
|
Israel D. Alvarez
18300 Nw 62Nd Ave Ste 230 |
$85.74 | 14,071 | 12,435 |
|
Manuel Alfredo Galguera
1816 E 4Th Ave |
$86.52 | 13,823 | 12,041 |
|
Gilda Maria De La Calle Md Pa
1790 W 49Th St |
$24.90 | 12,610 | 10,425 |
|
Kianfa Martinez-Lu
7100 W 20Th Ave Ste 412 |
$17.20 | 10,080 | 6,099 |
|
Sandra M Garcia-Ortiz
250 W 49Th St |
$4.70 | 9,933 | 6,975 |
|
Sandra Joaquina Fujita
450 Se 2Nd St |
$14.10 | 9,861 | 6,629 |
|
Jorge A Fong
3805 W 20Th Ave Ste 105 |
$1.82 | 9,611 | 7,155 |
|
Jorge Travieso
2369 W 52Nd St |
$17.59 | 9,485 | 6,929 |
|
Marlen Maria Rodriguez
1193 W 49Th St |
$30.19 | 8,478 | 8,149 |
|
Gilberto Melchor Cruz
4160 W 16Th Ave Ste 506 |
$32.61 | 8,432 | 7,260 |
|
Humberto J Hernandez
900 W 49Th St Ste 448 |
$1.70 | 8,391 | 4,841 |
|
Alexis Gutierrez
13903 Nw 67Th Avenue |
$8.13 | 8,133 | 5,674 |
|
Juan Barroso
1435 W 49Th Pl |
$6.17 | 8,121 | 4,631 |
|
Eduardo Antonio Reyes
6450 W 21St Ct Ste 204 |
$20.77 | 8,028 | 4,801 |
|
Julian Marquez
2140 W 68Th St |
$27.03 | 7,947 | 5,176 |
|
Amarilys L Murillo Perez
1193 W 49Th St |
$32.36 | 7,892 | 7,623 |
|
Kenneth Strubbe
7100 W 20Th Ave Ste 314 |
$47.17 | 7,829 | 6,696 |
|
Gustavo A. Cadavid
7150 W 20Th Ave |
$40.09 | 7,756 | 6,469 |
|
Jaime J Sanchez
7100 W 20Th Ave Ste 205 |
$9.95 | 7,414 | 4,880 |
|
Ronald J. Borge
901 E 10Th Ave Ste 39 |
$16.64 | 7,180 | 5,622 |
|
Ezequiel F. Romero
1840 West 49Th Street |
$77.98 | 7,089 | 5,151 |
|
Robert B Oneill
7150 W 20Th Ave |
$48.06 | 7,021 | 6,366 |
|
Edisson 'Xavier' Vega-Cordova
7100 W 20Th Ave Ste 608 |
$77.59 | 7,009 | 4,403 |
|
Carlos A Handal-Saca
4410 W 16Th Ave |
$67.44 | 6,994 | 5,689 |
|
Rafael Isidro Garcia
7100 W 20Th Ave Ste 608 |
$76.73 | 6,576 | 4,107 |
|
Nicholas D'Angelo
18610 Nw 87Th Ave |
$39.53 | 6,561 | 5,632 |
|
Jose Humberto Pagliery
4125 W 20Th Ave |
$32.03 | 6,231 | 4,646 |
|
Lizbett Rodriguez-Varona
3805 W 20Th Ave Ste 105 |
$1.72 | 6,101 | 4,160 |
|
Ricardo Dominguez
777 E 25Th St |
$12.58 | 6,053 | 3,716 |
|
Mario Adrian Cala
4410 W 16Th Ave Ste 49 |
$16.11 | 5,946 | 4,108 |
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 Hialeah, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hialeah, FL is $31.22 per claim, based on 1,061,174 claims from 446 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 Hialeah, FL?
There are 446 Medicaid providers offering Office Visit related services in Hialeah, FL according to public payment data.
What is the price range for Office Visit in Hialeah, FL?
Medicaid reimbursement for Office Visit in Hialeah, FL ranges from $0.00 to $309.64 per claim, with an average of $31.22. 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 Hialeah, FL
Home Health Visit
Avg $45.78
6,110,568 claims
Personal Care Services
Avg $26.96
4,301,517 claims
Case Management Services
Avg $57.62
1,437,779 claims
Behavioral & Mental Health Therapy
Avg $76.84
945,390 claims
Speech Therapy
Avg $57.69
603,545 claims
Physical Therapy
Avg $53.82
597,771 claims
Blood Work & Lab Tests
Avg $5.35
516,319 claims
Dental Cleaning & Exam
Avg $28.25
294,954 claims