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 |
|---|---|---|---|
|
Jose Manuel Manchego
16801 Nw 67Th Ave |
$215.60 | 12 | 12 |
|
Daniel A Sanchez Taboada
2001 W 68Th St Ste 202 |
$40.49 | 12 | 12 |
|
Agustin Martinez M D P A
250 E 49Th St |
$0.00 | 13 | 12 |
|
Gustavo A Torres Md Pa
900 W 49Th St |
$0.00 | 13 | 13 |
|
Jorge Luis Sosa
3499 W 4Th Ave |
$102.42 | 13 | 12 |
|
Rosa K Tousent
4175 W 20Th Ave |
$50.09 | 13 | 13 |
|
Juan M Cancio Md Pa
777 E 25Th St |
$0.00 | 13 | 13 |
|
Lourdes Maria Perez
7150 W 20Th Ave Ste 214 |
$79.93 | 13 | 13 |
|
Hibelis M Patton
7100 W 20Th Ave Ste 205 |
$30.84 | 13 | 12 |
|
Erick M Salado
4445 W 16Th Ave |
$0.30 | 14 | 13 |
|
Maria Mesa
18753 Nw 84Th Psge Apt 1906 |
$0.00 | 14 | 13 |
|
Adrian Legaspi Sauter
7150 W 20Th Ave Ste 615 |
$27.98 | 14 | 12 |
|
Marion Emmanuella Gonzalez
445 E 25Th St |
$30.95 | 14 | 13 |
|
Maria Beatriz Brauet Diaz
900 W 49Th St Ste 206 |
$18.47 | 15 | 13 |
|
Jaime A Soteras
4160 W 16Th Ave Ste 203 |
$21.79 | 15 | 14 |
|
Victoria Roque
19161 Nw 57Th Ct |
$20.69 | 15 | 13 |
|
Abel Cabrera-Martinez
1165 W 49Th St Ste 210 |
$110.45 | 16 | 13 |
|
Emery M. Salom
7100 W 20Th Ave |
$2.84 | 17 | 12 |
|
Zaide Laurido
5901 Nw 183Rd St Ste 136 |
$0.06 | 17 | 14 |
|
Mayuli Satorre
1765 W 41St St Apt 2C |
$80.85 | 18 | 18 |
|
Rafael Ason
7100 W 20Th Ave |
$1.43 | 19 | 17 |
|
Pura Vida Medical Center, Llc
1738 W 49Th St Ste 7-12 |
$16.66 | 19 | 16 |
|
Michelle Ashley Barrios
4175 W 20Th Ave |
$11.94 | 19 | 13 |
|
Ivan David Rodriguez
7100 W 20Th Ave |
$36.56 | 19 | 15 |
|
Meylin Lam Hernandez
5961 Nw 173Rd Dr |
$0.00 | 20 | 12 |
|
Raul Garcia Parellada
7000 W 12Th Ave Ste 4 |
$31.17 | 20 | 16 |
|
Ingrid Marie Haza
4175 W 20Th Ave |
$63.81 | 21 | 14 |
|
Andrea Neira Gesteira
8208 Nw 201St Ter |
$28.61 | 22 | 19 |
|
Ivan Acevedo
298 E 3Rd St Unit 103 |
$1.64 | 22 | 16 |
|
Frances Livier Howard
4175 W 20Th Ave |
$0.00 | 25 | 24 |
|
Marietta C Miralles-Bouza
690 E 25Th St |
$17.73 | 26 | 12 |
|
Carolina Suarez
4175 W 20Th Ave |
$14.24 | 26 | 18 |
|
Yuritza Medina Ramirez
766 E 10Th St |
$7.92 | 28 | 18 |
|
Rolando Gonzalez
7150 W 20 Ave |
$11.48 | 28 | 25 |
|
Javier Puentes
5341 W 20Th Ave |
$29.90 | 28 | 24 |
|
Francisco Maderal
2140 W 68Th St |
$0.84 | 28 | 13 |
|
Maria Elena Lopez
4835 E 4Th Ave Ste B |
$27.74 | 29 | 25 |
|
Romel Figueredo
975 W 49Th St |
$3.23 | 29 | 24 |
|
Vianka Perez
7100 W 20Th Ave Ste 205 |
$37.59 | 29 | 24 |
|
Jose Edgardo Gamez
7100 West 20Th Avenue |
$0.00 | 30 | 30 |
|
Diana A Rodriguez
3825 W 16Th Ave |
$8.23 | 30 | 27 |
|
Vmfl Medical Centers Llc
1565 W 29Th St |
$0.00 | 30 | 27 |
|
Andres Perez Roman
2140 W 68Th St Ste 200 |
$141.78 | 30 | 30 |
|
Maria Ofelia Mirabal
777 E 25Th St Ste 509 |
$32.98 | 31 | 27 |
|
Yinelys Ramirez Sanchez
4410 W 16Th Ave Ste 32 |
$0.00 | 31 | 19 |
|
Yanssel Delgado
630 E 49Th St |
$50.97 | 31 | 28 |
|
Andres B Rabassa
7801 W 30Th Ln |
$5.03 | 33 | 32 |
|
Andrew Berry
7100 W 20Th Ave Ste 105 |
$80.05 | 33 | 29 |
|
Zion Health Care Llc
2100 W 76Th St Fl 5 |
$0.00 | 33 | 28 |
|
Leticia Lenar Delgado
4175 W 20Th Ave |
$20.38 | 34 | 30 |
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