Average Medicaid Office Visit Payments in Lake Wales, FL: $47.79
Avg. Paid
$47.79
Range
$0.00 – $82.60
Total Claims
206,702
Providers
31
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 Lake Wales, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rajeswari S Sonni
1354 State Road 60 E |
$47.77 | 125,056 | 95,619 |
|
Jagdeep Singh Pruthi
25103 Hwy 27 |
$56.94 | 31,034 | 28,384 |
|
Hasan M. Mousli
1120 Carlton Ave |
$33.39 | 9,420 | 8,379 |
|
Sambath Rin
320 State Road 60 E |
$55.32 | 8,884 | 8,438 |
|
Ajay Kumar Mangal
423 Linden Ln |
$59.41 | 4,756 | 3,704 |
|
Jean Fritzner Balan
305 W Central Ave |
$32.56 | 4,054 | 3,700 |
|
Boris Dalton Nunez
320 State Road 60 E |
$23.22 | 3,841 | 3,322 |
|
Heather Wardy
305 W Central Ave |
$48.56 | 3,209 | 2,879 |
|
Lee Wichner Edelstein
305 W Central Ave |
$39.77 | 2,910 | 2,584 |
|
Karen Kelley Mathis
1354 State Road 60 E |
$58.43 | 2,506 | 2,282 |
|
Raymond R Knisley
1255 State Road 60 E Ste 100 |
$53.20 | 2,118 | 1,981 |
|
Caroline C Honculada
425 S 11Th St Ste 1 |
$53.35 | 1,457 | 1,186 |
|
Amber Y Shepard
1255 Highway 60 E Ste 500 |
$29.71 | 1,311 | 856 |
|
Rodolfo S Fernandez
1255 State Road 60 E Ste 500 |
$23.60 | 1,164 | 749 |
|
Panchami Thomas
410 S 11Th St |
$37.77 | 1,154 | 882 |
|
Lisa Marie Peto
24165 Hwy 27 |
$34.59 | 735 | 555 |
|
James Edward Pilkington
407 S 11Th St |
$18.65 | 726 | 529 |
|
Shirley O White-Campbell
229 State Road 60 E |
$23.83 | 519 | 370 |
|
Fred I Howard
451 S 11Th St |
$16.16 | 504 | 283 |
|
Stephen J Plumb
421 Linden Ln |
$35.56 | 382 | 363 |
|
Joy Harris
425 S 11Th St Ste 1 |
$76.60 | 251 | 237 |
|
Lake Wales Foot And Ankle Care, Inc
408 S 1St St |
$9.76 | 245 | 154 |
|
Marcela Jativa
1356 State Road 60 E |
$82.60 | 155 | 120 |
|
Oji Joseph
1136 Bryn Mawr Ave |
$1.74 | 93 | 79 |
|
Milcah Grace S Caculitan
1120 Carlton Ave |
$13.64 | 58 | 57 |
|
Margaret Ellen Eastham
1030 Chalet Suzanne Rd |
$0.00 | 35 | 26 |
|
Heraud Pediatrics Llc
1120 Carlton Ave Ste 1300 |
$2.11 | 34 | 19 |
|
Chester C Wilmot
407 S 11Th St |
$9.59 | 29 | 26 |
|
Nydia Gricelle Deltoro Rivera
1120 Carlton Ave |
$10.90 | 29 | 24 |
|
Ricardo James Navarro
1137 Druid Cir |
$9.60 | 21 | 13 |
|
Marc Edward Marchioli
410 S 11Th St |
$0.00 | 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 Lake Wales, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lake Wales, FL is $47.79 per claim, based on 206,702 claims from 31 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 Lake Wales, FL?
There are 31 Medicaid providers offering Office Visit related services in Lake Wales, FL according to public payment data.
What is the price range for Office Visit in Lake Wales, FL?
Medicaid reimbursement for Office Visit in Lake Wales, FL ranges from $0.00 to $82.60 per claim, with an average of $47.79. 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 Lake Wales, FL
Vaccines & Immunizations
Avg $5.90
101,812 claims
Physical Therapy
Avg $24.21
52,182 claims
Speech Therapy
Avg $29.52
25,180 claims
Personal Care Services
Avg $39.69
24,557 claims
Emergency Room Visit
Avg $79.76
21,656 claims
Home Health Visit
Avg $29.69
16,874 claims
Eye Exam
Avg $41.99
16,284 claims
Hearing Test (Audiometry)
Avg $1.31
12,291 claims