Average Medicaid Office Visit Payments in Lighthouse Point, FL: $52.92
Avg. Paid
$52.92
Range
$0.45 – $127.47
Total Claims
19,854
Providers
18
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 Lighthouse Point, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michelle Dzung
2850 N Federal Hwy |
$14.03 | 19 | 12 |
|
James Stephen Radke
5340 N Federal Hwy Ste 110 |
$77.30 | 29 | 29 |
|
Waden Everett Emery
5340 N Federal Hwy |
$14.91 | 68 | 58 |
|
Paul A. Rodriguez
1821 Ne 25Th Street |
$3.65 | 95 | 55 |
|
Omid M Seylabi
2100 Ne 36Th St |
$38.74 | 105 | 95 |
|
Cesar A Randich
4500N Federal Hwy 113B |
$14.60 | 115 | 83 |
|
Arthur Bautista
2261 Ne 36Th St |
$0.45 | 152 | 96 |
|
Hoda A Mikhail
2100 E Sample Rd |
$71.78 | 215 | 183 |
|
Darla Ellynn Hoble Erlich
2100 E Sample Rd |
$20.19 | 231 | 124 |
|
Linoj Panicker
5340 N Federal Hwy Ste 110 |
$35.04 | 277 | 240 |
|
Asfar Mushtaq
2502 N Federal Hwy |
$40.79 | 461 | 339 |
|
Wesley Cheng
3896 N Federal Hwy |
$42.22 | 806 | 732 |
|
Ricardo Luis Matos
1821 Ne 25Th St |
$55.22 | 1,120 | 1,096 |
|
Adel Kamal Helmy
4510 N Federal Hwy |
$127.47 | 2,086 | 2,048 |
|
Vipin Gupta
5340 N Federal Hwy Ste 110 |
$43.57 | 2,600 | 2,337 |
|
Maria Elena Garay Claudio
2100 E Sample Rd Ste 101 |
$69.03 | 3,150 | 2,876 |
|
Mayuri P Gupta
5340 N Federal Hwy Ste 110 |
$34.46 | 3,996 | 3,515 |
|
Premium Practice Solutions, Llc
5340 N Federal Hwy Ste 110 |
$37.47 | 4,329 | 3,837 |
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 Lighthouse Point, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lighthouse Point, FL is $52.92 per claim, based on 19,854 claims from 18 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 Lighthouse Point, FL?
There are 18 Medicaid providers offering Office Visit related services in Lighthouse Point, FL according to public payment data.
What is the price range for Office Visit in Lighthouse Point, FL?
Medicaid reimbursement for Office Visit in Lighthouse Point, FL ranges from $0.45 to $127.47 per claim, with an average of $52.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $81.86
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Avg $24.20
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Avg $30.31
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Other Procedures in Lighthouse Point, FL
X-Ray
Avg $4.09
11,001 claims
Upper Endoscopy (EGD)
Avg $42.18
2,775 claims
Nursing Facility Care
Avg $4.68
2,544 claims
Vaccines & Immunizations
Avg $9.76
1,530 claims
Colonoscopy
Avg $102.04
1,462 claims
Eye Exam
Avg $69.77
1,030 claims
CT Scan (Computed Tomography)
Avg $16.05
962 claims
Blood Work & Lab Tests
Avg $1.86
931 claims