Average Medicaid Office Visit Payments in Miami, FL: $49.15
Avg. Paid
$49.15
Range
$0.00 – $642.42
Total Claims
4,998,845
Providers
2,828
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 Miami, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Octavio Vasconcello-Cohen
8224 Mills Dr |
$94.74 | 65,738 | 47,995 |
|
Isidro A Lopez
1495 Nw 20Th St |
$44.38 | 50,204 | 29,835 |
|
Armando Enrique Acevedo
2400 Nw 54 Street |
$21.57 | 42,602 | 29,975 |
|
Ana M Duarte
3100 Sw 62Nd Ave |
$78.52 | 40,881 | 37,202 |
|
Maria Eugenia Amador
1631 Sw 107Th Ave |
$3.31 | 38,335 | 21,516 |
|
Manuel Lovo
11880 Sw 40Th St |
$52.87 | 36,706 | 28,897 |
|
Francisco E Martinez
628 Nw 22Nd Avenue |
$48.74 | 35,340 | 31,244 |
|
Eduardo Diaz
5703 Nw 7Th St |
$92.23 | 35,322 | 26,842 |
|
Zafar I Qureshi
99 Nw 183Rd St |
$45.27 | 31,070 | 26,741 |
|
Ramiro Alvarez Diaz
7235 Coral Way Ste 214 |
$85.50 | 30,744 | 22,298 |
|
Alvaro Jose Dangond
7001 Sw 97Th Ave Ste 201 |
$55.19 | 29,366 | 24,170 |
|
Loreta Bidot
10040 Sw 40Th St |
$41.12 | 27,190 | 22,981 |
|
Juan Carlos Ojea
7990 Coral Way |
$31.13 | 27,180 | 24,372 |
|
Maria Victoria Egusquiza
3220 Sw 107Th Ave |
$60.58 | 26,594 | 20,541 |
|
Jorge Sanchez-Masiques
3181 Sw 22 Street |
$39.15 | 24,497 | 16,822 |
|
Rodolfo Sidron
8410 W Flagler St Ste 212-213 |
$82.58 | 23,208 | 17,287 |
|
Marvin Rios
11880 Sw 40Th St Ste 319 |
$63.06 | 22,325 | 15,649 |
|
Midiala E Diaz
12376 Quail Roost Dr |
$4.92 | 21,755 | 19,185 |
|
Maria Cristina Vazquez
8496 Sw 8Th |
$70.94 | 21,555 | 11,294 |
|
Andleeb Anwar Usmani
3100 Sw 62Nd Ave |
$87.26 | 21,139 | 20,102 |
|
Susan Fox
8501 Sw 124Th Ave |
$30.24 | 20,911 | 13,202 |
|
Lianet Mamposo
14223 Sw 42Nd St |
$2.79 | 20,786 | 12,181 |
|
Adelfa Diaz
1490 Nw 27Th Ave Ste 130 |
$6.38 | 20,536 | 18,888 |
|
Rainer Mederos
3100 Sw 62Nd Ave |
$108.56 | 20,444 | 15,758 |
|
Eric Darren Miller
15190 Sw 136Th St Ste 2627 |
$16.53 | 20,403 | 1,828 |
|
Sarah Naviwala
3100 Sw 62Nd Ave |
$44.08 | 20,248 | 18,781 |
|
Gershwin Theophilus Blyden
8335 Ne 2Nd Ave |
$18.33 | 19,979 | 2,873 |
|
Marie T. Moreau
1350 Nw 14Th St |
$5.35 | 19,685 | 670 |
|
Lenier Perez Miranda
14285 Sw 42Nd St |
$3.98 | 19,289 | 14,379 |
|
Ciocca Dermatology Pa
7001 Sw 97Th Ave |
$45.18 | 18,611 | 15,594 |
|
Lisa Maria Perez-Grossman
1235 Sw 87Th Ave |
$100.93 | 18,565 | 15,074 |
|
Sergio F Alzugaray
12540 Sw 8Th St |
$25.78 | 18,450 | 16,344 |
|
Jose Fernandez
10700 Caribbean Blvd |
$63.96 | 17,895 | 14,771 |
|
Alberto Montero
4215 Sw 72Nd Ave |
$2.67 | 17,564 | 12,393 |
|
Loida Mercedes Severino
3601 Federal Hwy |
$17.13 | 16,945 | 11,570 |
|
Abdulwahab Aldousany
8955 Sw 87Th Ct Ste 104 |
$163.34 | 16,892 | 14,382 |
|
Liuska Mariscal
12991 Sw 112Th St |
$35.29 | 16,846 | 11,478 |
|
Marie Jocelyne Nicolas Alexandre
12376 Quail Roost Dr |
$5.11 | 16,814 | 15,240 |
|
Isaac Candido Luzardo
1663 Sw 25Th Ave |
$63.86 | 16,119 | 10,443 |
|
Manuel J Castellanos
3100 Sw 62Nd Ave |
$77.12 | 15,660 | 14,948 |
|
Leydis Morono
1621 Sw 107Th Ave |
$3.64 | 15,253 | 10,492 |
|
Rodolfo B Ferretti
7765 Sw 87 Avenue |
$84.86 | 14,831 | 12,830 |
|
Neda Motameni
1250 S Miami Ave |
$50.94 | 14,701 | 11,305 |
|
Heidi Rojas Cabrera
1631 Sw 107Th Ave |
$72.89 | 14,434 | 12,523 |
|
Paul A Madera
3201 N Miami Ave Ste 107 |
$31.12 | 14,362 | 13,882 |
|
Carlos F Fuster
11760 Bird Rd |
$32.93 | 14,356 | 13,215 |
|
Jose I Pradere
815 Nw 57Th Ave Ste 110 |
$42.42 | 14,156 | 11,877 |
|
Rozalyn Agenoria Paschal-Thomas
7900 Nw 27Th Ave |
$24.27 | 14,067 | 12,950 |
|
Amado Viera
7800 Sw 87Th Ave Ste B210 |
$0.25 | 14,025 | 5,247 |
|
Yolanda A Galarraga-Ramirez
1996 Sw 1St St |
$83.85 | 13,718 | 11,389 |
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 Miami, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Miami, FL is $49.15 per claim, based on 4,998,845 claims from 2828 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 Miami, FL?
There are 2828 Medicaid providers offering Office Visit related services in Miami, FL according to public payment data.
What is the price range for Office Visit in Miami, FL?
Medicaid reimbursement for Office Visit in Miami, FL ranges from $0.00 to $642.42 per claim, with an average of $49.15. 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 Miami, FL
Home Health Visit
Avg $43.52
13,238,394 claims
Personal Care Services
Avg $33.56
10,537,763 claims
Non-Emergency Medical Transportation
Avg $17.85
8,361,700 claims
Behavioral & Mental Health Therapy
Avg $96.96
6,731,703 claims
Blood Work & Lab Tests
Avg $1.65
5,777,945 claims
Case Management Services
Avg $82.94
3,929,993 claims
Physical Therapy
Avg $41.78
3,470,277 claims
Ambulance Transport
Avg $26.57
2,698,529 claims