Based on public Medicaid payment data.

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
Sheng Fu 8950 N Kendall Dr Ste 507W	$43.09	12	12
Tara Gavcovich 1611 Nw 12Th Ave	$108.30	12	12
Lorilee Agatha Graham 10300 Sw 216Th St	$162.52	12	12
Marie Nynon Fleurgin 58 Nw 167Th St	$31.72	12	12
Julio Somoano 8200 Sw 117Th Ave Ste 304	$15.35	12	12
Claudia Camila Bello 8220 W Flagler St	$48.41	12	12
Lloyd Lonnie Camper 1611 Nw 12Th Ave	$0.00	12	12
Rafael Arturo Nones Pena 2230 Nw 95Th St	$127.83	12	12
Maricarmen Perez Blanco 900 Nw 17Th Ave	$41.96	12	12
Lucita Marthe Clersaint 58 Ne 167Th St	$24.91	12	12
Nicklaus Children'S Pediatric Specialists, Llc 3100 Sw 62Nd Ave Ste 102	$0.00	12	12
Laura Puckett 3000 Ne 2Nd Ave Apt 617	$23.38	12	12
Teresa Moreno Herrera 22402 Sw 128Th Pl	$6.33	12	12
Damara Ugalde 2301 Sw 9Th St Apt 13	$11.66	12	12
Yadian Santiesteban Leyva 9611 Sw 40Th St	$0.89	12	12
Jose R Vives Alvarado 1611 Nw 12Th Ave	$52.77	12	12
Juan Carlos De Rivero Vaccari 401 Sw 27Th Ave	$127.86	12	12
Ingrid Mixter 180 Nw 62Nd St	$1.59	12	12
Kevin Graham 13520 Ne 1St Ave	$49.49	12	12
Dorene Niv 2601 Sw 37Th Ave Ste 801	$44.62	12	12
Cora Theadora Yoose 13329 Sw 115Th Ct	$20.51	12	12
Alexa Leah Cohen 1150 Nw 14Th St	$150.86	12	12
Pedro P Carballo Md Pa 8260 W Flagler St	$0.00	12	12
Luz Patricia Marin 7887 N Kendall Dr	$0.00	12	12
Brocha F. Tarshish 3100 Sw 62Nd Ave	$212.99	12	12
Mauricio G Cohen 1321 Nw 14Th St Ste 510	$21.74	12	12
Jaswinder Singh Sandhu 1400 Nw 12Th Ave	$93.42	12	12
Janice Lima-Maribona 3661 S Miami Ave	$0.62	12	12
Richard Chang 10820 Sw 113Th Pl	$0.10	12	12
Stephanie Tio 585 Nw 161St St	$22.62	12	12
Thomas Earle Plate 1611 Nw 12Th Ave # 600-D	$69.23	13	13
Jonette Elizabeth Keri 1600 Nw 10Th Ave	$56.01	13	12
Franklin Benedict Colon Torres 3661 S Miami Ave Ste 102	$32.52	13	13
Ariel Eber 1611 Nw 12Th Ave	$50.22	13	12
Marisela Watanabe 3510 Biscayne Blvd	$33.71	13	12
Olivera Stojadinovic 1295 Nw 14Th St	$103.74	13	12
Lazaro Vigoa 11760 Sw 40Th St	$9.91	13	13
Patricia M Rosas-Guyon 631 Sw 23Rd Rd	$0.00	13	12
Patricia Perfetto Pila 8200 Sw 117Th Ave	$15.60	13	13
Israel Alfonso 3200 Sw 60 Ct	$58.38	13	13
George R Marzouka 1201 Nw 16Th Street	$32.63	13	12
Allison Melanie Saavedra 9971 W Flagler St Ste B-240	$44.52	13	13
Chad Michael Thorson 1120 Nw 14Th St Ste 450J	$109.54	13	13
Lucy Kristine Martin 2645 Sw 37Th Ave	$83.67	13	13
Carl I. Schulman 1611 Nw 12Th Ave	$103.51	13	12
Michelle Marie Lebron Ginorio 7921 Bird Rd Ste 39	$136.48	13	13
Annette Fornos 8746 Sw 24 St	$18.69	13	13
Irman Forghani 1601 Nw 12Th Ave	$83.85	13	12
Richard M Strassberg 1611 Nw 12Th Ave	$42.99	13	12
Moises E Hernandez 8950 N Kendall Dr	$0.00	13	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 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.

Average Medicaid Office Visit Payments in Miami, FL: $49.15

Providers Offering Office Visit in Miami, FL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Miami, FL

Home Health Visit

Personal Care Services

Non-Emergency Medical Transportation

Behavioral & Mental Health Therapy

Blood Work & Lab Tests

Case Management Services

Physical Therapy

Ambulance Transport