Average Medicaid Office Visit Payments in Miami Gardens, FL: $19.81
Avg. Paid
$19.81
Range
$0.00 – $115.84
Total Claims
106,655
Providers
30
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 Gardens, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anselmo M Mendive
4601 Nw 199Th St |
$0.56 | 53,041 | 23,009 |
|
Boniface Lamy
4888 Nw 183Rd St Ste 101 |
$115.84 | 10,516 | 8,891 |
|
Jose Ignacio Acosta
4888 Nw 183Rd St |
$17.02 | 9,183 | 7,710 |
|
Marie Ketty Jussome
4888 Nw 183Rd St Ste 101 |
$8.97 | 6,957 | 5,820 |
|
Luciana Borba Checkver
4888 Nw 183Rd St Ste 101 |
$14.83 | 6,796 | 5,495 |
|
Carine Remy
4888 Nw 183Rd St Ste 101 |
$8.58 | 4,792 | 4,113 |
|
Teresa A Jackson
20612 Nw 27Th Ave |
$20.10 | 2,542 | 2,256 |
|
Joy J Munajj-Brown
20612 Nw 27Th Ave |
$24.23 | 2,213 | 1,794 |
|
Arianne Cordon-Duran
20612 Nw 27Th Ave |
$23.81 | 1,499 | 1,303 |
|
Luis Vicente Concepcion
16555 Nw 25Th Ave |
$20.84 | 1,317 | 1,184 |
|
Castro Jean Manis Bonny
16555 Nw 25Th Ave |
$40.48 | 1,215 | 1,085 |
|
Center For Family And Child Enrichment, Inc
1825 Nw 167Th St |
$105.68 | 925 | 899 |
|
Hendry Julian Perez Pascual
18300 Nw 62Nd Ave Ste 210 |
$43.75 | 817 | 699 |
|
Jessica Alexandra Altamirano
18360 Nw 47Th Ave |
$19.44 | 758 | 471 |
|
Christopher L Mcghie
21409 Nw 13Th Ct Apt 105 |
$4.71 | 685 | 494 |
|
Rana Siddabattuni
4692 Nw 183Rd St |
$108.15 | 655 | 628 |
|
Maria Virginia Gomez Padron
4767 Nw 183Rd St |
$25.55 | 577 | 483 |
|
Harleen Singh
581 Nw 183Rd St |
$25.34 | 527 | 341 |
|
Alicia Chilito
18425 Nw 2Nd Avenue 5Th Floor Ph7 |
$9.62 | 306 | 238 |
|
Annia Gonzalez Marull
1825 Nw 167Th St Ste 108 |
$17.42 | 240 | 232 |
|
Yarelis Reyes Velazquez
16555 Nw 25Th Ave |
$90.17 | 208 | 204 |
|
Chen Neighborhood Medical Centers Of South Florida, Llc
1395 Nw 167Th St |
$0.00 | 201 | 132 |
|
Ekom Nnamdie
20911 Nw 2Nd Ave |
$11.91 | 154 | 125 |
|
Reynaldo Lopez
4855 Nw 183Rd St |
$18.34 | 138 | 125 |
|
Marisol D Casas Buchillon
19150 Nw 44Th Ave |
$12.04 | 129 | 91 |
|
Tashara Redding Jean
1395 Nw 167Th St |
$14.29 | 117 | 108 |
|
Lisbeth G Marino
17211 Nw 43Rd Ct |
$4.60 | 76 | 74 |
|
Public Health Trust Of Miami Conty Florida
16555 Nw 25Th Ave |
$27.09 | 33 | 30 |
|
William Arthur Davis
19955 Nw 27Th Ave Ste 200 |
$70.72 | 20 | 16 |
|
Elisee Jacques
1825 Nw 167Th St |
$22.05 | 18 | 14 |
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 Gardens, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Miami Gardens, FL is $19.81 per claim, based on 106,655 claims from 30 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 Gardens, FL?
There are 30 Medicaid providers offering Office Visit related services in Miami Gardens, FL according to public payment data.
What is the price range for Office Visit in Miami Gardens, FL?
Medicaid reimbursement for Office Visit in Miami Gardens, FL ranges from $0.00 to $115.84 per claim, with an average of $19.81. 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 Gardens, FL
Personal Care Services
Avg $34.69
624,982 claims
Home Health Visit
Avg $57.28
620,708 claims
Behavioral & Mental Health Therapy
Avg $106.56
97,626 claims
Dental Cleaning & Exam
Avg $27.88
32,831 claims
Physical Therapy
Avg $65.61
30,499 claims
Eye Exam
Avg $33.78
23,418 claims
Speech Therapy
Avg $56.22
23,099 claims
Vaccines & Immunizations
Avg $2.12
21,146 claims