Average Medicaid Office Visit Payments in Miami Lakes, FL: $39.14
Avg. Paid
$39.14
Range
$0.00 – $275.76
Total Claims
255,989
Providers
99
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 Lakes, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anais Cortes
13903 Nw 67Th Ave |
$32.65 | 12 | 12 |
|
Miami Lakes Pediatrics Pllc
14400 Nw 77Th Ct Ste 102 |
$0.00 | 14 | 14 |
|
Orlando Alfonso
5190 Nw 167Th St Ste 109 |
$55.73 | 14 | 14 |
|
Camile Ortega
16371 Nw 67Th Ave |
$127.10 | 16 | 15 |
|
Luna Wahnon Benayoun
7480 Fairway Dr Ste 208 |
$48.18 | 18 | 13 |
|
Maribel Morfi Caso
15495 Eagle Nest Ln |
$7.12 | 18 | 13 |
|
Yuliza Chao Cuba
15105 Nw 77Th Ave |
$0.01 | 20 | 20 |
|
Yunet Fuentes
8369 Nw 143Rd St |
$0.00 | 27 | 17 |
|
Alfredo Gonzalez-Vergara
15225 Nw 77Th Ave |
$28.86 | 27 | 23 |
|
Stephania Lairet
7411 Miami Lakes Dr |
$148.07 | 29 | 27 |
|
Bonnie-Jean O'Sullivan
14701 Nw 77Th Ave |
$50.71 | 29 | 27 |
|
William Zambrano
15600 Nw 67Th Ave |
$1.97 | 35 | 24 |
|
Julio Prado
6175 Nw 153Rd St |
$5.05 | 38 | 35 |
|
Laura Rozada
8060 Nw 155Th St Ste 201 |
$97.89 | 47 | 47 |
|
Kester J Nedd
14400 Nw 77Th Ct Ste 306 |
$11.96 | 53 | 29 |
|
Mayre Urdaneta
8060 Nw 155Th St Ste 201 |
$12.50 | 53 | 25 |
|
Nancy A Martinez
15507 Nw 67Th Ave |
$20.52 | 56 | 56 |
|
Carlos F Vallejo Md Pa
5803 Nw 151St St |
$1.80 | 56 | 43 |
|
Vivian P Hernandez-Trujillo
16371 Nw 67Th Ave |
$156.78 | 72 | 71 |
|
Ivan A Bertot
8757 Nw 139Th Ter |
$4.18 | 75 | 66 |
|
Maria Briceno Martin
14750 Nw 77Th Ct Ste 110 |
$79.65 | 82 | 82 |
|
Joseph Vincent Cerami
15100 Nw 67Th Ave Ste 104 |
$13.14 | 89 | 71 |
|
Carlos M Pablos
5801 Miami Lakes Dr E |
$7.23 | 102 | 72 |
|
Erik Carrasco
15476 Nw 77Th Ct # 249 |
$15.62 | 106 | 87 |
|
Alvaro Gordo
6600 Cow Pen Rd |
$14.85 | 122 | 113 |
|
Complete Care Management Services Aco Llc
6625 Miami Lakes Dr Ste 247 |
$0.00 | 132 | 126 |
|
Yesenia Sebastia
15495 Eagle Nest Ln Ste 270 |
$12.72 | 142 | 119 |
|
Joel Winkler Salamon
15600 Nw 67Th Ave |
$6.17 | 165 | 146 |
|
Maria Jose Laguna
15507 Nw 67Th Ave |
$21.36 | 170 | 170 |
|
Misley Cabrera Portela
15105 Nw 77Th Ave |
$23.00 | 176 | 168 |
|
Tomas M. Fuentes-Sanz
5801 Miami Lakes Dr E |
$9.11 | 192 | 141 |
|
Roberto Cardoso
15105 Nw 77Th Ave |
$5.99 | 193 | 186 |
|
Sheila Ivette Carbonell
16060 Nw 83Rd Pl |
$40.86 | 206 | 189 |
|
Jorge Lopez-Canino
15495 Eagle Nest Ln Ste 245 |
$35.36 | 209 | 87 |
|
Eloy Roman
5801 Nw 151 St Suite 300 |
$0.06 | 215 | 162 |
|
Curtis L Anderson
15600 Nw 67Th Ave Ste 101 |
$0.95 | 228 | 200 |
|
Cristina Agostinelli
15105 Nw 77Th Ave |
$7.98 | 235 | 211 |
|
Merryl Elaine Dweck
7480 Fairway Drive |
$14.19 | 247 | 239 |
|
Jose E Castro Guevara
16340 Nw 59Th Ave |
$31.57 | 255 | 242 |
|
Derek Almendares
13903 Nw 67Th Ave Ste 440 |
$6.44 | 282 | 187 |
|
Jose V Perez Do Pa
15538 Nw 83Rd Pl |
$0.21 | 296 | 164 |
|
Alma Rosibel Cruz
7411 Miami Lakes Dr |
$76.45 | 328 | 297 |
|
Tania Pilar Alfonso
8060 Nw 155Th St Ste 202 |
$73.74 | 344 | 316 |
|
Adalberto Bernardino Acuna
15600 Nw 67Th Ave |
$1.58 | 360 | 235 |
|
Miguel A Aponte
15600 Nw 67Th Ave Ste 201 |
$21.99 | 369 | 233 |
|
Leandro Luis Otero
15529 Bull Run Rd |
$4.87 | 432 | 193 |
|
Altagracia Adalgiza Victoria
5801 Nw 151St St Ste 203 |
$5.02 | 462 | 363 |
|
Betty Forte
5801 Miami Lakes Dr. East |
$10.92 | 497 | 400 |
|
Oscar Barreto
7975 Nw 154Th St |
$22.04 | 500 | 353 |
|
Ernesto Enrique
15105 Nw 77Th Ave |
$3.34 | 523 | 508 |
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 Lakes, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Miami Lakes, FL is $39.14 per claim, based on 255,989 claims from 99 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 Lakes, FL?
There are 99 Medicaid providers offering Office Visit related services in Miami Lakes, FL according to public payment data.
What is the price range for Office Visit in Miami Lakes, FL?
Medicaid reimbursement for Office Visit in Miami Lakes, FL ranges from $0.00 to $275.76 per claim, with an average of $39.14. 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 Lakes, FL
Home Health Visit
Avg $46.16
1,038,007 claims
Personal Care Services
Avg $27.70
839,669 claims
Behavioral & Mental Health Therapy
Avg $98.52
405,571 claims
Speech Therapy
Avg $59.07
270,748 claims
Case Management Services
Avg $60.36
268,168 claims
Physical Therapy
Avg $55.47
216,101 claims
Vaccines & Immunizations
Avg $4.08
171,999 claims
Non-Emergency Medical Transportation
Avg $1.21
140,478 claims