Average Medicaid Office Visit Payments in Miami Shores, FL: $68.08
Avg. Paid
$68.08
Range
$0.31 – $87.79
Total Claims
12,160
Providers
15
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 Shores, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laura Isis Fernandez-Ortiz
9715 Ne 2Nd Ave |
$87.79 | 8,457 | 7,289 |
|
Isamar Caro Cortes
9700 Ne 2Nd Ave |
$2.01 | 779 | 436 |
|
Christopher George Vendryes
9526 Ne 2Nd Ave |
$12.98 | 695 | 546 |
|
Alphonse Giloux Dufreny
9999 Ne 2Nd Ave |
$22.74 | 556 | 481 |
|
Gerarda Tamara Lascaze
9730 Ne 2Nd Ave |
$53.32 | 513 | 424 |
|
Vitalie Crudu
9999 Ne 2Nd Ave Ste 215 |
$21.86 | 424 | 322 |
|
Chad Shaykher
9999 Ne 2Nd Ave |
$28.87 | 214 | 201 |
|
Romane Joseph
9415 Ne 6Th Ave |
$79.78 | 146 | 141 |
|
Joseph Dieuvil
9700 Ne 2Nd Ave |
$11.16 | 135 | 69 |
|
Barbara Ann Montford
1190 N.W. 95 St |
$36.30 | 94 | 90 |
|
Martin E Keisch
9165 Park Dr |
$23.23 | 59 | 52 |
|
Marizeli A Olacio Dpm Pa
9838 Ne 2Nd Ave |
$19.80 | 45 | 24 |
|
Carlos Omenaca
9111 Park Dr |
$33.33 | 16 | 12 |
|
Advance Pain Management Of Florida Inc
9526 Ne 2Nd Ave |
$0.31 | 14 | 12 |
|
Jose J Centurion
9526 Ne 2Nd Ave |
$2.10 | 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 Shores, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Miami Shores, FL is $68.08 per claim, based on 12,160 claims from 15 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 Shores, FL?
There are 15 Medicaid providers offering Office Visit related services in Miami Shores, FL according to public payment data.
What is the price range for Office Visit in Miami Shores, FL?
Medicaid reimbursement for Office Visit in Miami Shores, FL ranges from $0.31 to $87.79 per claim, with an average of $68.08. 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 Shores, FL
Case Management Services
Avg $56.10
67,109 claims
EKG / ECG (Electrocardiogram)
Avg $2.31
17,041 claims
Vaccines & Immunizations
Avg $7.87
4,037 claims
Dialysis
Avg $19.38
3,580 claims
Echocardiogram
Avg $19.54
3,054 claims
Dental Cleaning & Exam
Avg $31.90
2,896 claims
Urinalysis & Urine Tests
Avg $0.84
1,937 claims
Emergency Room Visit
Avg $36.59
1,312 claims