Average Medicaid Office Visit Payments in Niceville, FL: $53.07
Avg. Paid
$53.07
Range
$0.00 – $86.85
Total Claims
51,146
Providers
27
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 Niceville, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Evan R. Meeks
2001 E. Highway 20 |
$67.02 | 9,467 | 7,943 |
|
Kyle Edwin Simmers
2001 E Highway 20 |
$67.98 | 8,308 | 7,099 |
|
Sheryl Fain
4562 E Highway 20 |
$76.44 | 7,868 | 7,103 |
|
James Darryl Smith
4566 E Highway 20 |
$46.65 | 5,153 | 4,324 |
|
Ashley Elizabeth Reynolds
4566 E Highway 20 Ste 102 |
$65.28 | 3,917 | 3,384 |
|
Lalitha Vadlamani-Simmers
490 Highway 85 N Ste A |
$26.85 | 3,385 | 2,694 |
|
Michael P Ederer
1001 College Blvd W Ste H |
$0.24 | 3,050 | 2,562 |
|
Shawn M. Lee
2001 E Highway 20 |
$59.91 | 1,946 | 1,720 |
|
Emerald Waters Medical Clinic Llc
1005 College Blvd W |
$22.58 | 1,365 | 1,192 |
|
Andrea Lloyd
1041 John Sims Pkwy E |
$1.71 | 1,242 | 994 |
|
Jessica Anne Skrivanie
Hca Florida Twin Cities Hospital |
$12.19 | 965 | 832 |
|
Patrick F Conrad
2190 Highway 85 N |
$29.21 | 747 | 648 |
|
Sarah Celeste Harber
490 Highway 85 N Ste A |
$52.37 | 641 | 624 |
|
Monica L Baker
4562 E Highway 20 |
$25.26 | 638 | 523 |
|
Ronald Lee Barnes
2001 E. Highway 20 |
$26.74 | 604 | 460 |
|
Lucy K Rice
4586 E Highway 20 |
$77.57 | 344 | 317 |
|
Coastal Anesthesia, P A
1001 College Blvd W Ste H |
$0.03 | 337 | 295 |
|
Rachel Maria Reid
1001 College Blvd W Ste I |
$25.66 | 314 | 278 |
|
Jennifer Anderson Ward
90 Palm Blvd N |
$56.52 | 278 | 247 |
|
Alberto Barbon-Guisasola
1005 College Blvd |
$39.52 | 183 | 165 |
|
Lavonne Downing
1005 College Blvd W Ste C |
$86.85 | 117 | 104 |
|
Angel D Morrobel
4566 E Highway 20 Ste 102 |
$17.35 | 105 | 81 |
|
Andrew M Yang
2001 E Highway 20 |
$56.59 | 66 | 65 |
|
Christo W Koulisis
1003 College Blvd W |
$45.07 | 42 | 39 |
|
Pat Thomas Tidwell
4400 E Highway 20 Ste 203 |
$16.71 | 25 | 15 |
|
Kimberly J Litwiller
2001 E Highway 20 |
$47.69 | 25 | 25 |
|
Beachside Pediatric Associates, P.A.
490 Highway 85 N |
$0.00 | 14 | 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 Niceville, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Niceville, FL is $53.07 per claim, based on 51,146 claims from 27 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 Niceville, FL?
There are 27 Medicaid providers offering Office Visit related services in Niceville, FL according to public payment data.
What is the price range for Office Visit in Niceville, FL?
Medicaid reimbursement for Office Visit in Niceville, FL ranges from $0.00 to $86.85 per claim, with an average of $53.07. 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 Niceville, FL
Speech Therapy
Avg $7.55
79,756 claims
Ambulance Transport
Avg $47.33
63,357 claims
Emergency Room Visit
Avg $55.98
44,049 claims
Physical Therapy
Avg $12.97
17,848 claims
Vaccines & Immunizations
Avg $13.57
15,824 claims
Nursing Facility Care
Avg $4.82
14,160 claims
Durable Medical Equipment (DME)
Avg $18.70
12,720 claims
Blood Work & Lab Tests
Avg $2.87
6,254 claims