Average Medicaid Office Visit Payments in Oldsmar, FL: $80.46
Avg. Paid
$80.46
Range
$1.90 – $175.00
Total Claims
51,395
Providers
11
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 Oldsmar, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pediatric Health Care Alliance, Pa
720 Brooker Creek Blvd Ste 215 |
$49.30 | 120 | 93 |
|
Melissa Miles
3919 Tampa Rd |
$23.46 | 133 | 90 |
|
Agata Sitek
923 Westminster Blvd |
$175.00 | 137 | 46 |
|
Health & Psychiatrist Consultants Llc
3919 Tampa Rd |
$1.90 | 144 | 104 |
|
Debra Charles
3919 Tampa Rd |
$35.65 | 187 | 154 |
|
Sintya Barreiro-Hawkins
3919 Tampa Rd |
$35.57 | 317 | 262 |
|
Luis Antonio Ramos
4886 Bridle Ct |
$8.69 | 544 | 225 |
|
Jordin Lee Ellingson
3919 Tampa Rd |
$27.89 | 692 | 531 |
|
Priya Ramani
3180 Curlew Rd Unit 205 |
$59.49 | 4,250 | 3,829 |
|
Dinar Sajan
3919 Tampa Rd |
$39.54 | 6,985 | 4,798 |
|
Himali Jayakody
170 Pine Ave N |
$93.20 | 37,886 | 27,583 |
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 Oldsmar, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oldsmar, FL is $80.46 per claim, based on 51,395 claims from 11 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 Oldsmar, FL?
There are 11 Medicaid providers offering Office Visit related services in Oldsmar, FL according to public payment data.
What is the price range for Office Visit in Oldsmar, FL?
Medicaid reimbursement for Office Visit in Oldsmar, FL ranges from $1.90 to $175.00 per claim, with an average of $80.46. 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 Oldsmar, FL
Substance Abuse Treatment
Avg $50.93
44,531 claims
Home Health Visit
Avg $77.37
21,803 claims
Personal Care Services
Avg $59.25
19,771 claims
Physical Therapy
Avg $62.53
17,414 claims
Psychiatric Evaluation
Avg $17.13
8,903 claims
Behavioral & Mental Health Therapy
Avg $67.10
4,711 claims
Speech Therapy
Avg $43.29
1,343 claims
Prescription Medications
Avg $6.33
265 claims