Average Medicaid Office Visit Payments in Palm Coast, FL: $39.04
Avg. Paid
$39.04
Range
$0.00 – $126.03
Total Claims
182,923
Providers
82
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 Palm Coast, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dwight Peter Lim Tiu
1 Florida Park Dr N |
$36.78 | 51,029 | 36,411 |
|
Muhammad Ikramullah Usmani
460 Palm Coast Pkwy Sw |
$49.54 | 21,866 | 18,171 |
|
Shariq Latif
3 Boulder Rock Dr |
$15.51 | 13,575 | 9,904 |
|
Pinnacles Peds Care, Pa
180 Pinnacles Dr |
$44.49 | 11,132 | 10,109 |
|
Anne Rhoton
21 Hospital Dr Ste 260 |
$51.42 | 10,661 | 8,551 |
|
Lara Tripoli Bailey
52 Forest Grove Dr |
$30.55 | 5,732 | 3,761 |
|
Eric William Freiler
800 Belle Terre Pkwy Ste 112 |
$43.67 | 4,836 | 4,529 |
|
Christopher Robert Manees
4863 Palm Coast Pkwy Nw Unit 2 |
$11.84 | 4,571 | 3,961 |
|
Sonia Rae Reisdorf
381 Palm Coast Pkwy Sw Unit 2 |
$62.48 | 3,819 | 1,762 |
|
Karen Annette Edwards-Crawford
309 Palm Coast Pkwy Ne |
$33.97 | 3,778 | 3,277 |
|
Moises Dobarganes
4883 Palm Coast Pkwy Nw Unit 1 |
$0.57 | 3,724 | 1,289 |
|
Erin Hough
120 Cypress Edge Dr Ste 202 |
$76.64 | 3,672 | 3,270 |
|
Sara Marie Pulayya
37 Old Kings Rd N |
$5.28 | 3,514 | 2,733 |
|
Cynthia Michelle Baxter
381 Palm Coast Pkwy Sw Unit 2 |
$63.50 | 3,292 | 1,328 |
|
Manuel Enrique Lopez Diez
4863 Palm Coast Pkwy Nw |
$12.01 | 2,443 | 1,934 |
|
Jonathan M Sullivan
11 Florida Park Dr N |
$36.25 | 2,122 | 1,698 |
|
Venus M. Valliere
20 Cypress Point Pkwy Ste A |
$85.05 | 1,995 | 1,655 |
|
Tina R Ellison
61 Memorial Medical Pkwy Ste 1-800A |
$31.91 | 1,974 | 1,814 |
|
Padmaja Sai
61 Memorial Medical Pkwy Ste 2812 |
$18.71 | 1,875 | 1,455 |
|
Arnaldo Francesco Trabucco
21 Hospital Dr Ste 125 |
$42.61 | 1,774 | 1,591 |
|
Eric A Gershman
1 Memorial Medical Pkwy Ste 200 |
$63.78 | 1,615 | 1,196 |
|
Robert William-Kirkland Bachus
315 Palm Coast Pkwy Ne |
$6.03 | 1,465 | 1,073 |
|
Lidya Margarita Lataban-Lopez
20 Cypress Point Pkwy Ste A |
$52.49 | 1,377 | 1,202 |
|
Frank Jacob Yavorosky
3 Adventhealth Way Ste 210 |
$54.68 | 1,281 | 1,196 |
|
Christina Fernandes
10 Florida Park Dr N |
$8.42 | 1,209 | 735 |
|
William J. Bollhofer
309 Palm Coast Pkwy Ne |
$74.60 | 1,071 | 963 |
|
Donna F Gill
68 Longview Way N |
$75.83 | 1,042 | 944 |
|
Raphael Ng
385 Palm Coast Pkwy Sw Unit 5 |
$44.18 | 1,036 | 969 |
|
Gary W. Morse
60 Memorial Medical Pkwy |
$53.33 | 890 | 827 |
|
Nicholas Stagliano
309 Palm Coast Pkwy Ne |
$42.20 | 886 | 822 |
|
Madhu Unnikrishnan
61 Memorial Medical Pkwy Ste 2818 |
$58.04 | 830 | 733 |
|
Arthur Edward Brouse
89 Palm Coast Pkwy # 4 |
$44.87 | 817 | 541 |
|
Lauren Manganaro Parker
397 Palm Coast Pkwy Sw |
$31.45 | 771 | 718 |
|
Kerwin K Cumberbatch
61 Memorial Medical Pkwy Ste 2812 |
$108.37 | 742 | 647 |
|
Morgan Nicole Miles
84 Pinnacles Dr |
$40.20 | 708 | 651 |
|
Augusta Slocum
80 Pinnacles Dr Ste 700 |
$47.34 | 686 | 675 |
|
Joseph W Bonura Dpm Pa
226A Saint Joe Plaza Dr |
$0.00 | 619 | 551 |
|
Michael John Parsons
309 Palm Coast Pkwy Ne |
$117.99 | 588 | 562 |
|
Jonathan D Screnock
120 Cypress Edge Dr Ste 204 |
$35.26 | 572 | 521 |
|
Jecebu Josol Ceballos
61 Memorial Medical Pkwy |
$40.53 | 543 | 515 |
|
Issam Rafic Nasr
61 Memorial Medical Pkwy |
$46.22 | 509 | 464 |
|
David Butler
6 Office Park Dr |
$95.53 | 473 | 462 |
|
Patrick J Justiz
1 Memorial Medical Pkwy |
$1.19 | 444 | 414 |
|
Ana Maria R Fishbein
460 Palm Coast Pkwy Sw Ste 5 |
$27.04 | 349 | 287 |
|
Timothy E Quinn
120 Cypress Edge Dr Ste 209 |
$44.87 | 340 | 329 |
|
Parminder Singh Mahal
50 Cypress Point Pkwy |
$8.17 | 336 | 322 |
|
Chiamaka Iheme
120 Cypress Edge Dr |
$38.82 | 318 | 297 |
|
Karthik Krishnamurthy
37 Old Kings Rd N |
$72.84 | 304 | 287 |
|
We Are Here To Help Primary Care Llc
6 Florida Park Dr N |
$2.59 | 303 | 274 |
|
Jason Stanley Frederick
3001 Palm Coast Pkwy Se |
$29.64 | 287 | 275 |
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 Palm Coast, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Palm Coast, FL is $39.04 per claim, based on 182,923 claims from 82 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 Palm Coast, FL?
There are 82 Medicaid providers offering Office Visit related services in Palm Coast, FL according to public payment data.
What is the price range for Office Visit in Palm Coast, FL?
Medicaid reimbursement for Office Visit in Palm Coast, FL ranges from $0.00 to $126.03 per claim, with an average of $39.04. 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 Palm Coast, FL
Behavioral & Mental Health Therapy
Avg $73.38
40,375 claims
X-Ray
Avg $4.12
33,696 claims
Vaccines & Immunizations
Avg $7.24
31,325 claims
Speech Therapy
Avg $56.72
26,511 claims
Blood Work & Lab Tests
Avg $11.74
20,972 claims
Emergency Room Visit
Avg $75.96
17,235 claims
Physical Therapy
Avg $51.43
16,247 claims
Psychiatric Evaluation
Avg $69.54
13,650 claims