Average Medicaid Office Visit Payments in Palmetto Bay, FL: $52.13
Avg. Paid
$52.13
Range
$0.42 – $176.80
Total Claims
81,098
Providers
40
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 Palmetto Bay, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Iran Niroomand
15077 S Dixie Hwy |
$36.21 | 19,139 | 18,456 |
|
Michelle Lopez Torres
15077 S Dixie Hwy |
$30.27 | 17,698 | 17,025 |
|
Mercedes Bello
8950 Sw 152Nd St Ste A |
$130.65 | 9,052 | 8,817 |
|
Peter Mennie
9299 Sw 152Nd St Ste 104 |
$5.79 | 6,101 | 2,310 |
|
Clarisa Avalos
17615 Franjo Rd |
$100.62 | 5,251 | 4,982 |
|
Edwin A Cordero
15077 S Dixie Hwy |
$21.26 | 4,130 | 3,949 |
|
Gerardo Diaz
14201 S Dixie Hwy |
$25.41 | 3,734 | 2,548 |
|
Lahens Medical Center, Inc.
9299 Sw 152Nd St Ste 200 |
$34.88 | 2,101 | 1,840 |
|
Urgent Care Physicians Of Palmetto Bay Llc
8950 Sw 152Nd St Ste 103 |
$48.41 | 1,438 | 1,107 |
|
Alan Chen Hao Chu
9275 Sw 152Nd St |
$60.67 | 1,243 | 567 |
|
Robert F Cullen
15715 S Dixie Hwy Ste 407 |
$149.16 | 1,201 | 1,184 |
|
Jose Eduardo Alonso
9275 Sw 152Nd St Ste 212 |
$126.24 | 1,087 | 898 |
|
Andy Araujo
8750 Sw 144Th St |
$176.80 | 1,045 | 1,030 |
|
Alexandra Marie Fernandez
15815 Sw 88Th Ct |
$49.77 | 873 | 832 |
|
Carlos Piniella Md Pa
9275 Sw 152Nd Street |
$85.75 | 865 | 647 |
|
Yelliann Ruiz Irizarry
9299 Sw 152Nd St Ste 205 |
$47.90 | 797 | 710 |
|
Mercedes Veronika Yanez
18104 Sw 89Th Pl |
$65.86 | 705 | 560 |
|
Sushmitha Santhosh
16130 Sw 91St Ct |
$39.62 | 609 | 603 |
|
Dr. Gisele Mardy Pediatric Center, Pa
9299 Sw 152Nd St Ste 207 |
$52.45 | 529 | 464 |
|
South Dade Primary Care, Llc
9835 E Hibiscus St |
$0.42 | 523 | 472 |
|
Nicole Marlene Socarras
15077 S Dixie Hwy |
$26.15 | 521 | 505 |
|
Stacy Marie Nassau
14411 S Dixie Hwy Ste 223 |
$78.93 | 343 | 311 |
|
Fabriccio Melanio Letellier
8750 Sw 144Th St |
$4.48 | 287 | 219 |
|
Melba Maria Roa
9861 E. Fern Street |
$21.62 | 263 | 232 |
|
Karen K Wies
9275 Sw 152Nd St |
$31.85 | 233 | 215 |
|
Elizabeth Garcia Lopez De Victoria
9025 Sw 160 Terrace |
$41.27 | 226 | 191 |
|
Carmen M Guanipa
9635 Sw 181St Ter |
$14.13 | 214 | 198 |
|
Roberto Augusto Miki
9765 Sw 184Th St |
$0.47 | 213 | 150 |
|
Milena Sparaga
8925 Sw 148Th St Ste 218 |
$19.90 | 155 | 127 |
|
Giselle Marie Hernandez
9333 Sw 152Nd St |
$19.93 | 125 | 92 |
|
Juan Manuel Dangond Gomez
8750 Sw 144Th St Ste 100 |
$40.48 | 123 | 116 |
|
Jessica A Sanchez
8825 Sw 178Th Ter |
$48.25 | 60 | 56 |
|
Emerita R. Castillo
9299 Sw 152Nd St Ste 206 |
$107.83 | 56 | 48 |
|
Danielle Katz Squires
8750 Sw 144Th St |
$83.13 | 47 | 45 |
|
Juan Lopetegui
8750 Sw 144Th St |
$16.94 | 36 | 26 |
|
Tania Liz Rosario Dominguez
17591 S Dixie Hwy |
$20.59 | 19 | 19 |
|
Melissa Noelle Franco
8750 Sw 144Th St |
$38.12 | 16 | 12 |
|
Tania Fagundo
15924 Sw 92Nd Ave |
$116.25 | 15 | 15 |
|
Manuel Medina Suarez
9275 Sw 152Nd St Ste 212 |
$136.32 | 13 | 12 |
|
Oluwole Pitan
9835 E Hibiscus St |
$24.37 | 12 | 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 Palmetto Bay, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Palmetto Bay, FL is $52.13 per claim, based on 81,098 claims from 40 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 Palmetto Bay, FL?
There are 40 Medicaid providers offering Office Visit related services in Palmetto Bay, FL according to public payment data.
What is the price range for Office Visit in Palmetto Bay, FL?
Medicaid reimbursement for Office Visit in Palmetto Bay, FL ranges from $0.42 to $176.80 per claim, with an average of $52.13. 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 Palmetto Bay, FL
Case Management Services
Avg $54.38
156,814 claims
Behavioral & Mental Health Therapy
Avg $69.46
101,609 claims
Physical Therapy
Avg $3.96
97,421 claims
Vaccines & Immunizations
Avg $3.10
64,685 claims
Emergency Room Visit
Avg $68.96
51,283 claims
Speech Therapy
Avg $55.63
28,866 claims
Blood Work & Lab Tests
Avg $0.76
14,849 claims
Dental Cleaning & Exam
Avg $33.25
12,933 claims