Average Medicaid Office Visit Payments in Pensacola, FL: $44.16
Avg. Paid
$44.16
Range
$0.00 – $1,535
Total Claims
768,378
Providers
689
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 Pensacola, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sibi Sarah Varghese
5153 North 9Th Ave |
$39.68 | 30,446 | 28,343 |
|
Ryan F Durkin
1851 Saint Mary Ave |
$23.61 | 21,826 | 16,104 |
|
Christopher Michael Middendorf
1549 Airport Blvd |
$20.20 | 20,351 | 16,040 |
|
Nathan Hoaglund
4457 Bayou Blvd |
$20.25 | 18,384 | 14,669 |
|
Carrie E Anderson
311 N Davis Hwy |
$67.07 | 17,402 | 15,352 |
|
Rodger Kenneth Garrett
4901 Market Place Rd |
$6.77 | 15,627 | 9,777 |
|
Justin William Byrne Tokorcheck
1851 Saint Mary Ave |
$25.84 | 12,834 | 10,373 |
|
Ronald Parreno Victoriano
909 Garden Gate Cir |
$53.92 | 12,093 | 10,757 |
|
Valerie A Sutton
1530 Airport Blvd |
$23.07 | 11,101 | 7,758 |
|
Quetheline M Helvetius-Lanza
2510 N 12Th Ave |
$40.98 | 9,608 | 8,942 |
|
Matthew William Southwick
2315 W Jackson St |
$63.19 | 9,180 | 8,795 |
|
Hayley Morgan Mcmichael
1221 W Lakeview Ave |
$38.89 | 8,956 | 6,847 |
|
Jason F Straub
4951 Grande Dr |
$68.19 | 8,032 | 6,385 |
|
Jennifer Dawn Stadden
9301 Beatrice Dr |
$84.13 | 7,862 | 6,336 |
|
Lindi Nathaleanne Evers
2315 W Jackson St |
$50.07 | 7,837 | 7,498 |
|
Anthony G Pietroniro
9301 Beatrice Dr |
$77.34 | 7,834 | 5,844 |
|
Carol A Andrews
4951 Grande Dr |
$73.63 | 7,670 | 6,318 |
|
Varun Kumar Rimmalapudi
4901 Market Place Rd |
$14.82 | 7,666 | 6,366 |
|
Corey Jay Wolff
1530 E Airport Blvd |
$109.65 | 7,533 | 6,761 |
|
Henry Roque
5153 N 9Th Ave Ste 201 |
$35.43 | 7,438 | 5,340 |
|
Christine Pham
1657 Trinity Dr |
$109.81 | 6,905 | 6,439 |
|
Juanita R Fleming
14 W Jordan St |
$42.02 | 6,595 | 5,912 |
|
Tiffany Vollmer Ramos
2120 E Johnson Ave |
$81.91 | 6,581 | 5,202 |
|
Catherine Voght
1400 N Palafox St |
$36.71 | 6,579 | 5,762 |
|
Andrea Faye Delacruz
4951 Grande Dr |
$78.67 | 6,471 | 5,156 |
|
Danniel Mines
2200 N Palafox St |
$23.55 | 6,462 | 4,292 |
|
Kelli Reed
1221 W Lakeview Ave |
$35.22 | 6,390 | 5,416 |
|
Mylene Maria Victoriano
909 Garden Gate Cir |
$51.68 | 6,308 | 5,544 |
|
George A Smith
2200 N Palafox St |
$40.37 | 6,207 | 5,757 |
|
Okan Elidemir
5153 North 9Th Ave. |
$123.02 | 6,129 | 5,479 |
|
Jessica Clubbs Ewert
4951 Grande Dr |
$82.06 | 5,772 | 4,735 |
|
Jodi C Picasso
14 W Jordan St |
$82.86 | 5,630 | 4,625 |
|
James M Coticchia
1675 Trinity Dr |
$64.26 | 5,566 | 4,461 |
|
John B Adams
4901 Market Place Rd |
$10.49 | 5,537 | 3,339 |
|
Seth Gregory Myers
Community Health Northwest Florida |
$41.00 | 5,378 | 5,186 |
|
Paula Lindsey
2315 W Jackson St |
$29.38 | 4,950 | 4,605 |
|
Dawn Marie Hannah
8333 N Davis Hwy Fl 7 |
$15.16 | 4,930 | 2,664 |
|
Pensacola Pediatrics Pa
4951 Grande Dr |
$85.24 | 4,904 | 4,209 |
|
Magan Cook
14 W Jordan St |
$28.34 | 4,819 | 4,569 |
|
Heather H Lenga
4951 Grande Dr |
$85.00 | 4,809 | 4,013 |
|
Pamela Michelle Grier-Hall
5868 Creek Station Dr Bldg A |
$47.74 | 4,751 | 4,519 |
|
Alianna Gilmartin
14 W Jordan St |
$41.83 | 4,672 | 4,263 |
|
William J Schwartz
5153 N 9Th Ave |
$31.78 | 4,544 | 3,122 |
|
Charles S Lambert
1619 Creighton Rd |
$30.02 | 4,503 | 4,160 |
|
Theresa Katherine Perry
890 S Palafox St Unit 300 |
$40.30 | 4,475 | 4,033 |
|
Samuel R Greenlee
1500 N Pace Blvd |
$17.72 | 4,448 | 3,616 |
|
Richard Jason Strahan
2315 W Jackson St |
$58.97 | 4,421 | 4,195 |
|
David A Disanto
8333 N Davis Hwy |
$14.73 | 4,348 | 3,431 |
|
Amanda Ray
2315 W Jackson St |
$49.14 | 4,229 | 4,066 |
|
Kesha Tran
2315 W Jackson St |
$38.14 | 4,223 | 3,825 |
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 Pensacola, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pensacola, FL is $44.16 per claim, based on 768,378 claims from 689 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 Pensacola, FL?
There are 689 Medicaid providers offering Office Visit related services in Pensacola, FL according to public payment data.
What is the price range for Office Visit in Pensacola, FL?
Medicaid reimbursement for Office Visit in Pensacola, FL ranges from $0.00 to $1,535 per claim, with an average of $44.16. 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 Pensacola, FL
Blood Work & Lab Tests
Avg $2.38
545,136 claims
Speech Therapy
Avg $6.78
402,648 claims
Emergency Room Visit
Avg $71.86
380,439 claims
Vaccines & Immunizations
Avg $4.21
324,759 claims
Personal Care Services
Avg $48.01
306,810 claims
Nursing Facility Care
Avg $15.05
234,998 claims
Behavioral & Mental Health Therapy
Avg $60.50
193,024 claims
Home Health Visit
Avg $49.19
178,887 claims