Average Medicaid Office Visit Payments in Sanford, FL: $87.40
Avg. Paid
$87.40
Range
$0.00 – $139.65
Total Claims
360,160
Providers
74
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 Sanford, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Timothy W Hendrix
308 N Entrance Rd |
$107.41 | 247,228 | 193,429 |
|
Ghayathri Ananthi Devaraj
1506 S French Ave |
$23.16 | 12,273 | 11,188 |
|
Peter Henry Oostwouder
4930 E Lake Mary Blvd |
$36.42 | 7,474 | 6,926 |
|
Francisco Chang Yang
1403 Medical Plaza Dr Ste 104 |
$69.94 | 7,069 | 6,298 |
|
William Rodrigo Vivas
4930 E Lake Mary Blvd |
$33.36 | 6,242 | 5,560 |
|
Yobanka E Paez-Munoz
1149 Rinehart Rd Ste 110 |
$71.94 | 5,563 | 5,198 |
|
Venkata R Pothuraju
4930 E Lake Mary Blvd |
$35.74 | 5,108 | 4,717 |
|
Neelam Patel
5680 Wayside Dr |
$53.60 | 5,045 | 4,814 |
|
Leonita Rosalyn Yacoba Bray
1403 Medical Plaza Dr Ste 104 |
$33.42 | 4,702 | 4,326 |
|
Linda M Harvey
308 N Entrance Rd |
$93.06 | 4,308 | 3,188 |
|
Meena A Joseph
400 W Airport Blvd |
$99.58 | 3,715 | 3,382 |
|
Tazeen Tahir Zaidi
712 W 25Th St |
$29.89 | 3,100 | 2,225 |
|
Colleen L Mcleod
4932 W State Road 46 Ste 1090 |
$100.12 | 3,084 | 2,714 |
|
Christina Jacob
4930 E Lake Mary Blvd |
$26.62 | 2,898 | 2,632 |
|
Leidee Karenna Senors
4930 E Lake Mary Blvd |
$30.71 | 2,878 | 2,541 |
|
Gloria Isabel Torrens
4930 E Lake Mary Blvd |
$31.60 | 2,768 | 2,525 |
|
Debra Ann Santasiero
309 W 1St St |
$59.14 | 2,523 | 2,320 |
|
Erik Darrell Schoenberg
200 N Mangoustine Ave |
$43.72 | 2,332 | 1,758 |
|
Juan R. Almeyda-Gomez
520 W Lake Mary Blvd Ste 214 |
$33.43 | 2,223 | 2,019 |
|
Chantal Soobhanath
1403 Medical Plaza Dr |
$33.97 | 2,142 | 1,911 |
|
Noleene Allen
400 W Airport Blvd |
$30.81 | 1,888 | 1,790 |
|
Kimcheree Jackson
4930 E Lake Mary Blvd |
$25.59 | 1,872 | 1,604 |
|
Allison Conley
4930 E Lake Mary Blvd |
$29.84 | 1,755 | 1,574 |
|
Altheia Sarenas
4930 E Lake Mary Blvd |
$26.99 | 1,719 | 1,619 |
|
Daisy Renteria
4930 E Lake Mary Blvd |
$33.56 | 1,598 | 1,403 |
|
Courtney St James
202 N Park Ave |
$37.72 | 1,582 | 1,399 |
|
Kelli Lyon
145 Mayfair Ct |
$50.88 | 1,352 | 1,218 |
|
Magaly Villafradez-Diaz
1403 Medical Plaza Dr Ste 207 |
$33.60 | 1,257 | 960 |
|
Haroon Latif Chughtai
305. N Mangoustine Avenue |
$20.50 | 1,167 | 950 |
|
Daniel R Bieda
4930 E Lake Mary Blvd |
$34.09 | 982 | 939 |
|
Theresa Laura Mantle
4930 E Lake Mary Blvd |
$34.60 | 893 | 832 |
|
Candice M Rivera Mendez
2432 S French Ave |
$17.90 | 837 | 655 |
|
Jennifer Fertil Simpkins
4930 E Lake Mary Blvd |
$36.60 | 812 | 703 |
|
David J. Hak
309 N Mangoustine Ave Unit G |
$7.47 | 797 | 686 |
|
Jose Ariel Torres
2040 Courtyard Loop Apt 100 |
$31.01 | 743 | 669 |
|
Jose Antonio Vera
3993 W 1St St |
$4.83 | 651 | 532 |
|
Dilcia Irlandia Hernandez Santana
2432 S French Ave |
$29.37 | 649 | 542 |
|
Ashwinkumar Ratilal Patel
401 Towne Center Blvd |
$23.10 | 524 | 415 |
|
April Suzette Krogh
4930 E Lake Mary Blvd |
$58.15 | 508 | 465 |
|
Chhavi Rai
4932 W State Road 46 Ste 1090 |
$77.07 | 455 | 424 |
|
Vincent Joseph Mamone
309 W 1St St |
$21.31 | 407 | 367 |
|
Seth Winterton
2209 S French Ave |
$18.43 | 378 | 341 |
|
Randall Peter Raz
4930 E Lake Mary Blvd |
$30.97 | 366 | 352 |
|
Wesley Wilson
4930 E Lake Mary Blvd |
$20.37 | 366 | 338 |
|
Valerie Ann Westhead
300 Bay Avenue |
$1.86 | 322 | 223 |
|
Marcell Bailey
4930 E Lake Mary Blvd |
$31.84 | 322 | 283 |
|
Allison Poimboeuf Ferrara
305 N Mangoustine Ave Ste 200 |
$35.45 | 309 | 270 |
|
Trey Henry Leaven
4930 E Lake Mary Blvd |
$36.61 | 307 | 285 |
|
Joshua Russell Shultz
305 N Mangoustine Ave Ste 200 |
$31.99 | 295 | 250 |
|
Eileen E Kim
5117 Fiorella Ln |
$22.54 | 286 | 245 |
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 Sanford, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sanford, FL is $87.40 per claim, based on 360,160 claims from 74 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 Sanford, FL?
There are 74 Medicaid providers offering Office Visit related services in Sanford, FL according to public payment data.
What is the price range for Office Visit in Sanford, FL?
Medicaid reimbursement for Office Visit in Sanford, FL ranges from $0.00 to $139.65 per claim, with an average of $87.40. 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 Sanford, FL
Speech Therapy
Avg $11.35
168,066 claims
Ambulance Transport
Avg $54.41
83,946 claims
Personal Care Services
Avg $46.59
53,747 claims
Physical Therapy
Avg $34.03
48,521 claims
Vaccines & Immunizations
Avg $8.43
45,735 claims
Dental Cleaning & Exam
Avg $29.29
41,332 claims
Behavioral & Mental Health Therapy
Avg $45.87
40,538 claims
Home Health Visit
Avg $89.79
40,200 claims