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Based on public Medicaid payment data.

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
Luis D Correa Luna

1506 S French Ave

$0.00 12 12
Marline Anne Toussaint

3993 W 1St St

$30.01 13 13
Priya James

3993 W State Road 46

$12.57 14 12
Haidy Carrasquillo Rodriguez

1442 W 1St St

$12.28 16 12
Sandra Benscoter Reddecliff

488 Still Forest Ter

$139.65 17 15
Prashant Jani

1403 Medical Plaza Dr Ste 106

$0.00 19 12
Tejas B Patel

1403 Medical Plaza Dr Ste 106

$10.17 20 12
Anita Martin

520 W Lake Mary Blvd Ste 214

$39.56 24 23
Vinay Chandra Srivastava

1621 W 1St St

$8.88 27 26
Hafiz Ghulam Hussain

305 N. Mangoustine Avenue

$44.77 28 27
Omar M Rivera

900 W 25Th St

$54.93 52 52
Andrea Loretta Ellis

919 E 2Nd St

$4.21 57 42
Anwar Chowdhury

3993 W 1St St

$10.95 57 50
Roy S Hwang

305 N Mangoustine Ave Ste 100

$81.91 57 54
Jenna Marie Gibilaro

2200 S French Ave # 10031004

$52.84 65 65
Whitney Storm Charisma

1120 Lexington Green Ln Ste A

$21.65 75 70
Aravind N Pillai

819 E 1St St

$4.57 108 93
S K Joshi

1001 W 1St St

$35.24 150 125
Matthew V. Burry

305 N Mangoustine Ave Ste 100

$60.89 153 137
William Kenneth Mcdowell

919 East Second Street

$1.09 173 158
Lillian Mcwilliams

4930 E Lake Mary Blvd

$30.96 189 179
Jasmine Ryans

905 Historic Goldsboro Blvd

$24.34 228 217
Central Florida Family Health Center Inc

4930 E Lake Mary Blvd

$36.00 259 214
Marcos Antonio Rivera Roman

3647 S Orlando Dr

$0.52 273 224
Eileen E Kim

5117 Fiorella Ln

$22.54 286 245
Joshua Russell Shultz

305 N Mangoustine Ave Ste 200

$31.99 295 250
Trey Henry Leaven

4930 E Lake Mary Blvd

$36.61 307 285
Allison Poimboeuf Ferrara

305 N Mangoustine Ave Ste 200

$35.45 309 270
Valerie Ann Westhead

300 Bay Avenue

$1.86 322 223
Marcell Bailey

4930 E Lake Mary Blvd

$31.84 322 283
Randall Peter Raz

4930 E Lake Mary Blvd

$30.97 366 352
Wesley Wilson

4930 E Lake Mary Blvd

$20.37 366 338
Seth Winterton

2209 S French Ave

$18.43 378 341
Vincent Joseph Mamone

309 W 1St St

$21.31 407 367
Chhavi Rai

4932 W State Road 46 Ste 1090

$77.07 455 424
April Suzette Krogh

4930 E Lake Mary Blvd

$58.15 508 465
Ashwinkumar Ratilal Patel

401 Towne Center Blvd

$23.10 524 415
Dilcia Irlandia Hernandez Santana

2432 S French Ave

$29.37 649 542
Jose Antonio Vera

3993 W 1St St

$4.83 651 532
Jose Ariel Torres

2040 Courtyard Loop Apt 100

$31.01 743 669
David J. Hak

309 N Mangoustine Ave Unit G

$7.47 797 686
Jennifer Fertil Simpkins

4930 E Lake Mary Blvd

$36.60 812 703
Candice M Rivera Mendez

2432 S French Ave

$17.90 837 655
Theresa Laura Mantle

4930 E Lake Mary Blvd

$34.60 893 832
Daniel R Bieda

4930 E Lake Mary Blvd

$34.09 982 939
Haroon Latif Chughtai

305. N Mangoustine Avenue

$20.50 1,167 950
Magaly Villafradez-Diaz

1403 Medical Plaza Dr Ste 207

$33.60 1,257 960
Kelli Lyon

145 Mayfair Ct

$50.88 1,352 1,218
Courtney St James

202 N Park Ave

$37.72 1,582 1,399
Daisy Renteria

4930 E Lake Mary Blvd

$33.56 1,598 1,403

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

Other Procedures in Sanford, FL