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
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