Average Medicaid Office Visit Payments in Sebring, FL: $35.53
Avg. Paid
$35.53
Range
$0.00 – $89.09
Total Claims
237,135
Providers
113
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 Sebring, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bridglal Ramkissoon
4325 Sun N Lake Blvd |
$0.00 | 12 | 12 |
|
Nicole Elaine Davis
6325 Us Highway 27 N Ste 201 |
$58.60 | 12 | 12 |
|
Joaquin Francisco Oronoz
4409 Sun N Lake Blvd |
$81.29 | 12 | 12 |
|
Havalee Henry
4409 Sun N Lake Blvd |
$25.77 | 13 | 12 |
|
Eddie Alonzo Garcia
4409 Sun N Lake Blvd |
$15.00 | 13 | 12 |
|
David Christopher Cummings
4301 Sun N Lake Blvd Ste 102 |
$34.41 | 13 | 13 |
|
Carmelita Bautista Lim
5909 Us Hwy 27 N |
$29.17 | 13 | 13 |
|
Alexander P Troum
4420 Sun N Lake Blvd |
$30.53 | 14 | 13 |
|
Orland Mata
130 Medical Center Ave |
$28.44 | 14 | 12 |
|
Tia Simone Hobbs
4325 Sun N Lake Blvd Ste 102 |
$50.61 | 15 | 13 |
|
Central Florida Medical & Diagnostic Clinic, Pa
3327 Medical Hill Rd |
$10.92 | 15 | 14 |
|
Juan Carlos Alvarez
5115 Us Highway 27 N Ste 100 |
$1.53 | 16 | 14 |
|
Rasheena Versheka Morris-James
3700 Emergency Ln |
$8.83 | 16 | 13 |
|
Patel Pulmonary Pa
1739 Us Highway 27 S |
$0.00 | 17 | 14 |
|
Susan Amanda Brown
4325 Sun N Lake Blvd Ste 105 |
$12.18 | 19 | 12 |
|
Dr. Marc Feldman Dpm Pa
4900 Sun N Lake Blvd |
$0.00 | 19 | 13 |
|
Celina Jane Birecki
844 Poinsettia Ave |
$0.00 | 21 | 21 |
|
Bassetti & Associates Md Pa
5825 Us Highway 27 N |
$0.00 | 26 | 16 |
|
Jessica Elizabeth Tunis
4301 Sun N Lake Blvd Ste 102 |
$30.71 | 33 | 28 |
|
Maury Lind Fisher
5115 Us Highway 27 N Ste 100 |
$0.22 | 36 | 30 |
|
Paul A Ebanks
4233 Sun N Lake Blvd |
$0.00 | 43 | 40 |
|
Vinod C Thakkar
3581 S Highlands Ave |
$6.95 | 43 | 37 |
|
George Christopher Leef
4638 Sun N Lake Blvd |
$32.68 | 44 | 43 |
|
Nancy Cardona
3581 S Highlands Ave |
$2.08 | 46 | 42 |
|
Brittiany Elizabeth Garrett
4409 Sun N Lake Blvd |
$40.51 | 54 | 46 |
|
Heartland Medical Inc
6801 Us Highway 27 N Ste B4 |
$3.77 | 56 | 37 |
|
Sandra D Fantauzzi
4420 Sun N Lake Blvd |
$0.00 | 57 | 57 |
|
Heartland Pediatric Associates, P.A.
7215 Us Hwy 7 N |
$1.11 | 62 | 41 |
|
Nancy Esther Holder
4145 Sun N Lake Blvd Ste A |
$50.39 | 62 | 56 |
|
Paul Ebanks, Dpm, Pa
4233 Sun N Lake Blvd |
$0.00 | 72 | 64 |
|
Michael B Saaka
3425 S Highlands Ave |
$20.68 | 74 | 57 |
|
Sebring Podiatry Center Inc
6801 Us Highway 27 N |
$0.64 | 79 | 79 |
|
Victor Levy
4200 Sun N Lake Blvd |
$58.80 | 81 | 79 |
|
Ponnavolu D. Reddy
5115 Us Highway 27 N Ste 100 |
$1.40 | 81 | 76 |
|
James N. Ruch
3700 Emergency Ln |
$11.57 | 83 | 70 |
|
Michael Patrick Latzko
4301 Sun N Lake Blvd Ste 102 |
$39.91 | 107 | 101 |
|
Mary Louise Hudson Ray
2821 Alt Us Hwy 27 S |
$4.12 | 120 | 72 |
|
Dale C Anderson
6801 Us Highway 27 N |
$0.00 | 131 | 127 |
|
Deirdre Ann Wilson
7215 Us Highway 27 N |
$31.55 | 141 | 140 |
|
Guilda Monfort Saint-Fleur
211 Us Highway 27 N |
$16.20 | 147 | 120 |
|
Andres Cordoba
2530 Island Dr |
$19.35 | 154 | 140 |
|
Reynaldo L Descalso
4143 Sun N Lake Blvd |
$8.49 | 175 | 93 |
|
Joseph Hilton Reddick
4020 Us Highway 27 N |
$0.24 | 179 | 149 |
|
Daniel T Parnassa
2227 Us Highway 27 S Unit 101 |
$3.64 | 219 | 192 |
|
Hannah Hosrom Campbell
130 Medical Center Ave. |
$15.32 | 225 | 212 |
|
Mary-Joy Monsalud
3101 Medical Way |
$4.16 | 241 | 156 |
|
J.Bolaram,Md &Associates,P.A
6801 Us Highway 27 N |
$3.52 | 247 | 231 |
|
Michael Dennis Watson
4409 Sun N Lake Blvd |
$56.69 | 289 | 264 |
|
Angela D Alfaro
4325 Sun N Lake Blvd Ste 105 |
$89.09 | 298 | 210 |
|
Ronald Andrew Chee-Awai
4325 Sun 'N Lake Blvd, Suite 105 |
$13.41 | 299 | 256 |
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 Sebring, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sebring, FL is $35.53 per claim, based on 237,135 claims from 113 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 Sebring, FL?
There are 113 Medicaid providers offering Office Visit related services in Sebring, FL according to public payment data.
What is the price range for Office Visit in Sebring, FL?
Medicaid reimbursement for Office Visit in Sebring, FL ranges from $0.00 to $89.09 per claim, with an average of $35.53. 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 Sebring, FL
Blood Work & Lab Tests
Avg $11.44
144,708 claims
Emergency Room Visit
Avg $68.14
84,032 claims
Vaccines & Immunizations
Avg $6.82
72,493 claims
Speech Therapy
Avg $12.17
70,505 claims
Ambulance Transport
Avg $34.45
63,727 claims
X-Ray
Avg $4.84
62,423 claims
Urinalysis & Urine Tests
Avg $1.18
45,052 claims
Durable Medical Equipment (DME)
Avg $22.46
36,953 claims