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 |
|---|---|---|---|
|
Raisa D Camilo
4958 Sun N Lake Blvd |
$44.40 | 68,320 | 60,861 |
|
Praveen Krishnadas
3201 Medical Way |
$43.36 | 41,870 | 33,942 |
|
Navin D Deshpande
7215 Us Highway 27 N |
$38.37 | 22,756 | 18,610 |
|
Miguel F Beltre
4958 Sun N Lake Blvd |
$38.26 | 7,671 | 6,517 |
|
Mark E Jawahir
1759 1763 Us Hwy 27 South |
$10.26 | 6,147 | 5,289 |
|
Carlos Emilio Garcia Prieto
3750 Emergency Ln Ste 4 |
$41.89 | 5,511 | 4,721 |
|
David Secundino Guerra
3670 Us Highway 27 N |
$34.58 | 5,160 | 4,378 |
|
Kendra R. Mulholland
7215 Us Highway 27 N |
$20.88 | 4,976 | 3,011 |
|
Kulmeet S Kundlas
4597 Casablanca Cir |
$19.71 | 4,475 | 3,167 |
|
Fabio Oliveros
130 Medical Center Ave |
$17.64 | 3,812 | 3,331 |
|
Wasif Riaz
4420 Sun N Lake Blvd |
$34.14 | 3,546 | 2,791 |
|
Syed Egbal Ahmed
1396 Whisper Cir |
$32.62 | 3,227 | 2,649 |
|
Thomas C. Lackey
4759 Lakeview Dr |
$23.16 | 2,812 | 1,944 |
|
Shirley Reyes
37 Ryant Blvd |
$27.16 | 2,524 | 2,285 |
|
Sedat T Ekici
2950 Alt Us Hwy 27 S |
$32.16 | 2,369 | 2,053 |
|
Mahender Reddy Yellu
1396 Whisper Cir |
$19.97 | 2,103 | 1,636 |
|
Eric S Palosky, Do Pa
4343 Sun N Lake Blvd |
$0.46 | 2,021 | 1,659 |
|
Tanya Elizabeth Boatwright
919 Mall Ring Rd |
$25.18 | 1,899 | 1,761 |
|
Nasim S. Khan
919 Mall Ring Rd |
$37.69 | 1,869 | 1,656 |
|
Deepak T Patel
119 Us Highway 27 N |
$2.99 | 1,815 | 1,369 |
|
Matthew Scott Irwin
4409 Sun N Lake Blvd |
$46.63 | 1,735 | 1,387 |
|
Jennie Hoke
7195 S George Blvd |
$84.89 | 1,511 | 1,425 |
|
Alexis Mathura
4240 Sun N Lake Blvd Ste 200 |
$38.96 | 1,459 | 1,022 |
|
Zechariah Paolo Martinez Dominguez
4421 Sun N Lake Blvd Ste C |
$37.83 | 1,441 | 1,165 |
|
Carlos M Baez Cubille
4597 Casablanca Cir |
$4.84 | 1,368 | 1,134 |
|
Erica Maria Garcia Tovar
2227 Us Highway 27 S |
$26.94 | 1,309 | 1,195 |
|
Daniel Andrew Roquiz
935 Mall Ring Rd |
$53.45 | 1,290 | 1,121 |
|
Kwabena K Pobi
2373 Us Highway 27 S |
$9.62 | 1,227 | 1,019 |
|
Ernesto Pinzon Pa
2950 Alt Us Hwy 27 S |
$4.78 | 1,205 | 924 |
|
Mark Ashby
2821 Alt Us Hwy 27 S |
$0.44 | 1,197 | 1,118 |
|
Tonya Lynn Dagda
410 Sebring Sq |
$29.42 | 1,192 | 1,002 |
|
Jessica Narvaez-Lugo
5825 Us Highway 27N |
$26.12 | 1,179 | 1,020 |
|
Shailesh Joshi
6801 Us Highway 27 N Ste D |
$16.27 | 1,170 | 885 |
|
Amit Indravadan Shah
1396 Whisper Cir |
$37.44 | 1,142 | 937 |
|
Rachel Lynn Cooper-Mercado
37 Ryant Blvd |
$43.13 | 1,133 | 1,029 |
|
Donald K Ware
2341 Us Highway 27 S |
$12.53 | 1,067 | 882 |
|
Bipin C Bhatt
6801 Us Hwy 27 North |
$19.58 | 1,062 | 959 |
|
Tahir Chaudhri
3427 S Highlands Ave |
$9.21 | 1,002 | 789 |
|
Deo P Sankar
4639 Sun N Lake Blvd |
$8.46 | 962 | 817 |
|
Jose L Ruiz
4301 Sun N Lake Blvd Ste 102 |
$35.46 | 845 | 768 |
|
Jennie Leclair Spencer
810 N Ridgewood Dr |
$32.83 | 773 | 315 |
|
Florida Joint & Spine Institute Pa
5115 Us Highway 27 N Ste 100 |
$0.00 | 764 | 692 |
|
Philip Wong Wong
4325 Sun N Lake Blvd Ste 102 |
$32.54 | 759 | 699 |
|
Vandy Nichole Mayworth
4240 Sun N Lake Blvd Ste 200 |
$30.26 | 755 | 653 |
|
Dennis Randolph Bassetti
4200 Sun N Lake Blvd |
$3.64 | 753 | 402 |
|
Rey Francisco Arcenas
4638 Sun N Lake Blvd |
$28.39 | 723 | 603 |
|
Carlos A. Carrillo
4143 Sun N Lake Blvd |
$15.78 | 698 | 399 |
|
Daniel E Montero
3420 Us Highway 27 N |
$9.82 | 691 | 540 |
|
Ramon Nonato Maglunog Torres
4638 Sun N Lake Blvd |
$18.52 | 655 | 527 |
|
Irving Enrique Perez Guzman
4638 Sun N Lake Blvd |
$39.78 | 646 | 499 |
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