Average Medicaid Office Visit Payments in South Miami, FL: $33.95
Avg. Paid
$33.95
Range
$0.00 – $274.10
Total Claims
165,055
Providers
136
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 South Miami, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Enrique Murciano
6285 Sunset Dr |
$13.71 | 15,534 | 8,980 |
|
Raul Vicente Chao
6285 Sunset Dr |
$17.42 | 14,674 | 9,252 |
|
Hector Trujillo
5901 Sw 74Th St Ste 312 |
$42.36 | 12,620 | 10,246 |
|
Joseph E Mouhanna
7575 Sw 62Nd Ave |
$38.56 | 11,185 | 7,260 |
|
Osmin Morales
7001 Sw 61St Ave |
$8.91 | 8,132 | 4,130 |
|
Mirbelys Perera
7031 Sw 62Nd Ave |
$14.59 | 7,771 | 6,229 |
|
Rafael Ariel Garcia
7031 Sw 62Nd Ave |
$24.91 | 5,010 | 4,319 |
|
Ana L Paredes
6200 Sunset Dr Ste 303 |
$84.21 | 4,987 | 4,350 |
|
Andrew Philip Schell
6705 S Red Rd |
$119.25 | 4,544 | 3,424 |
|
Radomir Kosanovic
6200 Sunset Dr Ste 120 |
$29.28 | 4,334 | 3,459 |
|
Timothy G Murray
6705 S Red Rd |
$44.18 | 3,533 | 2,794 |
|
Anselmo Ernesto Cepero-Akselrad
6200 Sunset Dr Ste 303 |
$80.78 | 3,315 | 2,667 |
|
Carlos G. Pena
6705 Sw 57Th Ave Ste 310 |
$56.06 | 3,044 | 2,457 |
|
Jessica Belalcazar
6200 Sunset Dr Ste 301 |
$41.24 | 2,700 | 2,450 |
|
Anthony R Lai
6200 Sunset Dr |
$31.65 | 2,663 | 2,369 |
|
Orlando Venancio Almanza
6200 Sunset Dr |
$5.76 | 2,499 | 1,439 |
|
Jorge L Gomez
6200 Sunset Dr |
$32.96 | 2,272 | 2,063 |
|
Alejandro Octavio Roca
6701 Sunset Dr |
$3.42 | 2,149 | 1,524 |
|
Daisy Acevedo Morales
6141 Sunset Dr Ste 403 |
$33.79 | 2,145 | 1,639 |
|
Gerardo Francisco Ferrer
7031 Sw 62Nd Ave |
$15.44 | 2,097 | 1,474 |
|
Omart S Robaina
6601 Sw 62Nd Ave |
$40.35 | 2,072 | 1,752 |
|
Jilan Shah
7000 Sw 62Nd Ave Ste 320 |
$40.71 | 2,002 | 1,957 |
|
Virginia Sardinas
6200 Sw 73Rd St |
$15.24 | 1,938 | 931 |
|
Andreina Rojas
7000 Sw 62Nd Ave Ste 602 |
$45.84 | 1,817 | 1,556 |
|
Dermatology Group Of Florida, P.A.
7800 Sw 57Th Ave Ste 110 |
$6.21 | 1,802 | 1,555 |
|
Kunjana Mavunda
6280 Sunset Dr |
$88.54 | 1,771 | 1,373 |
|
Dan Sotolongo Jimenez
5975 Sunset Dr Ste 402 |
$63.46 | 1,751 | 1,553 |
|
Jenny Stay Machuca
7000 Sw 62Nd Ave |
$29.67 | 1,740 | 1,428 |
|
Alberto De Dios Fernandez
6705 S Red Rd |
$65.18 | 1,737 | 994 |
|
Shannon Sanchez Oviedo
7800 Sw 57Th Ave Ste 217 |
$18.02 | 1,663 | 1,209 |
|
Mariselis Rosa-Sanchez
6200 Sunset Dr Ste 303 |
$86.80 | 1,656 | 1,398 |
|
Oscar L. Hernandez
6705 S Red Rd Ste 512 |
$25.38 | 1,468 | 1,243 |
|
Jaime A Carbonell
6705 Sw 57Th Ave Ste 312 |
$2.85 | 1,424 | 731 |
|
Jorge Benito
7000 Sw 62Nd Ave Ste 600 |
$21.60 | 1,367 | 706 |
|
Joseph E Mouhanna Md Pa
7575 Sw 62Nd Ave Ste B |
$5.85 | 1,310 | 982 |
|
Erick Abdiel Palma
7000 Sw 62Nd Ave |
$30.15 | 1,251 | 1,014 |
|
Francisco Vilasuso Md Pa Llc
6280 Sw 72Nd St Ste 410 |
$1.59 | 981 | 666 |
|
Braulio Leoncio Sabates
6705 S Red Rd |
$46.97 | 921 | 600 |
|
Beatriz Sidron Comas
5975 Sunset Dr Ste 402 |
$45.87 | 907 | 769 |
|
Manuel Rodriguez Garcia Md Pa
7550 Sw 57 Ave |
$1.98 | 904 | 634 |
|
Pollyanna Reeves
6705 Sw 57Th Ave Ste 312 |
$3.96 | 732 | 322 |
|
Juan A Salazar
6705 S Red Rd |
$35.63 | 716 | 473 |
|
Margarita Rosa Garces
6141 Sunset Dr |
$4.93 | 714 | 448 |
|
Natalya A Medrano
6701 Sunset Dr Ste 109 |
$53.54 | 674 | 537 |
|
Baharak Khabazghazvini
5901 Sw 74Th St Ste 408 |
$34.88 | 662 | 472 |
|
Michael Howard Owens
6705 S Red Rd |
$87.98 | 611 | 467 |
|
Jose Alberto Fernandez Chavez
7029 Sw 61St Ave |
$47.53 | 598 | 501 |
|
Francisco Javier Jimenez Carcamo
6200 Sunset Dr |
$3.76 | 592 | 389 |
|
Allen Mckee
7031 Sw 62Nd Ave |
$0.00 | 564 | 555 |
|
Daniel Kupersmit
7031 Sw 62Nd Ave |
$70.68 | 540 | 478 |
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 South Miami, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Miami, FL is $33.95 per claim, based on 165,055 claims from 136 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 South Miami, FL?
There are 136 Medicaid providers offering Office Visit related services in South Miami, FL according to public payment data.
What is the price range for Office Visit in South Miami, FL?
Medicaid reimbursement for Office Visit in South Miami, FL ranges from $0.00 to $274.10 per claim, with an average of $33.95. 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 South Miami, FL
Blood Work & Lab Tests
Avg $2.41
211,738 claims
Ultrasound
Avg $78.36
184,943 claims
Personal Care Services
Avg $23.15
170,400 claims
Home Health Visit
Avg $44.95
159,854 claims
Case Management Services
Avg $48.13
98,213 claims
Physical Therapy
Avg $54.79
76,344 claims
Emergency Room Visit
Avg $77.33
49,812 claims
Behavioral & Mental Health Therapy
Avg $46.17
47,411 claims