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 |
|---|---|---|---|
|
Jason Lopez
7031 Sw 62Nd Ave |
$0.01 | 13 | 13 |
|
Stephen Michael Fielding
7000 Sw 62Nd Ave Ste 200A |
$51.76 | 15 | 14 |
|
Chandra Prakash Sanwal
7000 Sw 62Nd Ave Ste 401 |
$274.10 | 16 | 12 |
|
Juan Carlos Pereda
6200 Sunset Dr |
$2.32 | 18 | 13 |
|
Michael Rosselli
5966 S Dixie Hwy Ste 401 |
$3.24 | 20 | 13 |
|
Jaime A Pachon
6141 Sunset Dr |
$16.53 | 21 | 12 |
|
Augusto Enrique Whittwell
6705 S Red Rd |
$14.09 | 23 | 12 |
|
Daniel Sanchez
7000 Sw 62Nd Ave Ste 601 |
$0.00 | 24 | 14 |
|
Jorge Cesar Bruno
5858 Sw 68 St |
$90.57 | 25 | 24 |
|
Rene Miguel Hasbun
7000 Sw 59Th Pl |
$0.00 | 25 | 24 |
|
Ovi Nodarse
6129 Sw 70Th St |
$94.15 | 27 | 25 |
|
Diana Limon
7031 Sw 62Nd Ave |
$55.52 | 32 | 26 |
|
Ernesto Lajara
5901 Sw 74Th St Ste 408 |
$39.05 | 34 | 28 |
|
Juan Francisco Rodriguez-Moran
6200 Sw 73Rd St |
$7.50 | 36 | 26 |
|
Emilio J Gomez-Madrazo
6280 Sunset Dr Ste 408 |
$52.92 | 37 | 37 |
|
Alberto B Esquenazi
7900 Sw 57Th Ave |
$15.03 | 38 | 28 |
|
Linda Julia Johnson
6141 Sunset Dr Ste 401 |
$28.00 | 38 | 37 |
|
Robert I Garnet
6705 Sw 57Th Ave Ste 312 |
$8.12 | 40 | 27 |
|
Carlos Manuel Ramos Pachon
7031 Sw 62Nd Ave |
$75.10 | 40 | 30 |
|
Jennifer Siapno Vega
6280 Sunset Dr Ste 501 |
$1.81 | 42 | 24 |
|
Synovation Medical Group, Llc
7000 Sw 62Nd Ave Ste 535 |
$1.20 | 43 | 41 |
|
John Baldino
6200 Sw 73Rd St |
$39.18 | 43 | 39 |
|
Lorraine M Dowdy
7000 Sw 62Nd Ave |
$21.64 | 43 | 33 |
|
Carlos M Sanchez-Correa
6200 Sw 72Nd St Ste 604 |
$7.39 | 44 | 39 |
|
Carlos Andres Granja
7900 Sw 57Th Ave |
$19.80 | 53 | 41 |
|
Raisa Barros
5975 Sunset Dr Ste 402 |
$27.89 | 55 | 39 |
|
Mariam Beatriz Borges
7800 Sw 57Th Ave Ste 110 |
$32.16 | 56 | 56 |
|
Fabian Victor Morales
5966 S Dixie Hwy Ste 401 |
$3.32 | 58 | 43 |
|
Samina Karim
7031 Sw 62Nd Ave |
$47.49 | 58 | 39 |
|
Eddie Armas
7000 Sw 97 Ave |
$3.25 | 58 | 54 |
|
Domingo Alberto Reyes
7031 Sw 62Nd Ave |
$8.28 | 59 | 57 |
|
James D Davenport Md Pa
6200 Sunset Dr |
$33.34 | 63 | 62 |
|
Harish Raja
5858 Sw 68Th St |
$29.16 | 63 | 60 |
|
Jorge Juan Bacallao
5858 Sw 68Th St |
$111.18 | 70 | 65 |
|
Cristiane Oshiro Mocelin Carvalho
7900 Sw 57Th Ave |
$23.38 | 72 | 62 |
|
Yenny M Ceballos
5975 Sunset Dr Ste 402 |
$0.00 | 73 | 20 |
|
Ana Victoria Soto-Quintela
6200 Sunset Dr Ste 401 |
$9.67 | 76 | 56 |
|
Sanjay Nedal Smith
5858 Sw 68Th St |
$113.52 | 76 | 75 |
|
Julio Gonzalez
7000 Sw 62Nd Ave Ste 600 |
$43.23 | 82 | 51 |
|
Zachary Kaufman Segal
5858 Sw 68Th St |
$139.49 | 84 | 77 |
|
Katrina Anne Godderz
6200 Sw 73Rd St |
$12.36 | 84 | 54 |
|
Alejandro D Chediak
7029 Sw 61St Ave |
$18.92 | 86 | 75 |
|
Nora Bassam Khoury
7031 Sw 62Nd Ave |
$67.10 | 88 | 79 |
|
Dayron Barzaga Dieguez
7031 Sw 62Nd Ave |
$26.98 | 93 | 81 |
|
Jorge Luis Cuello
6200 Sunset Dr |
$10.03 | 95 | 53 |
|
Cecilia Grande
7000 Sw 62Nd Ave Ste 400 |
$20.68 | 101 | 82 |
|
Stephanie Nicolau Raducu
7800 Sw 57Th Ave Ste 110 |
$54.84 | 102 | 98 |
|
Edward Joseph Hillman
6705 S Red Rd |
$71.19 | 103 | 58 |
|
Grettel Yanelys Alvarez Lopez
5975 Sunset Dr Ste 402 |
$42.11 | 103 | 92 |
|
Carlos Miguel Marill
6280 Sunset Dr Ste 400 |
$5.03 | 105 | 98 |
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