Average Medicaid Office Visit Payments in St Petersburg, FL: $62.02
Avg. Paid
$62.02
Range
$0.00 – $560.53
Total Claims
868,398
Providers
548
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 St Petersburg, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Erin L Garrigan
4105 49Th St N |
$54.81 | 30,031 | 19,823 |
|
Evening Pediatrics, Inc
4040 49Th St N |
$80.09 | 29,440 | 24,744 |
|
Thien Trang Thi Tran
2701 54Th Ave S |
$59.93 | 29,146 | 20,254 |
|
Orlando A. Pinero Briceno
901 22Nd Ave S |
$22.12 | 26,347 | 3,775 |
|
Rose Stavinoha Trowbridge
601 5Th St S |
$86.84 | 22,202 | 17,129 |
|
Kathleen M Wasylik
601 5Th St. South |
$89.10 | 19,104 | 14,929 |
|
Jebhar Patterson
2137 16Th St N |
$59.75 | 18,578 | 13,314 |
|
Wenying Zhao
1012 4Th St S |
$67.79 | 16,715 | 11,902 |
|
Thomas M Andrews
800 6Th St S |
$87.47 | 14,126 | 10,630 |
|
Peter Karempelis
601 5Th St S Ste 701 |
$86.48 | 13,345 | 9,521 |
|
Michael John Wilsey
601 5Th St S |
$99.16 | 11,961 | 10,524 |
|
Sara Karjoo
601 5Th St S |
$124.94 | 11,820 | 11,278 |
|
Magdalen Gondor
601 5Th St S |
$83.90 | 11,289 | 10,199 |
|
Paul L Benfanti
625 6Th Ave S Ste 450 |
$115.16 | 10,782 | 8,238 |
|
Daniel Theodore Mcclenathan
601 5Th St S |
$113.75 | 10,632 | 9,959 |
|
Nadarajah Nirmalan
3831 16Th St N |
$12.48 | 10,376 | 7,839 |
|
Daniel C Bland
625 6Th Ave S Ste 450 |
$127.29 | 9,977 | 7,660 |
|
Lee G Phillips
625 6Th Ave S Ste 450 |
$120.94 | 9,136 | 7,314 |
|
Fadi Saba
1839 Central Ave |
$27.45 | 8,775 | 5,724 |
|
Nathan Tang
333 Dr Ml King Jr St N |
$68.34 | 8,444 | 5,787 |
|
Mariano D Cibran, Md Corp Dba St Petersburg Pediatrics
2115 Central Ave |
$68.65 | 8,240 | 7,109 |
|
Joseph Anthony Casadonte
625 6Th Ave S |
$91.11 | 7,895 | 6,396 |
|
Samuel Floyd Brown
700 6Th St S Fl 2 |
$113.06 | 7,779 | 6,634 |
|
Bernard Philippe
1839 Central Ave |
$36.93 | 7,533 | 5,150 |
|
Edwin Jackson
4010 Central Ave |
$63.47 | 7,217 | 6,246 |
|
Tamatha Frizzell Zemzars
4711 34Th St N |
$75.36 | 7,176 | 6,835 |
|
Kelly D Henchel
501 6Th Ave S |
$58.30 | 7,130 | 6,624 |
|
Marc S Barasch
1751 66Th St N |
$25.49 | 7,092 | 5,285 |
|
Sardha M Perera
6333 54Th Ave N |
$27.05 | 6,491 | 5,171 |
|
Elizabeth M Reilly Hays
2137 16Th St N |
$62.22 | 6,315 | 4,842 |
|
Kim T Faulkner
1344 22Nd St S |
$23.34 | 6,297 | 4,808 |
|
Drew E Warnick
625 6Th Ave S Ste 450 |
$122.51 | 6,174 | 4,927 |
|
Yim F. Lam
4950 34Th St N |
$32.52 | 5,942 | 5,343 |
|
James M Davis
4105 49Th St N |
$86.02 | 5,832 | 5,227 |
|
Ryan Everett Fitzgerald
625 6Th Ave S Ste 450 |
$115.33 | 5,685 | 4,501 |
|
Roxene Susan Riles
3955 58Th St N |
$21.11 | 5,666 | 3,758 |
|
Carmen C Alfaro
601 5Th St S |
$33.46 | 5,649 | 4,244 |
|
Elizabeth Ellen Hornbeck
501 6Th Ave S |
$68.19 | 5,422 | 4,203 |
|
Lynne Ellis
1111 7Th Ave N |
$30.87 | 5,329 | 4,445 |
|
Christopher Keith Kitterman
1344 22Nd St S |
$29.26 | 5,202 | 4,342 |
|
Stephen B Karges
4995 49Th St N |
$50.50 | 5,026 | 3,863 |
|
Alyssa Weinberger
5601 Mlk Jr St N |
$79.75 | 4,883 | 4,530 |
|
Marissa Evarts
601 5Th St S Ste 701 |
$104.84 | 4,850 | 4,149 |
|
Heinz C Chavez
801 6Th St S |
$55.07 | 4,299 | 3,471 |
|
Ahmad Shaker
620 10Th St N |
$26.19 | 4,260 | 2,827 |
|
Christine Joan Moore
601 5Th St S |
$23.41 | 4,192 | 2,976 |
|
Elizabeth E Banks
1033 Dr Martin Luther King Jr St N |
$81.47 | 4,165 | 3,879 |
|
Jennifer Megan Kim
5601 9Th St N |
$74.75 | 4,152 | 3,849 |
|
Gregory V Hahn
625 6Th Ave S Ste 450 |
$158.81 | 4,089 | 3,899 |
|
Patricia J Blanco
601 5Th St S |
$46.37 | 4,067 | 3,587 |
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 St Petersburg, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in St Petersburg, FL is $62.02 per claim, based on 868,398 claims from 548 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 St Petersburg, FL?
There are 548 Medicaid providers offering Office Visit related services in St Petersburg, FL according to public payment data.
What is the price range for Office Visit in St Petersburg, FL?
Medicaid reimbursement for Office Visit in St Petersburg, FL ranges from $0.00 to $560.53 per claim, with an average of $62.02. 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 St Petersburg, FL
Blood Work & Lab Tests
Avg $6.05
973,043 claims
Behavioral & Mental Health Therapy
Avg $47.15
522,211 claims
Emergency Room Visit
Avg $102.37
514,976 claims
Nursing Facility Care
Avg $10.42
272,919 claims
Vaccines & Immunizations
Avg $10.57
250,256 claims
Urinalysis & Urine Tests
Avg $1.14
235,859 claims
X-Ray
Avg $6.66
222,977 claims
EKG / ECG (Electrocardiogram)
Avg $6.43
191,215 claims