Average Medicaid Office Visit Payments in Sumterville, FL: $47.33
Avg. Paid
$47.33
Range
$22.15 – $70.55
Total Claims
24,476
Providers
13
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 Sumterville, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William J Garofolo
1389 S Us 301 |
$29.23 | 13 | 12 |
|
Ariana Jazmin Leal Gonzalez
1389 S Us 301 |
$22.15 | 48 | 43 |
|
Barbara J Ford
1389 S Us 301 |
$46.08 | 153 | 141 |
|
Adrian Saenz
617 S Us 301 Ste B |
$70.55 | 218 | 200 |
|
Project Health Inc
1389 S Us 301 |
$33.00 | 349 | 294 |
|
Kathy Brown Thompson
1425 S Us 301 |
$47.98 | 411 | 384 |
|
David Thao
1389 S Us 301 |
$47.46 | 467 | 406 |
|
Francis Antony Goiran
1389 S Us Highway 301 |
$40.86 | 513 | 480 |
|
Taylor Joshua Wilson
1425 S Us 301 |
$32.62 | 1,358 | 1,153 |
|
Deborah M Greer
1389 S Us 301 |
$41.31 | 1,874 | 1,697 |
|
Amber June Judd
1389 S Us 301 |
$46.83 | 2,535 | 2,323 |
|
Olga Grajales
1389 S Us 301 |
$49.16 | 7,696 | 7,015 |
|
Santharam V Nallamshetty
1389 S Us 301 |
$49.93 | 8,841 | 8,109 |
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 Sumterville, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sumterville, FL is $47.33 per claim, based on 24,476 claims from 13 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 Sumterville, FL?
There are 13 Medicaid providers offering Office Visit related services in Sumterville, FL according to public payment data.
What is the price range for Office Visit in Sumterville, FL?
Medicaid reimbursement for Office Visit in Sumterville, FL ranges from $22.15 to $70.55 per claim, with an average of $47.33. 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 Sumterville, FL
Vaccines & Immunizations
Avg $4.33
10,392 claims
Dental Cleaning & Exam
Avg $22.93
7,797 claims
Tooth Extraction
Avg $53.83
2,758 claims
Hearing Test (Audiometry)
Avg $0.00
2,477 claims
Dental Filling
Avg $51.77
1,240 claims
Urinalysis & Urine Tests
Avg $0.93
1,078 claims
Blood Work & Lab Tests
Avg $6.06
195 claims
Behavioral & Mental Health Therapy
Avg $54.69
172 claims