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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sun City Center, FL: $29.27

Avg. Paid

$29.27

Range

$0.94 – $86.23

Total Claims

12,879

Providers

21

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 Sun City Center, FL

Provider Avg. Paid Claims Patients
Ramon Vianzon Santa Maria

4051 Upper Creek Dr

 $36.79 2,829 2,494
Kathleen Ann Enriquez Fitzgerald

938 Cypress Village Blvd Ste A

 $40.39 2,517 2,270
Leila Monique Gaines

787 Cortaro Dr

 $15.50 2,437 2,305
Hector J Cases

725 Cortaro Dr

 $23.77 1,554 1,327
Renjitha Tom Ignatius

4051 Upper Creek Dr Ste 103B

 $18.56 871 672
Corey Joseph Reeves

3909 Galen Ct Ste 104

 $28.25 802 657
Vedashree Enagandula Panthulu

938 Cypress Village Blvd Ste A

 $38.50 531 506
Michelle Andrea Gonzalez

108 S Pebble Beach Blvd

 $6.12 315 235
Maria Dillon

1615 Sun City Center Plz

 $45.22 247 236
Randell Jay Sehres

1046 Cypress Village Blvd

 $43.96 191 174
Jennifer Lynn Horkan

4031 Upper Creek Dr

 $24.61 186 176
Wesley Kevin Bland

819 Cypress Village Blvd

 $30.18 76 62
Bonnie Z Sanchez

4040 Upper Creek Dr Ste 106

 $1.59 59 53
Alain Fumero

1647 Sun City Center Plz Ste 104

 $5.66 48 27
Shanahan Podiatry Pa

3909 Galen Ct

 $86.23 48 38
Byung-Joon Ahn

3894 Sun City Center Blvd

 $3.28 39 26
Nicole Anna Fore

819 Cypress Village Blvd

 $28.19 38 38
Michael V Baranauskas

131 S Pebble Beach Blvd

 $75.32 32 30
John Robert Steel

4031 Upper Creek Dr

 $16.42 27 26
Javed Hafeez

3909 Galen Ct

 $0.94 19 12
Jasmine T. Weaver

781 Cypress Village Blvd

 $19.21 13 12

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 Sun City Center, FL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sun City Center, FL is $29.27 per claim, based on 12,879 claims from 21 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 Sun City Center, FL?

There are 21 Medicaid providers offering Office Visit related services in Sun City Center, FL according to public payment data.

What is the price range for Office Visit in Sun City Center, FL?

Medicaid reimbursement for Office Visit in Sun City Center, FL ranges from $0.94 to $86.23 per claim, with an average of $29.27. 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 Sun City Center, FL

Blood Work & Lab Tests

Avg $6.24

30,219 claims

Personal Care Services

Avg $61.04

13,460 claims

Urinalysis & Urine Tests

Avg $0.49

8,049 claims

Physical Therapy

Avg $34.12

6,291 claims

Nursing Facility Care

Avg $14.34

3,688 claims

Emergency Room Visit

Avg $71.31

3,226 claims

X-Ray

Avg $5.88

3,094 claims

Vaccines & Immunizations

Avg $0.85

2,244 claims