Average Medicaid Office Visit Payments in Tarpon Springs, FL: $50.48
Avg. Paid
$50.48
Range
$0.09 – $93.36
Total Claims
25,799
Providers
20
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 Tarpon Springs, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carlos A Hidalgo
1007 East Boyer St |
$59.65 | 13,068 | 10,512 |
|
David Anthony Lam
1005 E Boyer St |
$53.81 | 6,989 | 6,460 |
|
Jessica Lilah Oprisiu
247 S Huey Ave |
$19.03 | 1,420 | 1,261 |
|
Ferwa Mohammed
1005 E Boyer St |
$47.52 | 1,259 | 1,153 |
|
Youngra Hardwick
1000 E Tarpon Ave |
$30.56 | 848 | 799 |
|
Amy Sullinger
1005 E Boyer St |
$9.46 | 670 | 561 |
|
Walter J Kay
955 E Martin Luther King Jr Dr Ste E |
$9.75 | 422 | 348 |
|
Sandra M Brown
1000 E Tarpon Ave |
$2.88 | 274 | 197 |
|
Douglas S. Reintgen
1501 S Pinellas Ave |
$5.49 | 162 | 76 |
|
Michelle Le Gar
1000 E Tarpon Ave |
$0.09 | 113 | 77 |
|
Metro Treatment Of Florida, Lp
1919 N Pinellas Ave |
$51.38 | 104 | 102 |
|
Katie E Drake
1259 S Pinellas Ave |
$35.26 | 91 | 87 |
|
Olivia Amanda Pierog
1259 S Pinellas Ave |
$93.36 | 81 | 76 |
|
Jermaine Compton Ralph
1501 S Pinellas Ave Ste G |
$64.34 | 74 | 68 |
|
Equbal E Kalani
1501 S Pinellas Ave |
$4.31 | 64 | 52 |
|
Thomas E. Carson
1259 S Pinellas Ave |
$0.32 | 64 | 48 |
|
Community Health Center Of Pinellas Inc
247 S Huey Ave |
$0.85 | 35 | 32 |
|
Nicholas Emmanuel Pantelis
1501 S Pinellas Ave Ste T |
$17.74 | 25 | 25 |
|
Estuardo Alfonso Ponce
43309 Us Highway 19 N |
$3.29 | 21 | 13 |
|
Salvatore Leonard Delellis
1264 South Pinellas Avenue |
$12.87 | 15 | 13 |
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 Tarpon Springs, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tarpon Springs, FL is $50.48 per claim, based on 25,799 claims from 20 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 Tarpon Springs, FL?
There are 20 Medicaid providers offering Office Visit related services in Tarpon Springs, FL according to public payment data.
What is the price range for Office Visit in Tarpon Springs, FL?
Medicaid reimbursement for Office Visit in Tarpon Springs, FL ranges from $0.09 to $93.36 per claim, with an average of $50.48. 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 Tarpon Springs, FL
Blood Work & Lab Tests
Avg $2.71
62,863 claims
Emergency Room Visit
Avg $69.90
22,864 claims
Behavioral & Mental Health Therapy
Avg $63.66
22,015 claims
Urinalysis & Urine Tests
Avg $1.13
16,353 claims
Substance Abuse Treatment
Avg $63.27
15,369 claims
Vaccines & Immunizations
Avg $4.18
10,860 claims
Podiatry (Foot Care)
Avg $3.00
8,835 claims
Eye Exam
Avg $23.62
8,518 claims