Average Medicaid Office Visit Payments in The Villages, FL: $40.30
Avg. Paid
$40.30
Range
$0.00 – $174.14
Total Claims
88,155
Providers
111
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 The Villages, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Luis Alberto Alvarado Hernandez
1580 Santa Barbara Blvd |
$43.58 | 6,432 | 5,671 |
|
Tarek S Shaath
1040 Lake Sumter Lndg |
$30.02 | 6,169 | 5,431 |
|
Miguel Mantilla-Villamizar
2485 Pinellas Pl |
$13.86 | 4,814 | 3,741 |
|
Kevin J. Farquharson
1580 Santa Barbara Blvd |
$70.81 | 4,456 | 4,021 |
|
Francis Leonel Chalas Hungria
1580 Santa Barbara Blvd |
$15.22 | 4,412 | 4,350 |
|
Phuong - Thi Ngoc Tran
779 Kristine Way |
$41.01 | 3,902 | 3,721 |
|
Joan Lanier
8877 Se 165Th Mulberry Ln |
$53.76 | 2,825 | 2,350 |
|
Cristen Elaine Cox
1400 N Us Highway 441 Ste 522 |
$31.42 | 2,521 | 2,011 |
|
Nestor Samuel Garcia
3431 Warm Springs Ave |
$19.79 | 2,508 | 2,123 |
|
Stephen T Rachael
2485 Pinellas Pl |
$34.80 | 2,453 | 1,778 |
|
Lela C Johnson
8877 Se 165Th Mulberry Ln |
$78.75 | 2,442 | 2,058 |
|
Adam Khan Kakar
2485 Pinellas Pl |
$83.79 | 2,202 | 1,847 |
|
Jennifer Anne Wann
1950 Laurel Manor Dr Ste 224 |
$127.54 | 1,825 | 1,690 |
|
Adam Matheson
2955 Brownwood Blvd |
$25.83 | 1,800 | 1,632 |
|
Normarie M Albino
1400 N Us Highway 441 |
$46.30 | 1,766 | 1,565 |
|
Latifah Sabree
280 Farner Pl |
$59.45 | 1,576 | 1,347 |
|
Paul E Boor
1580 Santa Barbara Blvd |
$29.50 | 1,466 | 1,232 |
|
Luis Armando Richardson
1580 Santa Barbara Blvd |
$11.20 | 1,452 | 848 |
|
The Villages Health System Llc
779 Kristine Way |
$0.52 | 1,398 | 1,174 |
|
Surinder Kumar Kad
8900 Se 165Th Mulberry Ln |
$34.02 | 1,393 | 1,158 |
|
Brooke E Alexander
1580 Santa Barbara Blvd |
$0.33 | 1,187 | 1,094 |
|
Ernesto Africano
1400 N Us Highway 441 Ste 531 |
$42.86 | 1,162 | 947 |
|
Michael Curtis Reed
2955 Brownwood Blvd |
$65.26 | 1,113 | 950 |
|
Alexandra Nicole Collins
910 Old Camp Rd Ste 166 |
$56.02 | 1,112 | 892 |
|
Linda Marts
1575 Santa Barbara Blvd |
$26.64 | 1,062 | 976 |
|
Obie Ramsay
1575 Santa Barbara Blvd |
$40.27 | 1,055 | 937 |
|
Robert H Swietarski
1950 Laurel Manor Dr Ste 142 |
$63.10 | 1,029 | 993 |
|
Arlene A Henry
1050 Old Camp Rd Ste 100 |
$70.36 | 990 | 963 |
|
Madhu Lika Sharma
2485 Pinellas Pl |
$49.56 | 976 | 772 |
|
Linda Marlene Bleecker
1050 Old Camp Rd Ste 100 |
$47.97 | 962 | 856 |
|
Frederick B Niegos
2955 Brownwood Blvd |
$29.81 | 897 | 761 |
|
Marisel R Chibas
2955 Brownwood Blvd Ste 403 |
$9.82 | 881 | 835 |
|
Sanjay B Shah
1580 Santa Barbara Blvd |
$1.73 | 867 | 431 |
|
Lindsey Johnson
8900 Se 165Th Mulberry Ln |
$44.94 | 808 | 742 |
|
Lisa Holcomb
1400 N Us Highway 441 Ste 810 |
$26.52 | 772 | 701 |
|
Greg Joseph Hawkesworth
2910 Brownwood Blvd |
$68.63 | 741 | 688 |
|
Kathie T Greene
779 Kristine Way |
$44.22 | 732 | 710 |
|
David L Goss
2955 Brownwood Blvd Ste 403 |
$35.97 | 690 | 643 |
|
Kelly L Deboer
2910 Brownwood Blvd |
$34.16 | 631 | 563 |
|
Judith Jackelyn Faria Briceno
1580 Santa Barbara Blvd |
$54.40 | 611 | 559 |
|
Nicole Marie Southcott
2910 Brownwood Blvd |
$79.93 | 504 | 481 |
|
Sadie Marie Smith
1040 Lake Sumter Lndg |
$58.57 | 494 | 476 |
|
Hassan Baydoun
1050 Old Camp Rd Ste 270 |
$9.94 | 473 | 368 |
|
Dorothy Lasky
2910 Brownwood Blvd |
$18.37 | 448 | 428 |
|
Lester V. Negron-Ayala
1580 Santa Barbara Blvd |
$16.86 | 430 | 354 |
|
Thiruvallur Vallabhan, Md, Pa
8630 E County Road 466 |
$34.41 | 409 | 372 |
|
Christos Constantine Christolias
1400 N Us Highway 441 Ste 930 |
$16.41 | 408 | 380 |
|
Alan Sonsky
1400 N Us Highway 441 Ste 810 |
$40.28 | 403 | 354 |
|
Vishnu P Yelamanchi
1050 Old Camp Rd |
$12.60 | 401 | 321 |
|
Swati Joshi
779 Kristine Way |
$66.45 | 401 | 378 |
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 The Villages, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in The Villages, FL is $40.30 per claim, based on 88,155 claims from 111 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 The Villages, FL?
There are 111 Medicaid providers offering Office Visit related services in The Villages, FL according to public payment data.
What is the price range for Office Visit in The Villages, FL?
Medicaid reimbursement for Office Visit in The Villages, FL ranges from $0.00 to $174.14 per claim, with an average of $40.30. 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 The Villages, FL
Urinalysis & Urine Tests
Avg $1.55
21,347 claims
Emergency Room Visit
Avg $66.66
17,367 claims
Blood Work & Lab Tests
Avg $4.46
13,224 claims
Home Health Visit
Avg $55.14
11,344 claims
Personal Care Services
Avg $26.64
10,701 claims
Nursing Facility Care
Avg $5.14
9,610 claims
Vaccines & Immunizations
Avg $11.17
7,088 claims
Psychiatric Evaluation
Avg $7.99
5,882 claims