Average Medicaid Office Visit Payments in West Miami, FL: $55.83
Avg. Paid
$55.83
Range
$3.44 – $110.01
Total Claims
81,278
Providers
10
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 West Miami, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jorge Luis Luaces
6222 Sw 8Th St |
$62.46 | 53,982 | 44,964 |
|
Avis Teresita Capote
6222 Sw 8Th St |
$58.18 | 12,214 | 10,164 |
|
Felipe Martinez
1350 Sw 57Th Ave |
$51.48 | 7,156 | 3,940 |
|
Juan Lazaro Brito Villalon
6400 Sw 8Th St |
$9.68 | 4,260 | 2,636 |
|
Liagnys Garcia
5975 Sw 8Th St |
$11.81 | 2,156 | 1,569 |
|
Johan Garcia Rodriguez
1350 Sw 57Th Ave |
$10.28 | 948 | 654 |
|
Marelys Sanchez
6400 Sw 8Th St |
$3.44 | 317 | 216 |
|
Florida Ent Associates, Inc.
1350 Sw 57Th Ave Ste 210 |
$10.70 | 129 | 98 |
|
Ibrahim H. Amjad, Md, Pa
1100 Sw 57Th Ave |
$110.01 | 70 | 68 |
|
Pedro Roig
1350 Sw 57Th Ave |
$14.16 | 46 | 37 |
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 West Miami, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Miami, FL is $55.83 per claim, based on 81,278 claims from 10 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 West Miami, FL?
There are 10 Medicaid providers offering Office Visit related services in West Miami, FL according to public payment data.
What is the price range for Office Visit in West Miami, FL?
Medicaid reimbursement for Office Visit in West Miami, FL ranges from $3.44 to $110.01 per claim, with an average of $55.83. 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 West Miami, FL
Vaccines & Immunizations
Avg $9.08
62,518 claims
Dental Filling
Avg $24.13
10,457 claims
Eye Exam
Avg $8.12
9,247 claims
Dental Cleaning & Exam
Avg $13.01
6,448 claims
Hearing Test (Audiometry)
Avg $12.84
3,046 claims
Behavioral & Mental Health Therapy
Avg $125.37
643 claims
Nursing Facility Care
Avg $0.60
489 claims
Blood Work & Lab Tests
Avg $0.18
380 claims