Average Medicaid Office Visit Payments in Winter Haven, FL: $54.07
Avg. Paid
$54.07
Range
$0.00 – $116.79
Total Claims
250,254
Providers
167
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 Winter Haven, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laura Gonzalez
2775 Lake Alfred Rd |
$25.00 | 13 | 13 |
|
Juan R Rivera
500 E Central Ave |
$2.81 | 13 | 13 |
|
Logan Lawrence Christensen
250 Avenue K Sw Ste 200 |
$2.25 | 14 | 12 |
|
Amanda Marie Anderson
325 1St St N |
$9.16 | 14 | 12 |
|
Haldane W Porteous
635 1St St N |
$8.26 | 14 | 13 |
|
Shailesh Rajguru
500 E Central Ave |
$0.00 | 15 | 12 |
|
Dorayda Igarza Ayala
2775 Lake Alfred Rd |
$27.43 | 16 | 13 |
|
Joseph William Hauter
200 Avenue F Ne |
$31.01 | 16 | 16 |
|
K Wade Foster Md Pa
1450 6Th St Se |
$0.00 | 17 | 13 |
|
George Winny
1201 First Street South |
$0.00 | 17 | 16 |
|
Christa Lorgeat
2050 Havendale Blvd Nw Ste B |
$4.32 | 18 | 12 |
|
Paul Morin
3000 Woodmont Ave |
$0.00 | 19 | 13 |
|
Saundra Holseth
5535 Cypress Gardens Blvd Ste 270 |
$11.95 | 19 | 12 |
|
Choisette Damus
200 Avenue F Ne |
$26.32 | 20 | 14 |
|
Amy Renee Strohmaier
429 2Nd St Nw |
$68.96 | 24 | 24 |
|
Felicia Rowell Carrier
7450 Cypress Gardens Blvd # 7502 |
$20.70 | 29 | 25 |
|
Mary R De Sena
635 1St St N |
$4.29 | 30 | 26 |
|
Elizabeth A Drissel
550 Pope Ave Nw |
$61.51 | 32 | 28 |
|
Takkallapelli D Rao
1201 1St St S |
$3.20 | 33 | 33 |
|
Abby Jo Hyatt
325 1St St N |
$26.55 | 38 | 33 |
|
Weilin Liu
500 E Central Ave |
$46.75 | 39 | 33 |
|
Elizabeth Margaret Ennis
550 Pope Ave Nw Ste 200 |
$2.90 | 40 | 31 |
|
Sherif Isshak Ibrahim
325 1St St N |
$10.91 | 40 | 27 |
|
Nathan P Falk
1201 1St St S Ste 100A |
$39.78 | 42 | 38 |
|
Deborah Mirabelli
107 Southern Breeze Loop |
$67.47 | 44 | 44 |
|
Krysta Ann Clark
400 Avenue F Se Fl 1 |
$49.57 | 53 | 53 |
|
Arnold Epel
1514 1St St N |
$26.75 | 54 | 52 |
|
Jesse Romeu-Velez
500 E Central Ave |
$0.53 | 61 | 53 |
|
Debra Dehass Beachy
550 Pope Ave Nw Ste 200 |
$34.52 | 72 | 64 |
|
Saleel Fatima
550 Pope Ave Nw Ste 100 |
$58.81 | 74 | 73 |
|
Winter Haven Hospital Inc
200 Ave F Ne |
$4.98 | 75 | 66 |
|
Kenneth A Essig
7599 Cypress Gardens Blvd |
$14.47 | 80 | 68 |
|
Ahmad Kaako
200 Avenue F Ne |
$50.78 | 82 | 65 |
|
Marivette Machado Cortes
199 Avenue B Nw |
$22.98 | 84 | 65 |
|
Matthew William Berrios
7375 Cypress Gardens Blvd |
$29.61 | 90 | 69 |
|
Maresa Lugo
675 Avenue L Se |
$54.46 | 91 | 82 |
|
Garrison Frenklin Christian
120 Bates Ave Sw |
$1.21 | 99 | 83 |
|
Amanda Humphries
1201 1St St S |
$0.00 | 101 | 97 |
|
David Lipschitz
601 1St St N |
$2.65 | 101 | 84 |
|
Maria Del Mar Felix Morales
120 Bates Ave Sw |
$0.00 | 103 | 95 |
|
Adam Scott Berger
250 Avenue K Sw |
$5.55 | 107 | 99 |
|
Tristan Monroe Harrison
635 1St St N |
$2.76 | 110 | 91 |
|
Suk Moon
250 Avenue K Sw |
$2.69 | 117 | 98 |
|
Peng Jeffrey Hou
500 E Central Ave |
$10.53 | 119 | 82 |
|
Kelly Spence
200 Avenue F Ne |
$26.81 | 123 | 71 |
|
Valencia C Coffer
244 Avenue D Sw |
$22.49 | 127 | 124 |
|
Richard Lacalamito
601 1St St N |
$1.55 | 151 | 122 |
|
Moustafa Elsebey
550 Pope Ave Nw Ste 100 |
$32.80 | 157 | 155 |
|
Wendy Marie Clark
244 Avenue D Sw |
$29.96 | 160 | 143 |
|
Sheryl Carney
1201 1St St S |
$23.91 | 168 | 126 |
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 Winter Haven, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Winter Haven, FL is $54.07 per claim, based on 250,254 claims from 167 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 Winter Haven, FL?
There are 167 Medicaid providers offering Office Visit related services in Winter Haven, FL according to public payment data.
What is the price range for Office Visit in Winter Haven, FL?
Medicaid reimbursement for Office Visit in Winter Haven, FL ranges from $0.00 to $116.79 per claim, with an average of $54.07. 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 Winter Haven, FL
Blood Work & Lab Tests
Avg $2.09
253,740 claims
Physical Therapy
Avg $47.35
142,210 claims
Emergency Room Visit
Avg $70.39
127,135 claims
Vaccines & Immunizations
Avg $8.07
119,675 claims
Dental Cleaning & Exam
Avg $23.41
90,240 claims
Eye Exam
Avg $33.08
84,282 claims
Personal Care Services
Avg $61.37
82,318 claims
Behavioral & Mental Health Therapy
Avg $52.85
73,866 claims