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 |
|---|---|---|---|
|
Craig Glaser
7375 Cypress Gardens Blvd |
$99.28 | 29,682 | 23,634 |
|
Kenny Nguyen
500 E Central Ave |
$68.50 | 23,514 | 16,680 |
|
Norah Maria Smith
550 Pope Ave Nw # 100 |
$38.43 | 16,038 | 14,844 |
|
Shoba Reddy Sama
1501 1St St S |
$34.28 | 10,851 | 8,279 |
|
Emanuel Crespo
217 E Central Ave |
$26.33 | 8,441 | 3,278 |
|
Sharon Renee Carver
1201 First Str S |
$100.55 | 8,261 | 7,924 |
|
Astrid Jannette Lopez
201 Magnolia Ave Sw |
$55.70 | 7,087 | 5,987 |
|
Diane M Mageau
201 Magnolia Ave Sw |
$36.57 | 6,336 | 5,497 |
|
Kollagunta Sreenivasa Chandrasekhar
320 1St St N |
$23.38 | 5,561 | 4,732 |
|
Alina Stanica
430 E Central Ave |
$63.20 | 5,348 | 4,661 |
|
Raul Alvarez
430 E Central Ave |
$70.19 | 4,816 | 4,408 |
|
Susan Sandoval
430 E Central Ave |
$75.28 | 4,662 | 4,155 |
|
Robert M Merritt
160 E Lake Howard Dr |
$95.39 | 3,870 | 3,287 |
|
Yan Wolfson
120 Bates Ave Sw |
$35.65 | 3,415 | 3,125 |
|
Michael Menachem Stuart
160 E Lake Howard Dr |
$106.47 | 3,366 | 2,854 |
|
Fouad Sam Moursi
1514 1St St N |
$41.68 | 3,063 | 2,605 |
|
Robert Ryland Atkins
1201 1St St S Ste 100A |
$38.94 | 2,924 | 2,302 |
|
Kevin Sarna
550 Pope Ave Nw Ste 200 |
$53.37 | 2,790 | 2,274 |
|
Yamira Bordas
244 Avenue D Sw |
$10.09 | 2,770 | 2,241 |
|
Romana Petrovich
430 E Central Ave |
$31.45 | 2,718 | 2,474 |
|
Karin L Miller
400 Avenue K Se Ste 6 |
$51.19 | 2,700 | 2,434 |
|
Beverley P Walker
550 Pope Ave Nw |
$29.31 | 2,655 | 2,070 |
|
Andrea Francis
201 Magnolia Ave Sw |
$29.72 | 2,599 | 2,254 |
|
Charles R Brooker
160 E Lake Howard Dr |
$95.03 | 2,597 | 2,212 |
|
Maria Eloisa Depadua
201 Magnolia Ave Sw |
$36.60 | 2,556 | 2,301 |
|
Michelle Henne
5535 Cypress Gardens Blvd Ste 270 |
$87.16 | 2,535 | 2,233 |
|
Bobbie Jo Thornton
1514 1St St N |
$53.90 | 2,530 | 2,078 |
|
Paul J Estrada
7504 Cypress Gardens Blvd |
$33.20 | 2,455 | 2,125 |
|
Rebecca Nicole Thomas
635 1St St N |
$33.54 | 2,378 | 2,190 |
|
Joseph Scott Kennedy
550 Pope Ave Nw |
$24.23 | 2,327 | 2,124 |
|
Obinna Uchenna Nwobi
1121 1St St S |
$32.48 | 2,303 | 1,827 |
|
Heather Sammons Whitworth
435 2Nd St Ne |
$68.22 | 2,194 | 2,037 |
|
Nixon Simon
1514 1St St N |
$40.91 | 2,154 | 1,903 |
|
Mona Sue Mcdowell
1514 1St St N |
$40.59 | 1,947 | 1,686 |
|
Hassan M Ebrahim
200 Avenue F Ne |
$27.29 | 1,862 | 1,471 |
|
Ruben Edgardo Perez
350 1St St N |
$20.35 | 1,783 | 1,407 |
|
Sara Baker
201 Magnolia Ave Sw |
$22.67 | 1,688 | 1,500 |
|
Housam Moursi
200 Avenue F Ne |
$56.36 | 1,688 | 1,409 |
|
Raul Javier Vargas Rivera
217 E Central Ave |
$53.11 | 1,677 | 1,297 |
|
Kelechi N Esoga
7558 Cypress Gardens Blvd |
$40.54 | 1,625 | 1,418 |
|
Jennifer Albritton Sapp
201 Magnolia Ave Sw |
$23.97 | 1,564 | 1,431 |
|
Juan L Joy
50 2Nd St Se |
$68.43 | 1,534 | 1,383 |
|
Paul T Wielebinski
550 Pope Ave Nw Ste 200 |
$78.07 | 1,477 | 1,314 |
|
Kimberly Gaznabie
120 Bates Ave Sw |
$40.15 | 1,416 | 1,085 |
|
Zaheed Tai
635 1St St N |
$9.93 | 1,359 | 1,044 |
|
Richard Hostler
50 2Nd St Se |
$53.06 | 1,357 | 1,259 |
|
Trusha Patel
950 Frist Street South |
$13.47 | 1,343 | 960 |
|
Lisa Lynn Alianiello
101 Avenue O Se |
$80.70 | 1,331 | 1,085 |
|
Lyna Campo Ellis
200 Avenue F Ne |
$52.20 | 1,310 | 761 |
|
Ebony Monique Rollins
130 Bates Ave Sw Ste 111 |
$22.13 | 1,287 | 1,233 |
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