Average Medicaid Office Visit Payments in Zephyrhills, FL: $46.03
Avg. Paid
$46.03
Range
$0.00 – $295.39
Total Claims
208,700
Providers
109
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 Zephyrhills, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Delisa Gay Heron
37920 Medical Arts Ct |
$33.47 | 42,472 | 38,993 |
|
Fmc Urgent Care Llc
38021 Market Sq |
$72.39 | 17,604 | 11,763 |
|
Wilma Alexandra Da Souza
37920 Medical Arts Ct |
$35.67 | 14,718 | 13,336 |
|
Farhan Rehman
38240 Daughtery Rd |
$43.11 | 9,530 | 8,859 |
|
Michelle Villar-Diaz
7050 Gall Blvd |
$40.89 | 8,644 | 7,257 |
|
Wee Care Clinic Inc.
38184 Medical Center Ave |
$80.98 | 8,329 | 7,701 |
|
Harris Kaplan
6326 Fort King Rd |
$110.98 | 7,886 | 7,674 |
|
Bahaa Amer
37920 Medical Arts Ct |
$63.77 | 6,085 | 3,793 |
|
Susanna Marie Costello
38184 Medical Center Ave |
$65.16 | 5,600 | 4,141 |
|
Kathryn Rita Lin
6712 Dairy Rd |
$66.43 | 4,789 | 4,387 |
|
Maher Salam
6340 Fort King Rd |
$50.05 | 4,218 | 3,968 |
|
Florida Medical Clinic Llc
38135 Market Square |
$5.63 | 4,029 | 3,316 |
|
Vikas R Soma
38035 Medical Center Ave |
$56.75 | 3,996 | 3,536 |
|
Ketul Chauhan
38035 Medical Center Avenue |
$53.26 | 3,707 | 3,222 |
|
Chetan Khamare
38035 Medical Center Ave |
$50.31 | 3,552 | 3,083 |
|
Premier Heart And Vascular Center, Pa
38035 Medical Center Avenue |
$66.56 | 3,367 | 2,868 |
|
Michael Ivan Weiss
7050 Gall Blvd |
$53.69 | 3,250 | 2,857 |
|
Sherrie-Ann Nicole Webb
7217 Green Slope Dr |
$35.38 | 3,031 | 2,766 |
|
Amir Quefatieh
6719 Gall Blvd |
$29.64 | 2,628 | 2,046 |
|
Robert Jay Valins
6326 Fort King Rd |
$27.65 | 2,492 | 1,990 |
|
Aung Tun
6833 Medical View Ln |
$21.05 | 2,459 | 1,977 |
|
Kozhimala Thomas John
6336 Fort King Rd |
$13.28 | 2,364 | 1,291 |
|
Abdul Ghani
5821 Gall Blvd |
$24.59 | 2,340 | 1,796 |
|
Soneath Lang Hang Pond
7745 Gall Blvd |
$57.51 | 2,321 | 2,061 |
|
Ghazanfar Khadim
6833 Medical View Ln |
$22.51 | 2,006 | 1,630 |
|
Joseph Derbyshire
6310 Fort King Rd |
$78.70 | 1,696 | 1,482 |
|
Moethu Win
6833 Medical View Ln |
$21.87 | 1,665 | 1,340 |
|
Kristen J Ryan
6336 Fort King Rd |
$22.72 | 1,657 | 1,191 |
|
Domenick Anthony Calise
6326 Fort King Rd |
$17.29 | 1,642 | 1,168 |
|
Sunil Gupta
38035 Medical Center Ave |
$31.84 | 1,610 | 1,491 |
|
Yee Leng Ong Lilienthal
36521 State Road 54 |
$2.74 | 1,583 | 1,489 |
|
Huy Doan Khuu
38035 Medical Center Ave |
$50.46 | 1,509 | 1,282 |
|
Thomas A John
6340 Fort King Rd |
$36.54 | 1,331 | 998 |
|
Gabriel John Somori
36763 Eiland Blvd Ste 201 |
$1.48 | 1,310 | 1,027 |
|
Maria Olga Villa
7050 Gall Blvd |
$46.55 | 1,266 | 1,126 |
|
Juan Cevallos
38051 Market Square |
$0.73 | 1,265 | 889 |
|
U Khin
37924 Medical Arts Ct |
$31.13 | 1,147 | 901 |
|
Barkat U Khan
38135 Market Square Dr Ste 107 |
$3.40 | 1,113 | 921 |
|
Niti A Amin
6719 Gall Blvd Ste 106 |
$44.27 | 1,058 | 983 |
|
Marcella P Jones
5935 7Th St |
$64.83 | 1,010 | 966 |
|
Tina Mathenia
7050 Gall Blvd |
$15.92 | 997 | 849 |
|
Bertram A Lewis
6748 Gall Blvd |
$22.48 | 979 | 635 |
|
Harry G Blackstone
7213 Green Slope Dr |
$23.97 | 962 | 792 |
|
Donna E Connors
38030 Daughtery Rd |
$29.31 | 886 | 601 |
|
Maria E Beltran-Walshe
6326 Fort King Rd |
$25.20 | 805 | 656 |
|
Gregory Dean Baisden
7050 Gall Blvd |
$83.85 | 713 | 639 |
|
Cynthia Fagan
38184 Medical Center Ave |
$32.24 | 706 | 673 |
|
Susan R Hinds
7217 Green Slope Dr |
$30.59 | 702 | 587 |
|
Venugopal Palani
7050 Gall Blvd |
$54.56 | 648 | 581 |
|
Thomas Stross
37840 Medical Arts Ct |
$10.15 | 600 | 472 |
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 Zephyrhills, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Zephyrhills, FL is $46.03 per claim, based on 208,700 claims from 109 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 Zephyrhills, FL?
There are 109 Medicaid providers offering Office Visit related services in Zephyrhills, FL according to public payment data.
What is the price range for Office Visit in Zephyrhills, FL?
Medicaid reimbursement for Office Visit in Zephyrhills, FL ranges from $0.00 to $295.39 per claim, with an average of $46.03. 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 Zephyrhills, FL
EKG / ECG (Electrocardiogram)
Avg $3.22
45,098 claims
Emergency Room Visit
Avg $70.57
31,449 claims
Nursing Facility Care
Avg $4.00
28,868 claims
Home Health Visit
Avg $0.85
26,125 claims
Blood Work & Lab Tests
Avg $1.90
19,461 claims
Dental Cleaning & Exam
Avg $21.07
19,285 claims
Vaccines & Immunizations
Avg $8.90
17,641 claims
Echocardiogram
Avg $43.82
14,700 claims