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 |
|---|---|---|---|
|
James Leal
7050 Gall Blvd |
$106.67 | 12 | 12 |
|
David Sikes
38051 Market Sq |
$6.39 | 12 | 12 |
|
Elizabeth Agnes John
6340 Fort King Rd |
$39.84 | 12 | 12 |
|
Imran T Ismail
6606 Stadium Dr Ste A |
$0.00 | 13 | 13 |
|
Annette Suzanne Williams
7050 Gall Blvd |
$44.92 | 15 | 13 |
|
Linda Joseph Parenteau
7050 Gall Blvd |
$16.45 | 15 | 12 |
|
Mona Carol Mccullough
6719 Gall Blvd Ste 208 |
$56.07 | 16 | 14 |
|
Scott M Labohn
38105 13Th Ave |
$10.77 | 16 | 13 |
|
Thanh-Xuan Vu Le
7050 Gall Blvd |
$124.21 | 19 | 18 |
|
Michelle Linn Huffines
6733 Gall Blvd |
$83.96 | 25 | 25 |
|
Petros Tsambiras
36819 Eiland Blvd Ste 1 |
$23.27 | 30 | 14 |
|
Samina Reza
38135 Market Sq |
$0.00 | 35 | 33 |
|
Ashley Kay Johnston
38021 Market Square Dr |
$99.93 | 42 | 38 |
|
Paul Hughes
38135 Market Square |
$2.87 | 45 | 40 |
|
Himanshu J Patel
38135 Market Square Dr |
$23.87 | 47 | 41 |
|
Endri Afesllari
6326 Fort King Rd |
$36.10 | 47 | 39 |
|
Richard Francis Mcdonough
7315 Green Slope Dr |
$10.66 | 52 | 42 |
|
Ahmad Emara
38240 Daughtery Rd |
$30.33 | 60 | 54 |
|
Joanne Michele Turner
5036 7Th St |
$40.12 | 60 | 55 |
|
Shweta Ekka
38135 Market Sq |
$27.05 | 64 | 52 |
|
Marybel Morgan
38135 Market Sq |
$4.42 | 81 | 57 |
|
Stephanie M Williams
38240 Daughtery Rd |
$36.77 | 82 | 77 |
|
David Rivera
38051 Market Sq |
$0.90 | 83 | 75 |
|
Ernesto Rodriguez
38051 Market Sq |
$0.00 | 93 | 92 |
|
Robert J Valins Dpm Pa
6326 Fort King Rd |
$0.00 | 96 | 80 |
|
Jairo B Cruz
38192 Medical Center Ave |
$7.16 | 97 | 77 |
|
Kalyani R Meduri
6340 Fort King Rd |
$52.98 | 103 | 69 |
|
Angel R. Gonzalez-Rodriguez
36763 Eiland Blvd Ste 201 |
$2.01 | 104 | 90 |
|
Pavitar Singh Cheema
38023 Medical Center Ave |
$39.23 | 106 | 82 |
|
Maria Isabel Hicks
38051 Market Square Dr |
$59.88 | 114 | 98 |
|
Shauntae Alicia Baker
38135 Market Sq |
$295.39 | 114 | 112 |
|
Manjul Dilipbhai Derasari
36763 Eiland Blvd Ste 201 |
$3.50 | 115 | 91 |
|
Patrick Guthrie
7050 Gall Blvd |
$19.20 | 117 | 74 |
|
Kjersti L Schwartz
37840 Medical Arts Ct |
$22.69 | 122 | 110 |
|
Geoffrey Bruce Cady
6748 Gall Blvd |
$17.49 | 123 | 121 |
|
Cameron Cody Esmkhani
38135 Market Sq |
$29.73 | 128 | 106 |
|
Timothy C Kane
38021 Market Square Dr |
$25.59 | 133 | 116 |
|
Hana Tsege Hagos
7866 Gall Blvd |
$30.28 | 144 | 132 |
|
Khaled Shahrour
6748 Gall Blvd |
$28.57 | 151 | 115 |
|
Edward Wesley Bisher
38035 Medical Center Ave |
$29.06 | 151 | 130 |
|
Morayma Martinez
36763 Eiland Blvd |
$2.01 | 151 | 123 |
|
Vladimir Curkovic
6606 Stadium Dr |
$2.47 | 158 | 131 |
|
Yawer M Nensey
37908 Daughtery Road |
$7.10 | 158 | 136 |
|
Abdulghani Saadi
6833 Medical View Ln |
$22.58 | 161 | 131 |
|
William Kimball Bradfield
7050 Gall Blvd |
$26.38 | 187 | 157 |
|
Paul L Chakola
38152 Medical Center Ave |
$33.78 | 198 | 153 |
|
Frederick Lim
6748 Gall Blvd |
$45.03 | 217 | 200 |
|
Joseph W Nystrom
7213 Green Slope Dr |
$15.73 | 217 | 180 |
|
Tamara Elizabeth Sealy
38240 Daughtery Rd |
$41.79 | 236 | 214 |
|
Ohi West Medical Group Ii Llc
38135 Market Square Dr |
$0.00 | 244 | 223 |
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