Average Medicaid Pregnancy & Prenatal Care Payments in Brandon, FL: $475.73
Avg. Paid
$475.73
Range
$30.40 – $998.46
Total Claims
10,944
Providers
28
Typical Payment Range
Typical Medicaid Pregnancy & Prenatal Care payments fall between $70.83 and $584.62 per claim (median: $133.32). The top 10% of payments exceed $983.55.
Based on per-provider averages across all Medicaid claims in this category.
Prenatal care services monitor the health of the mother and developing baby throughout pregnancy, including routine exams, ultrasounds, and lab work.
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 Pregnancy & Prenatal Care in Brandon, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eric Justin Edwards
505 Oakfield Dr |
$846.77 | 2,959 | 2,638 |
|
Jill Levine Hechtman
401 Oakfield Dr |
$686.85 | 1,934 | 1,755 |
|
Urmila J. Patel
505 Oakfield Dr |
$102.01 | 800 | 676 |
|
Kathryn Hegland Leenhouts
515 S Kings Ave |
$998.46 | 768 | 737 |
|
Zayda Chamorro
515 S Kings Ave Ste 3000 |
$116.68 | 522 | 339 |
|
Shakeira Pinedo Mones
515 S Kings Ave Ste 3100 |
$53.10 | 489 | 474 |
|
Shera Michel
515 S Kings Ave Ste 1300 |
$48.94 | 451 | 406 |
|
Nicole Joy Mcconnell
515 S Kings Ave Ste 3000 |
$120.98 | 424 | 263 |
|
Stephen Irwin Wagner
401 Oakfield Dr |
$38.92 | 417 | 332 |
|
Darcy N. Bryan
515 S Kings Ave Ste 3000 |
$97.39 | 365 | 188 |
|
Zaira Joanna Moreno
515 S Kings Ave Ste 3000 |
$116.23 | 325 | 204 |
|
Amy L Lysy
515 S Kings Ave Ste 3000 |
$107.47 | 251 | 177 |
|
Elaine Mary Brantley
515 S Kings Ave Ste 3000 |
$85.30 | 228 | 195 |
|
Miriah Beth Denbo
515 S. Kings Avenue, |
$243.81 | 194 | 173 |
|
Allyson V Jones
515 S Kings Ave Ste 3000 |
$167.65 | 163 | 138 |
|
Dorothy T Lee-Evenson
515 S Kings Ave Ste 3000 |
$117.16 | 132 | 129 |
|
Roberto Burgos-Rodriguez
515 S Kings Ave Ste 3000 |
$807.20 | 124 | 117 |
|
Jennifer Marie Berndt
515 S Kings Ave Ste 3100 |
$31.82 | 88 | 78 |
|
Swati Sanabria
515 S Kings Ave |
$45.36 | 43 | 41 |
|
Gerri Dibartolo
505 Oakfield Dr |
$67.31 | 42 | 39 |
|
Mariel Carolina Rotundo-Patino
515 S Kings Ave Ste 1300 |
$236.77 | 41 | 38 |
|
Kimberly A Verbarg
215 Lithia Pinecrest Rd |
$45.76 | 39 | 28 |
|
Marian Antonette Sampson
815 S Parsons Ave |
$71.06 | 33 | 25 |
|
Sarasija Ravindra Nagella
515 S Kings Ave Ste 3100 |
$151.37 | 30 | 25 |
|
Medjine Noel
515 S Kings Ave Ste 3000 |
$30.40 | 24 | 12 |
|
Steven M Granger
515 S Kings Ave Ste 3100 |
$197.76 | 24 | 24 |
|
Stephen M Zweibach
204 Oakfield Dr |
$180.55 | 19 | 15 |
|
Maruja Fernandez
515 S Kings Ave Ste 3100 |
$185.97 | 15 | 12 |
What to Expect: Pregnancy & Prenatal Care
Prenatal visits occur monthly in the first two trimesters, then more frequently. Early visits include a full health history, blood work, and dating ultrasound. Subsequent visits check blood pressure, weight, urine, and fetal heartbeat. Anatomy ultrasound is done around 20 weeks. Glucose screening occurs at 24-28 weeks. Visits become weekly in the final month.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 59425 | Antepartum care 4-6 visits | $61.80 | 3,944,438 | 4,039 |
| 59426 | Antepartum care 7+ visits | $128.57 | 1,377,597 | 2,059 |
| 59430 | Postpartum care only | $83.88 | 974,460 | 3,800 |
| 59409 | Vaginal delivery only | $603.80 | 683,557 | 3,289 |
| 59514 | Cesarean delivery only | $402.77 | 268,540 | 1,509 |
| 59400 | Routine obstetric care vaginal | $1,660 | 177,823 | 996 |
| 59410 | Vaginal delivery w/postpartum | $808.16 | 68,014 | 583 |
| 59515 | Cesarean delivery w/postpartum | $663.35 | 28,695 | 217 |
| 59510 | Routine obstetric care cesarean | $1,678 | 25,421 | 152 |
| 59612 | VBAC delivery only | $878.81 | 56 | 3 |
| 59620 | Repeat cesarean delivery only | $314.45 | 26 | 1 |
| 59610 | Routine OB care VBAC | — | — | — |
| 59614 | VBAC delivery w/postpartum | — | — | — |
| 59618 | Routine OB care repeat cesarean | — | — | — |
| 59622 | Repeat cesarean w/postpartum | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Pregnancy & Prenatal Care cost in Brandon, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Brandon, FL is $475.73 per claim, based on 10,944 claims from 28 providers. Typical payments fall between $70.83 and $584.62. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Pregnancy & Prenatal Care in Brandon, FL?
There are 28 Medicaid providers offering Pregnancy & Prenatal Care related services in Brandon, FL according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Brandon, FL?
Medicaid reimbursement for Pregnancy & Prenatal Care in Brandon, FL ranges from $30.40 to $998.46 per claim, with an average of $475.73. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pregnancy & Prenatal Care in Other Cities
Indianapolis, IN
Avg $91.13
294,166 claims · 246 providers
Bakersfield, CA
Avg $112.46
262,587 claims · 74 providers
Fresno, CA
Avg $14.81
153,894 claims · 79 providers
New York, NY
Avg $147.67
132,979 claims · 61 providers
Sacramento, CA
Avg $28.38
124,581 claims · 68 providers
Riverside, CA
Avg $77.93
123,836 claims · 33 providers
Fort Wayne, IN
Avg $74.47
106,706 claims · 71 providers
San Bernardino, CA
Avg $92.56
105,560 claims · 25 providers
Other Procedures in Brandon, FL
Office Visit
Avg $47.61
459,044 claims
Vaccines & Immunizations
Avg $6.30
269,358 claims
Emergency Room Visit
Avg $76.35
216,226 claims
Speech Therapy
Avg $40.79
196,736 claims
Personal Care Services
Avg $45.73
115,994 claims
Behavioral & Mental Health Therapy
Avg $67.46
105,302 claims
Blood Work & Lab Tests
Avg $25.56
103,173 claims
Dental Cleaning & Exam
Avg $24.88
100,927 claims