Average Medicaid Pregnancy & Prenatal Care Payments in Miami, FL: $282.91
Avg. Paid
$282.91
Range
$13.48 – $1,554
Total Claims
22,770
Providers
52
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 Miami, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adrian Tomas Marimon
11760 Sw 40Th Street |
$405.92 | 8,482 | 7,057 |
|
Rafael J Arcone
8200 Sw 117Th Ave Ste 304 |
$48.60 | 2,606 | 1,673 |
|
Maa Ob/Gyn Inc
3659 S Miami Ave |
$112.20 | 1,715 | 1,344 |
|
Nathalie Castillo
3601 Federal Hwy |
$105.32 | 1,120 | 718 |
|
Suzette Delgado
10700 N Kendall Dr |
$445.26 | 988 | 923 |
|
Susan Fox
8501 Sw 124Th Ave |
$81.67 | 982 | 784 |
|
Gabriel Evaristo Camacho
8900 N Kendall Dr |
$73.43 | 852 | 779 |
|
Clones Lans
70 Ne 167Th St |
$164.57 | 688 | 583 |
|
Veronica Marie Alvarez-Galiana
15155 Sw 97Th Ave Ste 230 |
$268.12 | 648 | 514 |
|
Mark Rohan Spence
1190 Nw 95Th St Ste 203 |
$589.04 | 497 | 412 |
|
Adrian Joseph Abreu
1611 Nw 12Th Ave |
$28.11 | 441 | 393 |
|
Miguel Arcangel Albert
3659 S Miami Ave |
$166.77 | 404 | 361 |
|
Jorge A Fernandez-Sanchez, Md, Pa
9010 Sw 59Th St |
$70.83 | 377 | 362 |
|
Eric Stanton Runyon
11760 Sw 40Th St Ste 654 |
$144.99 | 314 | 285 |
|
Jessica Ileana Medina
11760 Sw 40Th St Ste 654 |
$37.63 | 240 | 200 |
|
Janice M Moscoso
1611 Nw 12Th Ave |
$1,297 | 204 | 195 |
|
Lorilee Agatha Graham
10300 Sw 216Th St |
$31.24 | 188 | 167 |
|
Julio E Arronte
8200 Sw 117Th Ave |
$342.28 | 152 | 144 |
|
Humberto Barrios
7500 Sw 8Th St |
$147.17 | 152 | 140 |
|
Pouya Abhari
1611 Nw 12Th Ave # 4070 |
$53.19 | 152 | 97 |
|
Eduardo Valdes
3659 S Miami Ave Ste 6006 |
$13.48 | 140 | 128 |
|
Pierre B. Eugene
3601 Federal Hwy |
$496.72 | 121 | 77 |
|
Rafine Moreno-Jackson
8720 N Kendall Dr Ste 118 |
$397.58 | 112 | 108 |
|
Lydia Ann Fein
1321 Nw 14Th St Ste 201 |
$1,180 | 109 | 93 |
|
Gabriel Valverde Tavarez
8950 N Kendall Dr Ste 302 |
$548.90 | 105 | 103 |
|
Cecilia Eugenia Torres Ochoa
1611 Nw 12Th Ave |
$1,064 | 91 | 80 |
|
Allen Hooman Silanee
11645 Biscayne Blvd Ste 405 |
$174.18 | 77 | 27 |
|
Salih Y Yasin
1611 Nw 12Th Ave |
$1,088 | 72 | 66 |
|
Alba Teresa Martinez
9210 Sw 72Nd St |
$46.50 | 70 | 68 |
|
Austin Zanelotti
8932 Sw 97Th Ave Ste L |
$1,157 | 60 | 52 |
|
Sabrina Maria Pastor Carvajal
1611 Nw 12Th Ave |
$1,403 | 55 | 52 |
|
Vitalmd Group Holding Llc
3225 Aviation Ave |
$126.13 | 55 | 53 |
|
Sheryl R Facey
11645 Biscayne Blvd Ste 408 |
$979.24 | 51 | 50 |
|
Christopher De Haydu
8200 Sw 117Th Ave Ste 304 |
$386.00 | 46 | 44 |
|
Gerald P Pierre
10300 Sw 216Th St |
$258.52 | 46 | 30 |
|
Taalibah Ahmed
9380 Sw 150Th St Ste 200 |
$285.67 | 38 | 26 |
|
Kathryn Fanning
1611 Nw 12Th Ave |
$1,005 | 35 | 27 |
|
Judith Pardo
1611 Nw 12Th Ave |
$31.90 | 32 | 32 |
|
Medical Care For Women Llc
1190 Nw 95Th St Ste 105 |
$105.73 | 31 | 27 |
|
Victoria Eugenia Guerrero Gorman
1611 Nw 12Th Ave # 4070 |
$720.14 | 30 | 26 |
|
Albert Triana
Mercy Professional Building |
$46.82 | 25 | 25 |
|
Rosana Rodriguez
10700 N Kendall Dr |
$602.94 | 24 | 24 |
|
Lysbeth L Germain-George
5361 Nw 22Nd Ave |
$648.76 | 21 | 12 |
|
Jorge J Garcia
1611 Nw 12Th Ave |
$33.99 | 16 | 13 |
|
Alberto Sirven
8200 Sw 117Th Ave |
$242.22 | 15 | 15 |
|
Pauline Rozelle Theobalds
10700 N Kendall Dr Ste 200 |
$35.20 | 15 | 15 |
|
Michelle Fletcher
1150 Nw 14Th St Ste 502 |
$1,554 | 13 | 13 |
|
Patricia Perfetto Pila
8200 Sw 117Th Ave |
$1,311 | 13 | 13 |
|
Jaime Dickerson
1150 Nw 14Th St Fl 5 |
$1,057 | 13 | 12 |
|
Jacqueline Mercedes Sanchez
1150 Nw 14Th St Ste 507 |
$732.80 | 13 | 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 Miami, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Miami, FL is $282.91 per claim, based on 22,770 claims from 52 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 Miami, FL?
There are 52 Medicaid providers offering Pregnancy & Prenatal Care related services in Miami, FL according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Miami, FL?
Medicaid reimbursement for Pregnancy & Prenatal Care in Miami, FL ranges from $13.48 to $1,554 per claim, with an average of $282.91. 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 Miami, FL
Home Health Visit
Avg $43.52
13,238,394 claims
Personal Care Services
Avg $33.56
10,537,763 claims
Non-Emergency Medical Transportation
Avg $17.85
8,361,700 claims
Behavioral & Mental Health Therapy
Avg $96.96
6,731,703 claims
Blood Work & Lab Tests
Avg $1.65
5,777,945 claims
Office Visit
Avg $49.15
4,998,845 claims
Case Management Services
Avg $82.94
3,929,993 claims
Physical Therapy
Avg $41.78
3,470,277 claims