Average Medicaid Office Visit Payments in Abilene, TX: $40.98
Avg. Paid
$40.98
Range
$1.61 – $223.18
Total Claims
345,281
Providers
224
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 Abilene, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brent Michael Steadman
6450 Central Park Blvd |
$35.23 | 16,895 | 14,384 |
|
Kelly Michelle Palmere
2150 Cedar St |
$48.32 | 16,225 | 14,749 |
|
Pearl Valentina Guerrero Wagley
1850 Hickory St Ste 102 |
$36.28 | 11,330 | 10,760 |
|
Rebecca Reyes
1933 Pine St |
$47.09 | 11,147 | 8,130 |
|
Amy Mcclatchy
1850 Hickory St |
$41.87 | 10,984 | 10,205 |
|
Tushar M Shah
2150 Cedar St |
$45.52 | 10,542 | 9,525 |
|
Nathan Daniel Speer
2150 Cedar St |
$44.17 | 8,834 | 8,173 |
|
Arthur Tuegel
1850 Hickory St |
$42.68 | 8,749 | 8,195 |
|
Heidi Benson
1850 Hickory St |
$34.63 | 8,741 | 8,274 |
|
Claudia Elizabeth Gomez
1850 Hickory St Ste 102 |
$42.28 | 7,847 | 7,292 |
|
Holly Elsbeth Dunn
1933 Pine Ste |
$65.03 | 7,791 | 6,418 |
|
Lydia Elizabeth Ezzell
1850 Hickory Street |
$35.98 | 7,753 | 7,361 |
|
Emily Catherine Hart
1850 Hickory St Ste 102 |
$45.66 | 7,465 | 6,958 |
|
Ellen B West
1850 Hickory St |
$45.78 | 7,388 | 6,973 |
|
Madeline Jordan
1850 Hickory St |
$36.10 | 7,265 | 6,851 |
|
Paige H Lemasters
2150 Cedar St |
$41.62 | 6,562 | 6,173 |
|
Yogeshkumar T. Patel
14 Hospital Dr |
$39.88 | 6,489 | 6,022 |
|
Waseem Ahmed
1680 Antilley Rd Ste 320 |
$31.08 | 6,044 | 5,613 |
|
Bradley Allen Barham
1850 Hickory St |
$43.15 | 5,790 | 5,344 |
|
Rashmi Jane Shringer
6300 Regional Plz Ste 650 |
$34.21 | 5,614 | 4,699 |
|
Timothy P Bumann
6250 Antilley Rd |
$15.16 | 4,935 | 1,778 |
|
Jami Alicia Adams
6300 Regional Plz Ste 250 |
$45.70 | 4,498 | 4,175 |
|
Blake Aaron Sutton
4351 Ridgemont Dr Ste A |
$25.49 | 4,211 | 4,017 |
|
Antao Du
1904 Pine St Ste 200 |
$38.09 | 4,158 | 3,989 |
|
Jerry M. Tarver
4351 Ridgemont Dr Ste A |
$29.56 | 3,994 | 3,801 |
|
Michael S Barris
6250 Regional Plz Ste 1060 |
$102.08 | 3,973 | 3,577 |
|
Elvira Garcia
6250 Regional Plz |
$34.03 | 3,785 | 3,451 |
|
Henry Mbah Chick Fosah
1210 N 18Th St |
$38.51 | 3,663 | 3,455 |
|
Jessica Ann Ortolano
1850 Hickory St |
$44.10 | 3,584 | 2,437 |
|
Stephen Lynn Mcclintock
4351 Ridgemont Dr Ste A |
$31.47 | 3,537 | 3,110 |
|
Timothy Joseph Hill
1924 Pine St Ste 401B |
$62.51 | 3,360 | 2,666 |
|
Justin Ladell Harrison
1633 Cottonwood St |
$38.43 | 2,982 | 2,628 |
|
Taylor Reed Tidmore
1233 N 18Th St |
$54.37 | 2,964 | 2,799 |
|
Jacqueline Dozier Zimmerman
1904 Pine St Ste 4A |
$44.46 | 2,852 | 1,918 |
|
Rebecca J'Nae Perkins
1749 Pine St |
$35.40 | 2,806 | 2,402 |
|
Lacey Dawn Clawson
6250 Regional Plz Ste 1016 |
$31.15 | 2,770 | 2,496 |
|
Richard D Stanley
6250 Regional Plz |
$30.44 | 2,728 | 1,688 |
|
Wendi Rice
1924 Pine St |
$44.56 | 2,636 | 1,837 |
|
Oyewole Jacob Olanrewaju
1150 N 18Th St Ste 300 |
$58.40 | 2,581 | 2,436 |
|
Landry Cy Gwin
1850 Hickory St Ste 102 |
$46.84 | 2,255 | 2,099 |
|
Suzanne A Butz
3802 Calclaw Drive |
$58.98 | 2,236 | 2,008 |
|
Judy Creech
2626 S Clack St |
$33.68 | 2,122 | 2,046 |
|
Sobie Maduka
1150 N 18Th St Ste 200 |
$63.79 | 2,072 | 1,896 |
|
Donald M Bradshaw
3802 Catclaw Dr |
$60.62 | 2,071 | 1,844 |
|
Jaxon William Jordan
1233 N 18Th St |
$55.48 | 2,065 | 1,948 |
|
Lynn Marie Robinson
1665 Antilley Rd Ste 120 |
$37.43 | 2,019 | 1,913 |
|
Bonnie Hong Hayashi
1904 Pine St Ste 200 |
$49.45 | 1,997 | 1,840 |
|
Stuart Martin
1924 Pine St |
$62.41 | 1,997 | 1,503 |
|
Harriet Roberts
2626 S Clack St |
$35.68 | 1,946 | 1,897 |
|
Min Gao
1904 Pine St |
$21.48 | 1,922 | 1,769 |
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 Abilene, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Abilene, TX is $40.98 per claim, based on 345,281 claims from 224 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 Abilene, TX?
There are 224 Medicaid providers offering Office Visit related services in Abilene, TX according to public payment data.
What is the price range for Office Visit in Abilene, TX?
Medicaid reimbursement for Office Visit in Abilene, TX ranges from $1.61 to $223.18 per claim, with an average of $40.98. 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 Abilene, TX
Vaccines & Immunizations
Avg $6.21
246,070 claims
Dental Cleaning & Exam
Avg $38.56
210,377 claims
Home Health Visit
Avg $23.56
196,909 claims
Blood Work & Lab Tests
Avg $3.45
139,772 claims
Personal Care Services
Avg $38.85
113,483 claims
Speech Therapy
Avg $50.50
86,288 claims
Physical Therapy
Avg $38.02
83,733 claims
Emergency Room Visit
Avg $133.80
82,993 claims