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 |
|---|---|---|---|
|
Millie K Goetz
1201 N 18Th St |
$2.83 | 12 | 12 |
|
Timothy Shane Martin
2110 N Willis St |
$4.97 | 12 | 12 |
|
Brettly Joel Teague
4342 Treanor Dr |
$33.23 | 12 | 12 |
|
Valarie Denise Crawford
3300 S 14Th St Ste 207 |
$8.16 | 12 | 12 |
|
Whitney Sara Kafer
1904 Pine St Ste 3A |
$42.93 | 12 | 12 |
|
Tina Fong Ning
1201 N 18Th St |
$4.98 | 13 | 13 |
|
Jaime H Gomez
4716 S 14Th St |
$13.21 | 13 | 13 |
|
Melanie Renae Choate
1633 Cottonwood St |
$12.83 | 13 | 12 |
|
Marcus Samuel Davis
1210 N 18Th St |
$35.47 | 13 | 13 |
|
Amelia Y Yeh
3210 Antilley Rd |
$2.56 | 13 | 13 |
|
Evan Lowell Hardegree
1201 N 18Th St |
$24.48 | 14 | 12 |
|
Robert Asamoah Totoe
1366 N Treadaway Blvd |
$89.20 | 15 | 15 |
|
Nikki M Nazworth
4225 Woods Pl Bldg 2 |
$21.20 | 15 | 13 |
|
Lindsey L Jacques
1150 N 18Th St Ste 200 |
$24.82 | 17 | 14 |
|
Jessica Moore
4351 Ridgemont Dr Ste A |
$16.32 | 18 | 15 |
|
Khuzam Abdalla
6300 Regional Plz Ste 650 |
$51.80 | 18 | 16 |
|
Amy Gwira Creppy
1904 Pine Street |
$66.73 | 19 | 19 |
|
Tiffany J Garrett
3347 S 2Nd St |
$103.98 | 25 | 25 |
|
Jessica Castillo
4351 Ridgemont Dr Ste A |
$9.85 | 25 | 25 |
|
Tamara Stojanovic
1904 Pine St |
$2.64 | 27 | 26 |
|
Jimmy Strong
1850 Hickory St |
$38.67 | 29 | 27 |
|
David Michael Stark
1749 Pine St |
$19.70 | 32 | 25 |
|
Dustin Greg Allen
2074 Antilley Rd |
$21.16 | 37 | 28 |
|
Udaya S Swarna
1201 N 18Th St |
$16.16 | 40 | 37 |
|
Jared Johnson
1888 Antilley Rd Ste 200 |
$29.65 | 41 | 39 |
|
Elsa Lee Throckmorton
1749 Pine St |
$41.22 | 43 | 42 |
|
Chad A Walters
1309 Hickory St |
$45.24 | 50 | 41 |
|
Chandler Blair Milliorn
1665 Antilley Rd Ste 230 |
$26.05 | 50 | 49 |
|
Mary Patricia Arth
2501 Maple St |
$22.24 | 50 | 47 |
|
Anderson Okafor
1150 N 18Th St Ste 300 |
$36.23 | 50 | 49 |
|
Anton M Melnyk
1100 N 19Th St |
$27.75 | 52 | 48 |
|
Clarise Nyenty Agbor
1326 S 14Th St Ste D-D1 |
$20.95 | 54 | 52 |
|
Edward Lee Gates
6250 Hwy. 83-84 At Antilley Rd |
$8.68 | 54 | 39 |
|
Jessica Lyn Perini
1665 Antilley Rd Ste 260 |
$30.14 | 54 | 53 |
|
Vivek Reddy Garlapati
1904 Pine St Ste 1B |
$7.58 | 56 | 53 |
|
Abel Eugene Biesman
1665 Antilley Rd Ste 200 |
$31.01 | 58 | 53 |
|
John Houston Casada
1 Village Dr Ste 350 |
$21.58 | 64 | 61 |
|
Larry W Lin
1201 N 18Th St |
$4.55 | 66 | 66 |
|
Cassi Crouch
1801 Hickory St |
$51.11 | 70 | 68 |
|
Katherine Wilson
6200 Regional Plz |
$22.01 | 73 | 67 |
|
Steven Smith
1210 N 18Th St |
$58.58 | 74 | 72 |
|
Anca D Pacuraru
2959 Buffalo Gap Rd |
$19.48 | 76 | 74 |
|
Loree Elliott
4400 Buffalo Gap Rd Ste 2750 |
$18.75 | 80 | 66 |
|
Robert L Striegler
1904 Pine St |
$23.49 | 82 | 77 |
|
Nadine Baptiste
2626 S Clack St |
$15.89 | 83 | 69 |
|
Zoie Walker
6200 Regional Plz Ste 1675 |
$67.40 | 87 | 79 |
|
Padgett Parker
1850 Hickory St Ste 200F |
$51.80 | 87 | 85 |
|
Allan Sebastian Ganesh
6200 Regional Plz |
$1.61 | 90 | 57 |
|
Mohammad Maher Al Sayyad
1904 Pine St Ste 1D |
$1.64 | 96 | 95 |
|
Cecelia Nicole Erickson
950 N 19Th St Ste 100 |
$24.22 | 97 | 91 |
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