Average Medicaid Office Visit Payments in Alice, TX: $19.86
Avg. Paid
$19.86
Range
$7.49 – $551.88
Total Claims
57,179
Providers
31
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 Alice, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nirupama P Patel
415 E 4Th St |
$14.57 | 23,018 | 19,895 |
|
Maria Annabel Perez
305 E 3Rd St |
$9.48 | 7,582 | 6,970 |
|
Sergio Saul Cantu
779 N Texas Blvd |
$17.86 | 5,511 | 4,652 |
|
Carlos Rafael Elizondo
230 S Gulf St |
$20.09 | 5,173 | 4,562 |
|
Usman Qureshi
1008 Medical Center Blvd |
$14.88 | 4,532 | 4,318 |
|
Annie M Diaz
1008 Medical Center Blvd |
$14.00 | 2,331 | 2,208 |
|
Elva B Torres
700 Flournoy Rd Ste 2A |
$42.33 | 1,704 | 1,431 |
|
Valerie Salas
603 E 1St St |
$75.59 | 1,152 | 1,036 |
|
Community Action Corporation Of South Texas
700 Flournoy Rd Ste 2A |
$19.45 | 1,081 | 1,011 |
|
Suraj Govind Kamat
1008 Medical Center Blvd |
$13.23 | 941 | 906 |
|
Maricela Guerra-Franco
1008 Medical Center Blvd |
$16.74 | 827 | 795 |
|
Ricardo J Requenez
2510 E Main St Ste 102 |
$22.65 | 720 | 682 |
|
Kendell R White
700 Flournoy Rd |
$67.27 | 560 | 499 |
|
Yvette Lerma
700 Flournoy Rd Ste 2A |
$60.13 | 487 | 444 |
|
Veronica Fernandez
700 Flournoy Rd Ste 2A |
$43.67 | 240 | 226 |
|
Carmen Cardona
700 Flournoy Rd Ste 2A |
$76.69 | 226 | 215 |
|
Lacey Jasmine Eileen King
1008 Medical Center Blvd |
$22.79 | 183 | 140 |
|
Vandana Kamat
700 Flournoy Rd Ste 2A |
$68.80 | 154 | 134 |
|
Lola Dina Reyna
1707 Roosevelt Blvd |
$551.88 | 134 | 117 |
|
Mary Lisa Duarte
614 W Front St |
$25.86 | 130 | 128 |
|
Pamala J Edwards
700 Flournoy Rd |
$69.21 | 91 | 75 |
|
Debra Kaye Alvarado
779 N Texas Blvd |
$18.94 | 75 | 59 |
|
Erik Nisimblat
305 E 3Rd St |
$7.49 | 68 | 68 |
|
Whitney Donanne Stacy
700 Flournoy Rd Ste 2A |
$71.76 | 58 | 51 |
|
Brittany Klepac Kubena
2510 E Main St Ste 102 |
$15.38 | 51 | 50 |
|
Kristin Leni Dillon
2510 E Main St Ste 102 |
$7.60 | 48 | 42 |
|
Ashley Anna Boerjan
2510 E Main St Ste 102 |
$53.12 | 32 | 26 |
|
Dovie Stewart
779 N Texas Blvd |
$11.35 | 27 | 27 |
|
Jennifer Kay Saenz
500 Flournoy Rd |
$19.19 | 16 | 15 |
|
Alejandro Lopez
201 Mariposa |
$13.72 | 14 | 12 |
|
Women'S And Men'S Health Services Of The Coastal Bend, Inc.
2041 East Main Street #300 |
$28.04 | 13 | 12 |
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 Alice, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Alice, TX is $19.86 per claim, based on 57,179 claims from 31 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 Alice, TX?
There are 31 Medicaid providers offering Office Visit related services in Alice, TX according to public payment data.
What is the price range for Office Visit in Alice, TX?
Medicaid reimbursement for Office Visit in Alice, TX ranges from $7.49 to $551.88 per claim, with an average of $19.86. 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 Alice, TX
Personal Care Services
Avg $51.40
144,613 claims
Home Health Visit
Avg $17.97
61,602 claims
Speech Therapy
Avg $101.24
60,590 claims
Physical Therapy
Avg $63.09
53,408 claims
Nursing Facility Care
Avg $5.12
48,876 claims
Vaccines & Immunizations
Avg $4.71
43,676 claims
Blood Work & Lab Tests
Avg $5.55
35,208 claims
Dental Cleaning & Exam
Avg $41.83
35,198 claims