Average Medicaid Office Visit Payments in Athens, TX: $42.26
Avg. Paid
$42.26
Range
$0.00 – $82.44
Total Claims
95,504
Providers
48
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 Athens, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kari Kennel
1001 N Palestine St |
$26.11 | 13 | 13 |
|
Kristi Shawn Gore-Stewart
115 S Murchison St |
$47.53 | 13 | 13 |
|
Cynthia Nixon
704 S Palestine St |
$34.66 | 14 | 14 |
|
Vanessa Crystal Garcia-Balok
608 S Palestine |
$1.61 | 14 | 12 |
|
Jonathan Andrew Egly
115 Medical Cir Ste 102 |
$21.43 | 18 | 13 |
|
Amber N Cook
1001 N Palestine St |
$13.20 | 25 | 24 |
|
Shea Burkett
117 Medical Cir |
$37.46 | 57 | 52 |
|
Latoria D Davis
1115 E Tyler St |
$0.00 | 58 | 45 |
|
Michael C Tobes
1212 S Palestine St |
$39.50 | 90 | 90 |
|
Shecarra Cook
708 E Corsicana St |
$0.12 | 102 | 92 |
|
Dana Kennedy
824 Southpark Cir |
$32.85 | 121 | 94 |
|
Jennifer Faye Williams
1115 E Tyler St |
$0.43 | 122 | 103 |
|
Vanessa Laws
1123 S Palestine St Ste 300 |
$56.74 | 163 | 146 |
|
Ruben Luis Garcia
1701 South Palestine |
$11.95 | 207 | 190 |
|
Nicole Louise Thompson
115 Medical Cir Ste 103 |
$37.71 | 243 | 217 |
|
William Alex Elfarr
1701 South Palestine |
$13.90 | 291 | 241 |
|
Ronald W Heine
117 Medical Circle |
$37.89 | 310 | 298 |
|
Rosalinda Morales
1505 State Highway 19 S |
$41.98 | 368 | 353 |
|
Terri Lynn Eckert
1505 State Highway 19 S |
$52.86 | 490 | 475 |
|
Lucianne Marin
1001 S Palestine St |
$59.09 | 500 | 471 |
|
Richard T David
115 Medical Cir Ste 100 |
$34.81 | 554 | 482 |
|
Shawn Tai
115 Medical Cir Ste 106 |
$21.39 | 576 | 502 |
|
Amy Jo Shuptrine
2000 S Palestine St |
$35.52 | 637 | 588 |
|
Norman L Jennings
117 Medical Cir |
$35.66 | 697 | 670 |
|
Brandi Jones
117 Medical Cir |
$39.21 | 701 | 654 |
|
Syed Asif Shah
2000 S Palestine St |
$71.07 | 788 | 772 |
|
Pamela Evette Summers
6901 Tx-19 |
$57.87 | 959 | 904 |
|
Karah L Coker
1505 State Highway 19 S |
$46.55 | 1,422 | 1,318 |
|
Rebecca A Powell
1505 State Highway 19 S |
$46.16 | 1,499 | 1,391 |
|
Donald A Carney
117 Medical Circle |
$38.41 | 2,021 | 1,857 |
|
Renessa Leigh Gerhardt
117 Medical Cir |
$42.10 | 2,188 | 1,882 |
|
Steven M Koerth
117 Medical Circle |
$46.62 | 2,344 | 2,132 |
|
Christopher R Johnson
117 Medical Cir |
$36.22 | 2,550 | 2,298 |
|
Timothy Furlong
6901 S. Hwy 19 |
$63.13 | 2,700 | 2,592 |
|
Mark L Eldore
824 Southpark Circle |
$30.28 | 2,784 | 2,432 |
|
Waleed Mahmoud
117 Medical Circle |
$38.58 | 2,917 | 2,703 |
|
James R Qualls
1505 State Highway 19 S |
$45.83 | 3,164 | 3,000 |
|
Britne A Curran
115 Medical Cir Ste 103 |
$43.17 | 3,491 | 2,943 |
|
Francine F Mccain
1336 S Palestine St |
$58.85 | 3,645 | 2,722 |
|
Tina P. Elkins
1701 S Palestine St Ste A |
$82.44 | 3,804 | 3,536 |
|
Teri Lynne Baumgartner
115 Medical Cir Ste 103 |
$51.70 | 4,641 | 3,628 |
|
Alicia Danielle Cleaver
117 Medical Cir |
$39.76 | 5,148 | 4,171 |
|
Angela Marie Hill
117 Medical Cir |
$41.12 | 5,294 | 5,075 |
|
Joshua N Splinter
117 Medical Cir |
$39.68 | 5,359 | 4,456 |
|
Jessica Boldwill
117 Medical Cir |
$42.90 | 5,737 | 5,166 |
|
Christian Joel Zuniga
117 Medical Cir |
$39.78 | 5,966 | 5,118 |
|
Michael Swartwood
117 Medical Cir |
$39.15 | 6,873 | 5,629 |
|
Vandana Char
824 Southpark Cir |
$26.99 | 13,826 | 12,554 |
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 Athens, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Athens, TX is $42.26 per claim, based on 95,504 claims from 48 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 Athens, TX?
There are 48 Medicaid providers offering Office Visit related services in Athens, TX according to public payment data.
What is the price range for Office Visit in Athens, TX?
Medicaid reimbursement for Office Visit in Athens, TX ranges from $0.00 to $82.44 per claim, with an average of $42.26. 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 Athens, TX
Vaccines & Immunizations
Avg $5.44
61,963 claims
Dental Cleaning & Exam
Avg $40.27
40,069 claims
Blood Work & Lab Tests
Avg $6.02
28,539 claims
Emergency Room Visit
Avg $138.48
28,009 claims
Urinalysis & Urine Tests
Avg $3.01
22,936 claims
Physical Therapy
Avg $0.05
20,090 claims
Psychiatric Evaluation
Avg $46.67
11,647 claims
Eye Exam
Avg $28.20
8,885 claims