Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Austin, TX: $39.88

Avg. Paid

$39.88

Range

$0.00 – $685.00

Total Claims

1,367,991

Providers

1,169

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 Austin, TX

Provider	Avg. Paid	Claims	Patients
Haumith Raza Khan-Farooqi 5011 Burnet Rd	$0.00	12	12
Janet F Mitchell 4515 Seton Center Pkwy #220	$39.19	12	12
Jivantika Sindhav 2400 Cedar Bend Dr	$41.33	12	12
Adam Bryce Weinfeld 1400 N Ih 35, Ste 320	$37.14	12	12
Kenneth A Perez 3828 S 1St St	$33.32	12	12
Lorraine E. Powell 1912 W 35Th St	$50.27	12	12
Komal Patel 208 W Ben White Blvd	$80.83	12	12
Karen Neuenschwander 111 Ramble Ln	$0.00	12	12
Fotini Maria Chalkias 2608 Brockton Dr	$0.00	12	12
Michael Keith Floyd 608 Radam Ln	$1.41	12	12
Celeste Alexis Srour 5900 Balcones Dr # 15855	$0.00	12	12
Sonia Yousuf 1807 W Slaughter Ln	$27.98	12	12
Meera Subash 5339 N Ih 35 Ste 100	$59.07	12	12
Michele Sarah Sterin 2529 S 1St St	$38.62	12	12
Molly T Campa 6811 Austin Center Blvd Ste 300	$81.27	12	12
Charles Jason Hubbard 1015 E 32Nd St	$56.10	12	12
Bethany Kearns Burge 608 Radam Ln	$60.92	12	12
Jay Shapiro 1301 Barbara Jordan Blvd.	$74.43	12	12
Lisa Diane Persyn 12180 N Mopac Expy	$11.52	12	12
Megan M Angel 9835 N Lake Creek Pkwy	$19.95	12	12
Ammar Moin Ahmed 313 E 12Th St	$50.08	12	12
David Joseph Zeitler 900 West Ave	$62.96	12	12
Derek Ley 12221 N Mopac Expy	$52.21	12	12
Jeffrey Champ 1807 W Slaughter Ln Ste 490	$26.98	12	12
Michael Seamon 1600 W 38Th St Ste 200	$94.46	12	12
Yanwei Chen 2909 N I H 35	$33.87	12	12
Julie I Sanchez 1301 Barbara Jordan Blvd.	$30.26	12	12
St. David'S Specialized Women'S Services, Pllc 12200 Renfert Way	$0.00	12	12
James Dooner 801 W 38Th St	$19.99	12	12
Ashley Malley 3705 Medical Pkwy Ste 200	$0.00	12	12
Winifred Nancy Thomas 9411 N Lamar Blvd Ste 120	$39.99	12	12
Robert M Izor 12345 N Lamar Blvd Ste 360	$0.00	12	12
Taylor Gilliland Lackey 3705 Medical Pkwy Ste 320	$145.04	13	13
Jordan Elise Handcox 5251 W Highway 290	$39.32	13	12
Ruby Annette Gomez 6204 Balcones Dr	$9.43	13	13
Dell Children'S Medical Group 1301 Barbara Jordan Blvd Ste 200	$0.00	13	13
Leslie L. Campbell Escalante 3418 N Lamar Blvd Ste 100	$71.53	13	12
Susan E. Ringstaff 1301 Barbara Jordan Blvd	$77.17	13	13
Jeffrey Michael Boos 12221 N Mo Pac Expy	$65.96	13	12
Kimphuong P Truong 10401 Anderson Mill	$106.96	13	13
Elizabeth Martin Cross 7940 Shoal Creek Blvd Ste 100	$42.32	13	13
Sativa Lackey 4303 Victory Dr	$0.00	13	13
Kendall Faith Kayworth 8402 Cross Park Dr	$24.51	13	13
Jonathan A Bielfield 1500 W 34Th St	$50.33	13	12
Robyn Lindsay Swoboda 3607 Manor Rd	$32.89	13	12
Sarah Buttrey 1101 Camino La Costa	$59.89	13	12
Amsalu Erko 3000 North Ih 35	$18.03	13	12
Eric Lane Crowell 1601 Trinity St	$44.73	13	13
Daniel Thomas Stewart 4700 Seton Center Pkwy	$64.24	13	13
Joy Celeste Sheppard 1201 W 38Th St Fl 2	$47.33	13	13

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 Austin, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Austin, TX is $39.88 per claim, based on 1,367,991 claims from 1169 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 Austin, TX?

There are 1169 Medicaid providers offering Office Visit related services in Austin, TX according to public payment data.

What is the price range for Office Visit in Austin, TX?

Medicaid reimbursement for Office Visit in Austin, TX ranges from $0.00 to $685.00 per claim, with an average of $39.88. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Austin, TX: $39.88

Providers Offering Office Visit in Austin, TX

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Austin, TX

Blood Work & Lab Tests

Personal Care Services

X-Ray

Vaccines & Immunizations

Dental Cleaning & Exam

Emergency Room Visit

Urinalysis & Urine Tests

CT Scan (Computed Tomography)