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 |
|---|---|---|---|
|
People'S Community Clinic, Inc.
1101 Camino La Costa |
$15.96 | 53,223 | 39,385 |
|
Manuel Aristo Torres
1110 W William Cannon |
$36.46 | 48,576 | 43,840 |
|
Central Texas Community Health Centers
1210 W. Braker Lane |
$18.61 | 40,820 | 32,674 |
|
Central Texas Community Health Centers
2901 Montopolis Dr |
$19.50 | 32,735 | 26,758 |
|
Central Texas Community Health Centers
7112 Ed Bluestein Blvd Ste 100 |
$21.22 | 23,188 | 21,088 |
|
Peter W Hine
4315 James Casey St Ste 100 |
$34.45 | 23,108 | 20,487 |
|
Central Texas Community Health Centers
9411 N Lamar Blvd |
$20.06 | 21,845 | 19,796 |
|
Central Texas Community Health Centers
6425 S Interstate 35 Ste 100 |
$19.25 | 19,448 | 17,462 |
|
Lone Star Circle Of Care
11111 Research Blvd Ste 295 |
$8.09 | 17,161 | 13,500 |
|
Central Texas Community Health Centers
2237 E Riverside Dr Ste 101C |
$20.98 | 17,038 | 15,055 |
|
Lone Star Circle Of Care
1221 W Ben White Blvd |
$3.48 | 16,202 | 14,236 |
|
Glendalyz Alberto
701 E Fm 1626 Ste 100 |
$16.79 | 15,652 | 14,572 |
|
Loann T Trinh
8557 Research Blvd |
$49.38 | 15,338 | 12,642 |
|
Adefemi Taiwo
13809 Research Blvd |
$9.43 | 14,302 | 11,750 |
|
Luis Alberto Monsivais
12200 Renfert Way |
$30.08 | 13,725 | 11,052 |
|
Jose F Santiago
2624 W William Cannon Dr |
$46.56 | 12,608 | 11,586 |
|
Kathryn White
4315 James Casey St Ste 100 |
$24.22 | 10,918 | 8,313 |
|
Sarita Maradani
4207 James Casey St Ste 315 |
$31.81 | 10,781 | 7,264 |
|
Kerry D Holliman
12200 Renfert Way Ste G-3 |
$34.90 | 10,518 | 8,141 |
|
Asif Mohammed Siddiqui
3636 Executive Center Dr |
$132.11 | 10,113 | 9,360 |
|
Jazmin Gonzalez
8901 Vertex Blvd Unit 100 |
$32.47 | 9,957 | 8,799 |
|
Central Texas Community Health Centers
211 Comal St |
$15.65 | 9,808 | 7,965 |
|
Samer Arab
1313 Red River |
$30.80 | 9,403 | 7,567 |
|
Evelyn Robo Aki
4131 Spicewood Springs Rd |
$52.25 | 8,496 | 8,027 |
|
Mitchell Thomas Walton
11714 Wilson Parke Ave Ste 150 |
$41.47 | 7,467 | 6,785 |
|
Alex R Dodson
7005 Mira Loma Ln Ste 102 |
$24.04 | 7,463 | 7,057 |
|
Lone Star Circle Of Care
12201 Renfert Way Ste 220 |
$11.28 | 7,379 | 5,266 |
|
Central Texas Community Health Centers
1000 E 41St St |
$20.05 | 6,751 | 6,205 |
|
Ammar B Morad
9835 N Lake Creek Pkwy |
$53.97 | 6,727 | 5,293 |
|
Fiona Claire Esfandiari
12200 Renfert Way Ste 100 |
$33.44 | 6,516 | 4,489 |
|
Luciano Mancera
2315 W Ben White Blvd |
$75.11 | 6,024 | 5,252 |
|
Sandra Herrera
12200 Renfert Way Ste G-3 |
$30.77 | 5,921 | 4,643 |
|
Malcolm Duncan
7005 Mira Loma Ln Ste 101 |
$29.56 | 5,832 | 5,641 |
|
Elsa G Brieno
800 W. 34Th Street |
$65.68 | 5,488 | 5,137 |
|
Brigitte Tyree
2237 Zach Scott St |
$21.46 | 5,463 | 5,113 |
|
Central Texas Community Health Centers
2529 S 1St St |
$19.80 | 5,460 | 5,059 |
|
Matthew Mceachern
114 W 7Th St Ste 900 |
$68.58 | 5,444 | 5,198 |
|
Hilton Phillip Gottschalk
1301 Barbara Jordan Blvd |
$85.28 | 5,442 | 5,089 |
|
Tony Dang
1139 W Braker Ln Ste 103 |
$33.27 | 5,324 | 4,954 |
|
Leslie T Mcquiston
1301 Barbara Jordan Blvd |
$62.50 | 5,119 | 5,009 |
|
Matthew David Ellington
1301 Barbara Jordan Blvd |
$79.14 | 4,945 | 4,589 |
|
Brian E Kaufman
1301 Barbara Jordan Blvd |
$66.95 | 4,884 | 4,438 |
|
Rodolfo Cantu Barrera
1015 E 32Nd St |
$42.31 | 4,823 | 4,281 |
|
Jeffrey Scott D'Alessandro
4422 Pack Saddle Pass |
$42.95 | 4,823 | 4,435 |
|
Jo Anne Wise Edoka
805 E 32Nd St |
$53.80 | 4,795 | 4,439 |
|
Baoping Qian
11111 Research Blvd |
$39.45 | 4,786 | 3,986 |
|
Ladonna Ann Burns
114 W 7Th St |
$1.98 | 4,776 | 3,813 |
|
Laura Ashley Hicks
5901 Vega Ave Ste 100 |
$55.25 | 4,757 | 4,128 |
|
Central Texas Community Health Centers
7112 Ed Bluestein Blvd Ste 105 |
$22.37 | 4,658 | 3,474 |
|
Joel William Jones
9835 N Lake Creek Pkwy |
$66.97 | 4,517 | 4,096 |
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.
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 Austin, TX
Blood Work & Lab Tests
Avg $7.09
4,048,248 claims
Personal Care Services
Avg $51.29
3,439,018 claims
X-Ray
Avg $5.51
1,081,382 claims
Vaccines & Immunizations
Avg $3.40
861,990 claims
Dental Cleaning & Exam
Avg $37.36
759,881 claims
Emergency Room Visit
Avg $125.71
658,275 claims
Urinalysis & Urine Tests
Avg $2.52
612,948 claims
CT Scan (Computed Tomography)
Avg $35.56
441,128 claims