Average Medicaid Office Visit Payments in Beaumont, TX: $43.96
Avg. Paid
$43.96
Range
$0.00 – $857.27
Total Claims
542,422
Providers
221
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 Beaumont, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Charles Kramer
3460 N. Dowlen Rd |
$13.52 | 12 | 12 |
|
Yancey Roy Foster
3080 College St |
$69.17 | 12 | 12 |
|
Jonathan Leroy Gandy
3345 Plaza 10 Dr Ste B |
$8.79 | 12 | 12 |
|
Jean Almeda Rogers
755 N 11Th St Ste P2200 |
$34.99 | 13 | 13 |
|
Sumalatha Patibandla
3070 College St |
$63.62 | 13 | 12 |
|
Beaumont Urgent Care Setx, Llc
3650 N. Major Dr. |
$83.72 | 13 | 13 |
|
Aleyamma Abraham
5875 N Major Dr |
$11.17 | 13 | 13 |
|
Zakir Husain Shaik
2965 Harrison St Ste 222 |
$17.48 | 13 | 12 |
|
Thomas Gene Elder
7 Bayou Brandt |
$857.27 | 14 | 13 |
|
Hoang Van Tran
6725 Delaware St |
$12.36 | 14 | 14 |
|
Reji John
2965 Harrison St Ste 222 |
$6.10 | 15 | 15 |
|
Carl Carey Jordan
740 Hospital Dr |
$36.82 | 16 | 16 |
|
Etx Medical Group, Pllc
4310 Dowlen Rd Ste 16 |
$140.00 | 16 | 16 |
|
William Ellis O'Mara
740 Hospital Dr |
$38.47 | 17 | 15 |
|
Msonthi B Levine
3080 Milam St |
$8.82 | 17 | 12 |
|
Nkem Agatha Nwaobi
6960 Reno Circle |
$0.00 | 17 | 14 |
|
Shanoah Hilliard
3406 College St # 100 |
$23.26 | 18 | 16 |
|
Isabelle Aurelie Yapobi Attie
3480 College St |
$14.26 | 20 | 17 |
|
Katherine Theresa Lemaster
690 N 14Th St |
$47.51 | 20 | 14 |
|
Jay Reggie Schachner
690 N 14Th St |
$0.00 | 21 | 14 |
|
Debra Jann Lusk
6260 Delaware St |
$13.25 | 25 | 24 |
|
Nicole Hancock
6480 Delaware St |
$28.87 | 26 | 16 |
|
Wayne S Margolis
740 Hospital Dr |
$3.92 | 26 | 25 |
|
Gregory Lee Gilbreath
755 N 11Th St |
$9.35 | 26 | 25 |
|
Tara Boudoin Deville
3195 Dowlen Rd Ste 105 |
$55.88 | 29 | 28 |
|
Wagdy S Rizk
3460 N. Dowlen Rd |
$67.93 | 31 | 26 |
|
Courtney Marie Guidry
755 N 11Th St Ste P5200 |
$11.85 | 32 | 26 |
|
Raees Ahmed
3406 College St # 100 |
$40.30 | 34 | 32 |
|
Edward Brown Gripon
3560 Delaware St |
$22.20 | 38 | 38 |
|
Karen L. Ellis
810 Hospital Dr Ste 200 |
$19.26 | 41 | 27 |
|
Mary L Olsen
3030 North St |
$72.92 | 42 | 38 |
|
Lauren Goodhue
3406 College St Ste 100 |
$24.82 | 42 | 42 |
|
Alisha Kay Prevost
2750 S 8Th St |
$6.82 | 54 | 54 |
|
Muhammad Asim Khalil
3555 Stagg Dr |
$18.74 | 54 | 43 |
|
Cheryl Spell
3650 N Major Dr Ste A |
$1.60 | 55 | 55 |
|
Shewana Spencer
6480 Delaware St |
$34.38 | 56 | 43 |
|
Connie L Brown
155 Ih-10 North |
$14.82 | 57 | 50 |
|
Heath Clyde Lapray
3080 College St |
$0.00 | 57 | 57 |
|
Rui Paulo Correia
1495 N 7Th St |
$0.00 | 59 | 52 |
|
Timothy Wayne Byers
15845 Highway 124 |
$32.58 | 65 | 53 |
|
John Terry Fowler
755 N 11Th St |
$8.45 | 67 | 66 |
|
Amber Marie Theall
740 Hospital Dr |
$59.49 | 68 | 61 |
|
Tanya R Champion
2950 Dowlen Rd |
$25.57 | 69 | 57 |
|
Qamar U Arfeen
3480 College St |
$16.10 | 69 | 67 |
|
Thomas Randolph Lombardo
755 N 11Th St Ste P2200 |
$16.80 | 72 | 71 |
|
Shung Man Kurt Lee
2965 Harrison St |
$5.38 | 77 | 76 |
|
Darla Sue Nunn
3340 Shady Hollow Ln |
$2.76 | 78 | 77 |
|
Neelu Kumari
3939 Dowlen Rd |
$25.12 | 86 | 84 |
|
Vincent Murphy
2929 Calder St |
$19.89 | 87 | 82 |
|
Alicia H Horn
2010 Dowlen Road |
$34.06 | 89 | 78 |
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 Beaumont, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Beaumont, TX is $43.96 per claim, based on 542,422 claims from 221 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 Beaumont, TX?
There are 221 Medicaid providers offering Office Visit related services in Beaumont, TX according to public payment data.
What is the price range for Office Visit in Beaumont, TX?
Medicaid reimbursement for Office Visit in Beaumont, TX ranges from $0.00 to $857.27 per claim, with an average of $43.96. 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 Beaumont, TX
Vaccines & Immunizations
Avg $7.22
213,154 claims
Dental Cleaning & Exam
Avg $42.44
196,939 claims
Home Health Visit
Avg $13.98
193,888 claims
Emergency Room Visit
Avg $134.47
176,309 claims
Blood Work & Lab Tests
Avg $5.95
163,797 claims
Speech Therapy
Avg $63.01
157,971 claims
Physical Therapy
Avg $61.19
90,386 claims
Urinalysis & Urine Tests
Avg $5.01
87,627 claims