Average Medicaid Office Visit Payments in Boerne, TX: $49.51
Avg. Paid
$49.51
Range
$0.00 – $97.95
Total Claims
25,880
Providers
35
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 Boerne, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cheryl Ann Trexler
430 W Bandera Rd |
$78.01 | 3,914 | 3,772 |
|
Richard E Martinez
1420 River Rd 200 |
$32.40 | 2,581 | 2,286 |
|
Andrew Dinh
25723 Old Fredericksburg Rd |
$51.66 | 2,023 | 1,867 |
|
Kelle Pardi
16 Comanche Trl |
$44.19 | 1,905 | 1,759 |
|
Elizabeth Erin Brackett
108 Waterview Pkwy |
$35.64 | 1,881 | 1,440 |
|
Heather Ottmers Caddell
124 E Bandera Rd |
$40.08 | 1,656 | 1,316 |
|
Cyndi Nguyen
34910 Interstate 10 W Ste 301 |
$57.70 | 1,355 | 1,306 |
|
Eric R Ritchie
110 E Bandera Rd |
$76.76 | 1,305 | 1,275 |
|
Brenda Carol Arrington
1430 S Main St |
$2.82 | 1,300 | 1,208 |
|
Christopher Thomas Nelson
124 E Bandera Rd Ste 304 |
$33.02 | 1,214 | 1,045 |
|
Paul A Reder
34910 Interstate 10 W |
$51.72 | 857 | 813 |
|
Manuel R Flores
34910 Interstate 10 W Ste 301 |
$61.46 | 773 | 712 |
|
Michael Shawn Nye
37131 Interstate 10 W Bldg 400 |
$40.24 | 668 | 626 |
|
Elizabeth Marie Gardner
1421 Main Street |
$64.91 | 657 | 640 |
|
Ana Maria Escobar-Botero
10526 Campo Viejo |
$50.91 | 479 | 382 |
|
Ian J Alexander
34910 Interstate 10 W 3 |
$77.86 | 400 | 340 |
|
Jessica Jean-Baptiste Singleton
116 Herff Rd Ste 111 |
$32.12 | 369 | 361 |
|
Heather R. Riebel
34910 Interstate 10 W Ste 501 |
$48.88 | 364 | 336 |
|
Rachel Aubrey Gravel
124 E Bandera Rd |
$37.13 | 340 | 312 |
|
Martin Joseph Mcgee
1 Fm 3351 S Ste 135 |
$79.93 | 329 | 312 |
|
Sheralyn Deborah Wood
124 E Bandera Rd |
$37.55 | 239 | 227 |
|
Sarah Rozeman Berg
108 Waterview Pkwy |
$36.84 | 203 | 163 |
|
Bertha Gaytan
1580 S Main St Ste 101 |
$45.21 | 194 | 167 |
|
Ramon Gilberto Reyes
1201 S Main St Ste 114 |
$42.45 | 169 | 161 |
|
Melinda K Hoffman
113 Pleasant Valley Dr Ste 210 |
$72.79 | 158 | 144 |
|
Megan Lynn Hughes
138 Tx 46 |
$60.30 | 122 | 114 |
|
Teagan Nichole Charles
25723 Old Fredericksburg Rd |
$11.64 | 114 | 108 |
|
Salah El-Bash
37 Mariposa Pkwy W |
$40.77 | 93 | 88 |
|
Robert E Graser
34910 Interstate 10 W Ste 502 |
$13.26 | 55 | 50 |
|
Shivana Tate
136 Old San Antonio Rd Ste 406 |
$0.00 | 33 | 32 |
|
Kaytlyn D Kuecker
106 El Cielo |
$39.25 | 32 | 32 |
|
Rajesh K Sharma
1002 E Blanco Rd Ste B |
$0.00 | 32 | 25 |
|
Elizabeth Ann Beschoner
28715 I-10 |
$57.00 | 27 | 25 |
|
Sheila Leach
17 Old San Antonio Rd |
$97.95 | 24 | 24 |
|
Misty Mckinney
910 River Rd Ste 101 |
$30.72 | 15 | 15 |
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 Boerne, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Boerne, TX is $49.51 per claim, based on 25,880 claims from 35 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 Boerne, TX?
There are 35 Medicaid providers offering Office Visit related services in Boerne, TX according to public payment data.
What is the price range for Office Visit in Boerne, TX?
Medicaid reimbursement for Office Visit in Boerne, TX ranges from $0.00 to $97.95 per claim, with an average of $49.51. 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 Boerne, TX
Nursing Facility Care
Avg $9.63
77,145 claims
Dental Cleaning & Exam
Avg $42.96
52,433 claims
Psychiatric Evaluation
Avg $62.94
22,893 claims
Physical Therapy
Avg $78.08
9,387 claims
Emergency Room Visit
Avg $79.29
8,111 claims
Home Health Visit
Avg $7.73
6,730 claims
Dental Filling
Avg $84.49
6,678 claims
X-Ray
Avg $4.71
6,290 claims