Average Medicaid Office Visit Payments in Breckenridge, TX: $171.44
Avg. Paid
$171.44
Range
$12.36 – $574.41
Total Claims
3,006
Providers
9
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 Breckenridge, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shackelford County Community Resource Center
2802 W Walker St |
$12.36 | 1,185 | 1,080 |
|
Larry Len Maples
101 S Hartford St |
$574.41 | 797 | 657 |
|
Susan Badidi
101 S Hartford St |
$41.18 | 675 | 658 |
|
Kaitlyn Nicole Welch
2802 W Walker St |
$32.81 | 115 | 105 |
|
Cortney Rachelle Berkley
102 E 6Th St |
$45.70 | 83 | 82 |
|
Tamryn Elizabeth Anderson
2802 W Walker St |
$35.25 | 62 | 60 |
|
Stephens Memorial Hospital District
101 S Hartford St |
$40.94 | 46 | 40 |
|
Carol Lynn Copelin
2802 W Walker St |
$34.02 | 28 | 27 |
|
Kelli Windsor
101 S Hartford St |
$167.78 | 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 Breckenridge, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Breckenridge, TX is $171.44 per claim, based on 3,006 claims from 9 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 Breckenridge, TX?
There are 9 Medicaid providers offering Office Visit related services in Breckenridge, TX according to public payment data.
What is the price range for Office Visit in Breckenridge, TX?
Medicaid reimbursement for Office Visit in Breckenridge, TX ranges from $12.36 to $574.41 per claim, with an average of $171.44. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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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
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Breckenridge, TX
Psychiatric Evaluation
Avg $78.60
4,137 claims
Speech Therapy
Avg $70.27
2,516 claims
Blood Work & Lab Tests
Avg $1.28
1,817 claims
Chiropractic Care
Avg $22.32
1,087 claims
Dental Cleaning & Exam
Avg $0.51
869 claims
Vaccines & Immunizations
Avg $4.90
509 claims
Emergency Room Visit
Avg $189.46
73 claims
Urinalysis & Urine Tests
Avg $0.42
13 claims