Average Medicaid Office Visit Payments in Buda, TX: $48.77
Avg. Paid
$48.77
Range
$3.49 – $329.42
Total Claims
17,254
Providers
16
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 Buda, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anna P. Lincoln
211 Railroad St |
$37.52 | 8,928 | 7,583 |
|
Michael M Ward
3420 Fm 967 Ste B100 |
$36.47 | 1,836 | 1,757 |
|
Margaret Elizabeth Brown
5235 Overpass Rd Ste 200 |
$61.67 | 1,706 | 1,664 |
|
Sandeep Ravi
5330 Overpass Rd Ste 100 |
$58.35 | 1,334 | 1,240 |
|
Zhan Yang
13207 Wright Rd |
$16.29 | 974 | 880 |
|
Amy Grant
181 Cimarron Park Loop |
$7.34 | 961 | 249 |
|
Georgia L Haiker
1567 Main St Ste 100 |
$329.42 | 619 | 568 |
|
Megan Robinson
220 S Fm 1626 |
$12.00 | 363 | 333 |
|
Emily Versoza Martinez
328 Pine Arbol |
$55.56 | 188 | 184 |
|
Elizabeth Yim
5235 Overpass Rd Ste 200 |
$72.01 | 97 | 85 |
|
Benjamin Sithen Sam
220 S Fm 1626 |
$34.80 | 52 | 50 |
|
Jessica Lorena Alvarado
220 S Fm 1626 |
$3.49 | 49 | 42 |
|
David Lala
5330 Overpass Rd Ste 110 |
$36.39 | 49 | 48 |
|
Natalie Cerda
5235 Overpass Rd Ste 200 |
$87.07 | 41 | 38 |
|
Shanna Robledo
220 S Fm 1626 |
$4.08 | 40 | 37 |
|
Virginia Wu
5235 Overpass Rd |
$28.60 | 17 | 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 Buda, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Buda, TX is $48.77 per claim, based on 17,254 claims from 16 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 Buda, TX?
There are 16 Medicaid providers offering Office Visit related services in Buda, TX according to public payment data.
What is the price range for Office Visit in Buda, TX?
Medicaid reimbursement for Office Visit in Buda, TX ranges from $3.49 to $329.42 per claim, with an average of $48.77. 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 Buda, TX
Dental Cleaning & Exam
Avg $42.61
18,144 claims
Emergency Room Visit
Avg $86.54
15,524 claims
Speech Therapy
Avg $108.56
14,049 claims
Vaccines & Immunizations
Avg $7.31
7,002 claims
EKG / ECG (Electrocardiogram)
Avg $4.92
6,668 claims
Physical Therapy
Avg $59.49
4,071 claims
Psychiatric Evaluation
Avg $10.18
1,703 claims
Blood Work & Lab Tests
Avg $4.31
1,590 claims