Average Medicaid Office Visit Payments in Cleburne, TX: $38.48
Avg. Paid
$38.48
Range
$0.00 – $61.91
Total Claims
136,631
Providers
36
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 Cleburne, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott A. Berlin
829 N Nolan River Rd |
$0.00 | 13 | 12 |
|
Paul Coleman
895 N Nolan River Rd Ste 102 |
$24.21 | 16 | 14 |
|
Braden J Moore
2010 W Katherine P Raines Rd |
$0.00 | 16 | 13 |
|
Bradley D Harman
2010 W Katherine P Raines Rd |
$2.16 | 32 | 27 |
|
Macy Larynn Hajny
220 N Ridgeway Dr |
$13.47 | 35 | 34 |
|
Sandhya Bejjanki
191 Walls Dr |
$25.70 | 46 | 40 |
|
Jennifer Leanne Campbell
201 Walls Dr |
$14.31 | 61 | 61 |
|
Shelley Turk
1494 Som County Road 314 |
$32.77 | 94 | 90 |
|
Andrew E Anyadiegwu
203 Walls Dr |
$9.51 | 121 | 116 |
|
Steve Kline
1601 N Anglin St |
$34.67 | 149 | 142 |
|
Jividen James Mccoy
2010 W Katherine P Raines Rd Ste 300 |
$32.49 | 182 | 158 |
|
Amy Kristin Laude
805 N Main St |
$61.91 | 375 | 351 |
|
Joanne Marie Webster
895 N Nolan River Rd Ste 101 |
$39.15 | 428 | 416 |
|
Kyle Joe Kessler
1601 N Anglin St |
$28.02 | 448 | 419 |
|
Zulema Alcaraz
2010 W Katherine P Raines Rd Ste 500 |
$37.33 | 456 | 437 |
|
Darci Lamontagne
895 N Nolan River Rd Ste 101 |
$38.73 | 466 | 453 |
|
Michelle Marie Naranjo
895 N Nolan River Rd Ste 101 |
$35.45 | 469 | 444 |
|
Myranda Daye Luna
895 N Nolan River Rd Ste 101 |
$45.30 | 543 | 529 |
|
Nance D Hicks
805 N Main St |
$48.57 | 562 | 492 |
|
Mohammad Shahbaz Khan
203 Walls Dr Ste 104 |
$2.54 | 597 | 492 |
|
Eduy J James
128 S. Ridgeway Drive |
$28.25 | 696 | 515 |
|
Steven Amir Farzam
505 N Ridgeway Dr Ste 160 |
$32.41 | 1,146 | 1,031 |
|
Lindsey Elizabeth Anderson
1601 N Anglin St |
$53.26 | 1,336 | 1,310 |
|
Tracy Elder
805 N Main St |
$45.16 | 1,358 | 1,125 |
|
Tiffany Diane Gower
201 Walls Dr Ste 501 |
$42.94 | 1,427 | 1,168 |
|
Shoaib Khalil
1900 E Henderson St |
$16.22 | 1,522 | 1,243 |
|
Dena C. Howerton
201 Walls Dr Ste 503 |
$27.28 | 1,608 | 1,149 |
|
Richelle Upshaw
2010 W Katherine P Raines Rd Ste 500 |
$48.14 | 1,671 | 1,498 |
|
Charla Sperring
805 N Main St |
$42.56 | 1,778 | 1,626 |
|
Shellabi Akwi Koffi
895 N Nolan River Rd |
$30.63 | 2,062 | 1,858 |
|
Michael Timothy Glover
201 Walls Dr Ste 503 |
$32.74 | 2,707 | 1,888 |
|
John Bamidele Daramola
505 N Ridgeway Dr |
$38.51 | 2,708 | 2,607 |
|
Ranbir K Sharma
215 Ridgeway Drive North |
$41.42 | 3,431 | 3,195 |
|
Landon Bernhardt Lorenz
201 Walls Dr Ste 503 |
$32.85 | 4,778 | 3,333 |
|
Maurice Alazar
895 N Nolan River Rd Ste 102 |
$34.78 | 10,770 | 9,623 |
|
Ayman Arouse
895 N Nolan River Rd Ste 101 |
$39.73 | 92,524 | 79,323 |
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 Cleburne, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cleburne, TX is $38.48 per claim, based on 136,631 claims from 36 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 Cleburne, TX?
There are 36 Medicaid providers offering Office Visit related services in Cleburne, TX according to public payment data.
What is the price range for Office Visit in Cleburne, TX?
Medicaid reimbursement for Office Visit in Cleburne, TX ranges from $0.00 to $61.91 per claim, with an average of $38.48. 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 Cleburne, TX
Vaccines & Immunizations
Avg $5.50
113,737 claims
Home Health Visit
Avg $33.99
33,811 claims
Dental Cleaning & Exam
Avg $39.09
28,022 claims
Speech Therapy
Avg $14.39
22,655 claims
Emergency Room Visit
Avg $83.75
18,017 claims
Blood Work & Lab Tests
Avg $6.59
12,451 claims
Psychiatric Evaluation
Avg $88.50
9,974 claims
Hearing Test (Audiometry)
Avg $5.99
6,825 claims