Average Medicaid Office Visit Payments in Cleveland, TX: $37.80
Avg. Paid
$37.80
Range
$0.00 – $54.91
Total Claims
181,494
Providers
25
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 Cleveland, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Seth Keating
108 S William Barnett Ave |
$9.63 | 14 | 14 |
|
Tamanna Ferdous
307 N William Barnett Ave |
$0.00 | 32 | 29 |
|
Dorothy Clare Carleton
117 S William Barnett Ave |
$1.59 | 39 | 36 |
|
Lynne Darlene Piascik
1643 County Road 2291 |
$1.17 | 53 | 51 |
|
Ricardo Escobar
307 N William Barnett Ave |
$18.79 | 99 | 96 |
|
Ana Patricia Garza
307 N William Barnett Ave |
$3.42 | 119 | 116 |
|
Grace Ogwumike
307 N William Barnett Ave |
$19.26 | 231 | 220 |
|
Judy S Cuello
1008 County Road 5007 |
$24.98 | 334 | 281 |
|
Samir Ouais
203 N College St |
$43.76 | 476 | 455 |
|
Nikki J0 Morgan
117 S William Barnett Ave Ste A |
$34.20 | 1,063 | 844 |
|
Alexa Sweeney
307 N William Barnett Ave |
$13.92 | 1,596 | 1,507 |
|
Latresha J Mcbride
300 E Houston, Ste A |
$42.22 | 1,851 | 1,775 |
|
Anita Gottipati
401 E Crockett Ste B |
$41.42 | 2,161 | 1,985 |
|
George Nicholas Stokes
200 E Boothe |
$32.10 | 2,610 | 1,969 |
|
Health Center Of Southeast Texas
307 N William Barnett Ave |
$0.05 | 2,686 | 2,252 |
|
Nabil M Ahmad
1105 N Washington Ave |
$34.70 | 3,119 | 2,807 |
|
Luis G Schaeffer
113 S College Ave |
$29.15 | 3,472 | 3,082 |
|
Camil I Kreit
403 E Dallas St |
$25.20 | 3,895 | 3,127 |
|
Anand Basi
211 S. College Ave. |
$26.20 | 4,156 | 3,631 |
|
Rafael J Delaflor-Weiss
701 E Houston St |
$54.91 | 6,097 | 5,487 |
|
Sreenivasulu Cherlo
211 S. College Ave. |
$26.99 | 7,503 | 6,062 |
|
Mark Kreit
212 N College Ave |
$41.81 | 8,206 | 6,719 |
|
Duc Minh Le
210 E Houston St |
$31.70 | 12,428 | 9,075 |
|
Trina Louise Taylor
212 North Bonham Ave |
$33.94 | 14,239 | 12,090 |
|
Joseph E Goin
108 S William Barnett Ave |
$41.33 | 105,015 | 93,927 |
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 Cleveland, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cleveland, TX is $37.80 per claim, based on 181,494 claims from 25 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 Cleveland, TX?
There are 25 Medicaid providers offering Office Visit related services in Cleveland, TX according to public payment data.
What is the price range for Office Visit in Cleveland, TX?
Medicaid reimbursement for Office Visit in Cleveland, TX ranges from $0.00 to $54.91 per claim, with an average of $37.80. 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 Cleveland, TX
Vaccines & Immunizations
Avg $6.02
92,577 claims
Blood Work & Lab Tests
Avg $4.67
17,604 claims
Dental Cleaning & Exam
Avg $36.01
16,620 claims
Nursing Facility Care
Avg $7.53
15,498 claims
Physical Therapy
Avg $16.57
11,383 claims
Prescription Medications
Avg $1.02
10,736 claims
Urinalysis & Urine Tests
Avg $2.25
10,633 claims
Emergency Room Visit
Avg $732.85
7,062 claims