Average Medicaid Office Visit Payments in Copperas Cove, TX: $51.66
Avg. Paid
$51.66
Range
$0.00 – $77.06
Total Claims
8,625
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 Copperas Cove, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edith Denise Jones
239 W Business 190 |
$57.84 | 3,473 | 3,377 |
|
Matthew David Auman
239 W Business 190 |
$49.68 | 1,654 | 1,482 |
|
Jamie Leann Jones
2401 Walker Place Blvd |
$74.00 | 641 | 602 |
|
Kizzie Denise Edie
239 W Business 190 |
$39.04 | 627 | 579 |
|
Richard Dean Calkins
2401 Walker Place Blvd |
$38.72 | 621 | 548 |
|
Jasmine A Morgan
2401 Walker Place Blvd |
$54.43 | 478 | 460 |
|
Amanda Dawn Shannon
239 W Business 190 |
$43.40 | 319 | 290 |
|
Jessica Alemar
239 W Hwy 190 |
$50.96 | 263 | 242 |
|
Adventhealth Family Medicine Rural Health Clinics, Inc.
2401 Walker Place Blvd |
$11.05 | 206 | 178 |
|
James Kyle Morsch
806 E Avenue D Ste H |
$33.15 | 108 | 105 |
|
Raymond J. Harrison
239 West Hwy 190 |
$48.24 | 93 | 90 |
|
Amanda Jo Replogle
1216 Duncan Rd |
$0.00 | 74 | 52 |
|
Kristin Marie Cummings
3010 E Business 190 Ste 254 |
$0.00 | 24 | 24 |
|
Cornelia S Rhome
239 W Business 190 |
$62.78 | 15 | 14 |
|
Corey Willems
239 W Business 190 |
$59.19 | 15 | 15 |
|
Andie Renee Whalen
3010 E Business 190 Ste 254 |
$77.06 | 14 | 14 |
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 Copperas Cove, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Copperas Cove, TX is $51.66 per claim, based on 8,625 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 Copperas Cove, TX?
There are 16 Medicaid providers offering Office Visit related services in Copperas Cove, TX according to public payment data.
What is the price range for Office Visit in Copperas Cove, TX?
Medicaid reimbursement for Office Visit in Copperas Cove, TX ranges from $0.00 to $77.06 per claim, with an average of $51.66. 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
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New York, NY
Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Avg $82.40
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Phoenix, AZ
Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in Copperas Cove, TX
Home Health Visit
Avg $15.56
136,002 claims
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Avg $5.50
61,660 claims
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Avg $5.28
15,244 claims
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Avg $39.70
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Emergency Room Visit
Avg $154.85
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Avg $12.96
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Avg $55.01
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Avg $0.91
571 claims