Average Medicaid Office Visit Payments in Dallas, TX: $47.45
Avg. Paid
$47.45
Range
$0.00 – $937.10
Total Claims
3,693,999
Providers
1,988
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 Dallas, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dallas County Hospital District
5200 Harry Hines Blvd |
$91.30 | 193,569 | 163,417 |
|
Bushra Aziz
5323 Harry Hines Blvd |
$39.14 | 70,106 | 64,043 |
|
Eduardo Velez
817 W Jefferson Blvd Ste 130 |
$47.09 | 52,852 | 46,940 |
|
Jorge Ledezma
9550 Forest Ln |
$37.95 | 35,119 | 30,545 |
|
Children'S Health System Of Texas
1935 Medical District Dr |
$75.12 | 30,214 | 28,284 |
|
Aurelio Ibarra
5315 Ross Ave |
$33.94 | 29,218 | 27,572 |
|
Ronald Norton Skufca
5315 Ross Ave |
$35.92 | 24,485 | 22,732 |
|
Tiffany O'Neal
4055 Valley View Ln Ste 700 |
$27.70 | 23,941 | 19,949 |
|
Gonzalo Venegas
1135 N Bishop Ave |
$38.27 | 21,614 | 18,320 |
|
Ashmead Ali
3450 W Wheatland Rd |
$34.66 | 21,303 | 19,743 |
|
Raul A Lozano
9495 Marsh Ln Ste 100 |
$40.52 | 21,097 | 17,911 |
|
David Robert Weakley
5323 Harry Hines Blvd |
$68.86 | 20,894 | 20,201 |
|
Alan G Berg
1050 N Westmoreland Rd Ste 432 |
$42.10 | 20,449 | 17,387 |
|
Suja George
1380 River Bend Dr |
$49.24 | 20,346 | 19,523 |
|
Kenny Lane Bowman
2710 N Stemmons Fwy (Maxim Physician Resources) |
$34.42 | 18,934 | 8,644 |
|
Iwona Rej
3434 W Illinois Ave Ste 306 |
$23.13 | 18,823 | 17,367 |
|
Isabel A Munoz
9753 Webb Chapel Rd |
$24.95 | 18,698 | 16,179 |
|
Jorge Luis Velez Fournier
3434 W Illinois Ave Ste 306-3 |
$27.36 | 18,255 | 16,103 |
|
Jaeyoun Ha
3201 W Saner Ave |
$23.87 | 17,873 | 17,114 |
|
Analydia Gutierrez
5315 Ross Ave |
$35.30 | 17,870 | 16,778 |
|
Elaine Larissa Duryea
5323 Harry Hines Blvd |
$73.32 | 17,754 | 16,552 |
|
Ceila Genio-Harding
12606 Greenville Ave Ste 120 |
$34.09 | 17,212 | 15,546 |
|
Elizabeth Armenta Castelo
4351 Dfw Tpke Ste 150 |
$25.58 | 17,125 | 15,920 |
|
Vivian Menchaca
3535 N Buckner Blvd |
$44.82 | 16,297 | 15,636 |
|
Lucia Ramirez Salas
2301 S Hampton Rd |
$24.00 | 16,130 | 15,379 |
|
Pablo H Anglas
916 W Illinois Ave |
$29.24 | 15,923 | 14,655 |
|
Kelly John Warren
2110 Research Row Ste 100C |
$62.56 | 15,894 | 15,053 |
|
Kevin Paul Magee
411 N Washington Ave |
$42.98 | 15,397 | 11,810 |
|
Tra-My Nu Dinh
3201 W Saner Ave |
$27.61 | 15,172 | 14,087 |
|
Heena Nitin Kanase
2736 W Illinois Ave |
$45.26 | 15,170 | 12,657 |
|
Kathryn Ann Ortiz
8625 King George Dr Ste 111 |
$80.39 | 15,095 | 14,217 |
|
Francsico Adrian Rico
655 W Illinois Ave # 916 |
$25.94 | 14,951 | 14,059 |
|
Selika Renee Owens
2626 Reagan St |
$54.75 | 14,946 | 14,617 |
|
Ahmad Bedair Ahmad
9209 Elam Rd |
$39.72 | 14,817 | 13,059 |
|
Morris R Bryant
5323 Harry Hines Blvd |
$60.95 | 14,260 | 13,116 |
|
Carli Elizabeth Hammer
3201 W Saner Ave |
$25.04 | 14,107 | 13,587 |
|
Patrick Michael Donnelly
9709 Bruton Rd |
$63.85 | 14,052 | 13,885 |
|
Christopher Antoine Perkins
3200 S Lancaster Rd Ste 181 |
$20.89 | 13,666 | 12,535 |
|
Karla Lluberes Gordo
2750 W Northwest Hwy Ste 170 |
$21.58 | 13,579 | 12,129 |
|
Oladele O Olusanya
8067 West Virginia Dr |
$35.45 | 13,504 | 12,350 |
|
Esther W Muriuki
3200 S Lancaster Rd Ste 181 |
$23.79 | 13,500 | 12,878 |
|
Nancy Mui-Young Yeo
1143 S Buckner Blvd |
$39.41 | 13,403 | 12,572 |
|
Maria Clemencia Veling
5323 Harry Hines Blvd |
$65.69 | 13,334 | 13,140 |
|
Kevin Ko
5201 Harry Hines Blvd |
$0.02 | 13,210 | 12,099 |
|
Erica Solis
5750 Pineland Dr |
$21.54 | 13,121 | 12,398 |
|
Humberto Angel De Los Santos
1411 N Beckley Ave |
$37.92 | 13,091 | 8,961 |
|
David Bryan Nelson
5323 Harry Hines Blvd Dallas |
$71.08 | 12,985 | 10,994 |
|
Jeffrey Scott Sandate
1135 N Bishop Ave |
$41.06 | 12,924 | 10,674 |
|
Robin L Davis
5201 Harry Hines Blvd |
$56.61 | 12,901 | 10,843 |
|
Michelle Summerall
3450 W Wheatland Rd |
$47.18 | 12,769 | 10,175 |
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 Dallas, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dallas, TX is $47.45 per claim, based on 3,693,999 claims from 1988 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 Dallas, TX?
There are 1988 Medicaid providers offering Office Visit related services in Dallas, TX according to public payment data.
What is the price range for Office Visit in Dallas, TX?
Medicaid reimbursement for Office Visit in Dallas, TX ranges from $0.00 to $937.10 per claim, with an average of $47.45. 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 Dallas, TX
Blood Work & Lab Tests
Avg $8.85
3,062,549 claims
Dental Cleaning & Exam
Avg $40.86
1,984,728 claims
Emergency Room Visit
Avg $145.88
1,942,869 claims
Vaccines & Immunizations
Avg $6.15
1,940,547 claims
X-Ray
Avg $12.45
1,048,753 claims
Urinalysis & Urine Tests
Avg $7.08
949,406 claims
Dental Filling
Avg $87.64
876,814 claims
Home Health Visit
Avg $29.32
579,284 claims