Average Medicaid Office Visit Payments in Decatur, TX: $33.23
Avg. Paid
$33.23
Range
$0.00 – $442.95
Total Claims
50,059
Providers
46
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 Decatur, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christine W Holland
800 Medical Center Dr Ste C |
$24.03 | 7,282 | 4,906 |
|
Chris E Mcgee
2000 S Fm 51 |
$29.42 | 6,373 | 4,546 |
|
Charles Leslie Majka
1001 W Eagle Dr |
$46.03 | 5,687 | 5,159 |
|
Jason S Finkelstein
2401 S Fm 51 |
$2.01 | 4,014 | 3,022 |
|
Eduardo Leon Jaramillo
2451 S Fm 51 Ste 200 |
$40.24 | 3,697 | 2,664 |
|
Muhammad Naeem
2351 S Fm 51 Ste 100 |
$22.41 | 2,710 | 2,496 |
|
Kelly Swofford
2451 S Fm 51 Ste 200 |
$37.48 | 2,478 | 1,928 |
|
Anissa G August
2401 S Fm 51 |
$39.82 | 2,251 | 1,960 |
|
Kailey Rene Dobbs
800 Medical Center Dr Ste C |
$52.35 | 1,952 | 1,871 |
|
Syed N Hussain
902 Preskitt Rd Ste 100 |
$22.40 | 1,616 | 1,501 |
|
Leslie M Hollis
2014 Ben Merritt Dr Ste B |
$48.70 | 1,545 | 1,454 |
|
Floyd Arthur Hennan
134 High Ridge Ct |
$37.53 | 1,275 | 1,157 |
|
Syed Amir Rizvi
902 Preskitt Rd Ste 500 |
$20.27 | 1,100 | 1,041 |
|
Jena Mcbride
1001 W Eagle Dr |
$44.69 | 859 | 818 |
|
Novie Sroa
2000 Ben Merritt Dr Ste B |
$62.05 | 800 | 780 |
|
George Keith Gill
1000 Medical Center Dr |
$32.41 | 696 | 617 |
|
Alicia Mccue
2000 S Fm 51 |
$38.89 | 587 | 550 |
|
Haroon W Siddique
902 Preskitt Rd Ste 200 |
$21.15 | 585 | 480 |
|
Travis Andrew Kyle
1001 W Eagle Dr |
$51.11 | 466 | 440 |
|
Natashia Takayasu Jones-Dobbins
2351 S Fm 51 Ste 100 |
$5.53 | 374 | 306 |
|
Katherine Parker Keener
2401 S Fm 51 Ste 100 |
$32.89 | 328 | 290 |
|
Angelina Payne
800 Medical Center Dr Ste C |
$32.87 | 320 | 291 |
|
Faridy Maya Mombeleur
2000 S Fm 51 Ste C |
$46.21 | 308 | 167 |
|
Lisa Ann Minsloff
2401 S Fm 51 Ste 100 |
$37.96 | 297 | 274 |
|
Arshad Mustafa
902 Preskitt Rd Ste 600 |
$11.30 | 290 | 279 |
|
Michelle S Khoo
1713 S Fm 51 Ste 202 |
$57.22 | 267 | 255 |
|
Aamir Zuberi
609 Medical Center Dr |
$24.46 | 253 | 224 |
|
Heather Nicole Stark
2451 S. Fm, Suite 300 |
$28.38 | 227 | 197 |
|
Muhammad Asim
609 Medical Center Dr |
$30.50 | 188 | 177 |
|
Scott E Selz
301 W Main St |
$442.95 | 149 | 147 |
|
Kessley Mayrath
2401 S Fm 51 Ste 100 |
$34.30 | 124 | 116 |
|
Bradley Darrell Faglie
1001 W Eagle Dr |
$45.33 | 104 | 94 |
|
John W Richardson
2301 S Fm 51 |
$11.31 | 99 | 84 |
|
Melissa Franklin
2401 S Fm 51 |
$31.65 | 93 | 81 |
|
Hannah Lewis
800 Medical Center Dr |
$42.22 | 92 | 83 |
|
Jefferson B Alling
1001 W Eagle Dr |
$51.66 | 78 | 73 |
|
Wanda R Villard
2000 S Fm 51 |
$16.27 | 74 | 30 |
|
Thomas Edward Steffen
1001 W Eagle Dr |
$45.20 | 72 | 65 |
|
John A Ribeiro
1101 W Eagle Dr |
$2.93 | 69 | 37 |
|
Leandra Peacock Smith
902 Preskitt Rd Ste 200 |
$27.39 | 62 | 52 |
|
Neelima Maddukuri
2010 Ben Merritt Dr |
$38.68 | 59 | 56 |
|
Irfan Hameed
1705 S Fm 51 Ste 107 |
$27.58 | 59 | 56 |
|
Laken Meadows
1001 W Eagle Dr |
$36.24 | 41 | 38 |
|
Denise Michele Casper
1001 W Eagle Dr |
$38.11 | 28 | 25 |
|
Vincent J Inglima
1000 Medical Center Dr |
$17.41 | 17 | 15 |
|
Courtney Nicole Hatley
800 Medical Center Dr Ste C |
$0.00 | 14 | 12 |
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 Decatur, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Decatur, TX is $33.23 per claim, based on 50,059 claims from 46 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 Decatur, TX?
There are 46 Medicaid providers offering Office Visit related services in Decatur, TX according to public payment data.
What is the price range for Office Visit in Decatur, TX?
Medicaid reimbursement for Office Visit in Decatur, TX ranges from $0.00 to $442.95 per claim, with an average of $33.23. 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 Decatur, TX
Dental Cleaning & Exam
Avg $36.61
12,563 claims
Blood Work & Lab Tests
Avg $2.89
9,232 claims
Vaccines & Immunizations
Avg $8.57
9,043 claims
Physical Therapy
Avg $0.12
8,154 claims
Psychiatric Evaluation
Avg $27.75
7,812 claims
Urinalysis & Urine Tests
Avg $2.37
7,226 claims
EKG / ECG (Electrocardiogram)
Avg $12.44
3,122 claims
Nursing Facility Care
Avg $4.58
3,108 claims