Average Medicaid Office Visit Payments in Denison, TX: $48.61
Avg. Paid
$48.61
Range
$0.00 – $139.62
Total Claims
101,612
Providers
77
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 Denison, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maziar Mahjoobi
5012 S Us Highway 75 Ste 100 |
$32.33 | 12 | 12 |
|
Richard Kenneth Saltz
5012 S Us Highway 75 |
$2.42 | 12 | 12 |
|
Gregory B Carlson
5012 S Us Highway 75 |
$19.34 | 12 | 12 |
|
Christina Marie Villareal
5012 Us Hwy 75 Ste 230 |
$59.77 | 13 | 13 |
|
Lee R Schreiber
5012 S Us Highway 75 |
$52.20 | 15 | 12 |
|
Adarsh Sidda
5125 Texoma Medical Center Dr Ste 100 |
$59.17 | 16 | 12 |
|
Bill M Balch
5012 S Us Highway 75 |
$24.78 | 16 | 16 |
|
Winston Schuyler Marshall
5012 S Us Highway 75 |
$0.00 | 17 | 17 |
|
Nirav M Patel
2300 W Morton St Ste 122 |
$118.00 | 20 | 20 |
|
Joseph Njuguna Mbugua
305 W Woodard St Ste 208 |
$6.25 | 20 | 15 |
|
Robert Joe Church
5012 S Us Highway 75 |
$0.00 | 25 | 24 |
|
Hannah Mae Martin
900 N Armstrong Ave |
$24.51 | 39 | 36 |
|
Jeannine Hatt
5012 S Us Highway 75 |
$51.04 | 39 | 39 |
|
John Roufail
5012 S Us Highway 75 Ste 300 |
$73.37 | 39 | 37 |
|
Megan Ruth King
3126 W Fm 120 |
$73.63 | 41 | 41 |
|
Vinod Prasad
2741 Fm 691 |
$30.43 | 42 | 41 |
|
Charles T Whittenburg
5012 Us Hwy 75 |
$52.75 | 46 | 40 |
|
Shonda Banegas
5012 S Us Highway 75 Ste 110 |
$18.39 | 51 | 37 |
|
Azmina A Patel
5125 Texoma Medical Center Dr |
$61.68 | 57 | 51 |
|
Vanessa N Ohnes-Verduguez
5012 S Us Highway 75 |
$29.59 | 60 | 58 |
|
Theresa Danielle Englutt
5012 S Us Highway 75 Ste 200 |
$26.73 | 72 | 69 |
|
Apurva Omkar Badheka
5026 Pool Rd |
$20.04 | 77 | 76 |
|
Angelica Sandoval Balingit
5012 S Us Highway 75 Ste 300 |
$126.90 | 90 | 86 |
|
Tanya Paschen
1300 Tx-91 |
$20.73 | 101 | 100 |
|
John B Sissney
5012 S Us Highway 75 Ste 300 |
$31.89 | 107 | 90 |
|
Marisa Gayle Small
900 N Armstrong Ave |
$26.27 | 107 | 103 |
|
Nhat Q. Nguyen
4616 Us Hwy 75 Ste 203 |
$35.71 | 107 | 103 |
|
Ashley Trowbridge
5012 S Us Highway 75 Ste 110 |
$36.85 | 117 | 111 |
|
Sarah E Grady
5012 S Us Highway 75 Ste 110 |
$30.05 | 151 | 135 |
|
Sarah Branam
5012 S Us Highway 75 Ste 225 |
$43.39 | 161 | 147 |
|
Crystal Denise Miller-Williams
5012 S Us Highway 75 |
$30.18 | 189 | 157 |
|
Jessica Marie Kent
5016 Us Hwy 75 |
$72.38 | 229 | 223 |
|
Aravind Gangasani
5026 Pool Road |
$35.77 | 231 | 231 |
|
Diego F. Restrepo
5012 S Us Highway 75 |
$71.28 | 273 | 273 |
|
Bryan Edward Massenburg
3126 W Fm 120 |
$45.75 | 297 | 286 |
|
Patricia Heath
900 N Armstrong Ave |
$22.34 | 326 | 306 |
|
Mei Yuan Hui
5012 S Us Highway 75 |
$20.73 | 339 | 332 |
|
Shehnaz Aysha Zaman Sarmast
5130 Pool Rd Ste 200 |
$57.59 | 355 | 349 |
|
Anil Singh
5012 S Us Highway 75 Ste 290 |
$32.50 | 358 | 316 |
|
Rachel Elizabeth Kerns
900 N Armstrong Ave |
$30.58 | 367 | 335 |
|
Sean Chen
5130 Pool Rd Ste 200 |
$59.31 | 454 | 437 |
|
Molly Katherine Moran Trowbridge
5012 S Us Highway 75 |
$41.11 | 460 | 420 |
|
Clifford David Garvin
1300 Hwy 91 North |
$13.30 | 468 | 426 |
|
Barrett Wesley Compton
5016 S Us Highway 75 |
$53.61 | 502 | 494 |
|
Brian Todd Yost
5012 S Us Highway 75 |
$47.49 | 517 | 488 |
|
Tung Thomas Tran
5012 S Us Highway 75 |
$29.73 | 594 | 580 |
|
Terry Yeung
5012 S Us Highway 75 |
$76.91 | 596 | 568 |
|
Srinivasa A Reddy
5026 Pool Road |
$29.20 | 695 | 671 |
|
Don Tuan Wynn
101 N Us Highway 75 |
$20.14 | 727 | 576 |
|
Jennifer Owen Myers
5125 Texoma Medical Center Dr |
$23.50 | 744 | 511 |
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 Denison, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Denison, TX is $48.61 per claim, based on 101,612 claims from 77 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 Denison, TX?
There are 77 Medicaid providers offering Office Visit related services in Denison, TX according to public payment data.
What is the price range for Office Visit in Denison, TX?
Medicaid reimbursement for Office Visit in Denison, TX ranges from $0.00 to $139.62 per claim, with an average of $48.61. 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 Denison, TX
Vaccines & Immunizations
Avg $6.40
62,784 claims
X-Ray
Avg $5.14
61,312 claims
Physical Therapy
Avg $51.36
54,120 claims
Blood Work & Lab Tests
Avg $4.28
42,645 claims
Emergency Room Visit
Avg $127.03
36,448 claims
Nursing Facility Care
Avg $9.08
29,908 claims
Speech Therapy
Avg $99.07
22,488 claims
CT Scan (Computed Tomography)
Avg $36.04
17,353 claims