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 |
|---|---|---|---|
|
Joseph Allen Lipscomb
5012 S Us Highway 75 Ste 110 |
$41.26 | 33,188 | 29,574 |
|
David Theodore Hayes
5012 S Us Highway 75 |
$51.75 | 5,613 | 5,024 |
|
Deborah R. Mitchell
5012 S Us Highway 75 |
$51.48 | 5,105 | 4,683 |
|
Stacey L Thornton
5012 S Us Highway 75 Ste 250 |
$39.23 | 4,682 | 3,952 |
|
Fatimah Zahra Ahmed
5012 S Us Highway 75 Ste 300 |
$67.51 | 3,313 | 3,175 |
|
Shannon Williams Hayes
5012 S Us Highway 75 |
$55.28 | 3,197 | 3,033 |
|
Sanober Kable
5012 Us Hwy 75 Ste 200 |
$32.66 | 2,810 | 2,653 |
|
Whitney Laree Richards
5012 S Us Highway 75 |
$31.78 | 2,808 | 2,476 |
|
Timothy D Brumit
5012 S Us Highway 75 |
$60.10 | 2,785 | 2,545 |
|
Tanner Anderson
3126 W Fm 120 |
$135.06 | 2,715 | 2,643 |
|
Angela Posey
5012 S Us Highway 75 Ste 300 |
$57.85 | 2,686 | 2,501 |
|
Bryan Kalil
5012 S Us Highway 75 |
$54.86 | 2,551 | 2,289 |
|
Jessica Reese
5012 S Us Highway 75 Ste 250 |
$30.99 | 2,240 | 2,037 |
|
Carlton Craig Cranford
5630 Woodlands Trl Ste 200 |
$19.18 | 1,782 | 1,611 |
|
Matthew W Jackman
101 N Us Highway 75 |
$26.19 | 1,750 | 1,562 |
|
William Lance Walkup
900 N Armstrong Ave |
$28.36 | 1,660 | 1,394 |
|
Hesham Mohamed Elgouhari
4616 S Us Highway 75 Ste 203 |
$48.84 | 1,599 | 1,489 |
|
Onpan Cheung
5016 Us Hwy 75 |
$98.36 | 1,526 | 1,515 |
|
Susmita Sakruti
5125 Texoma Medical Center Dr Ste 100 |
$20.15 | 1,475 | 1,407 |
|
April Mcclafferty
5012 Us Hwy 75 Ste 200 |
$120.94 | 1,455 | 1,430 |
|
Chris Thomas Alexander
5012 S Us Hwy 75 |
$65.12 | 1,179 | 1,166 |
|
Mallory Lyn Earthman
5016 Us Hwy 75 |
$139.62 | 925 | 875 |
|
Priya Swamy Zeikus
5130 Pool Rd Ste 200 |
$54.02 | 916 | 891 |
|
Amir Ali Faridi
5125 Texoma Medical Center Dr Ste 100 |
$34.51 | 858 | 803 |
|
Kenneth Sunghoon Choi
4616 Us Hwy 75 Ste 203 |
$32.07 | 816 | 740 |
|
Stephen C White
5012 S Us Highway 75 |
$50.27 | 795 | 740 |
|
Angela C Latham
5012 S Us Highway 75 |
$41.71 | 780 | 719 |
|
Jennifer Owen Myers
5125 Texoma Medical Center Dr |
$23.50 | 744 | 511 |
|
Don Tuan Wynn
101 N Us Highway 75 |
$20.14 | 727 | 576 |
|
Srinivasa A Reddy
5026 Pool Road |
$29.20 | 695 | 671 |
|
Terry Yeung
5012 S Us Highway 75 |
$76.91 | 596 | 568 |
|
Tung Thomas Tran
5012 S Us Highway 75 |
$29.73 | 594 | 580 |
|
Brian Todd Yost
5012 S Us Highway 75 |
$47.49 | 517 | 488 |
|
Barrett Wesley Compton
5016 S Us Highway 75 |
$53.61 | 502 | 494 |
|
Clifford David Garvin
1300 Hwy 91 North |
$13.30 | 468 | 426 |
|
Molly Katherine Moran Trowbridge
5012 S Us Highway 75 |
$41.11 | 460 | 420 |
|
Sean Chen
5130 Pool Rd Ste 200 |
$59.31 | 454 | 437 |
|
Rachel Elizabeth Kerns
900 N Armstrong Ave |
$30.58 | 367 | 335 |
|
Anil Singh
5012 S Us Highway 75 Ste 290 |
$32.50 | 358 | 316 |
|
Shehnaz Aysha Zaman Sarmast
5130 Pool Rd Ste 200 |
$57.59 | 355 | 349 |
|
Mei Yuan Hui
5012 S Us Highway 75 |
$20.73 | 339 | 332 |
|
Patricia Heath
900 N Armstrong Ave |
$22.34 | 326 | 306 |
|
Bryan Edward Massenburg
3126 W Fm 120 |
$45.75 | 297 | 286 |
|
Diego F. Restrepo
5012 S Us Highway 75 |
$71.28 | 273 | 273 |
|
Aravind Gangasani
5026 Pool Road |
$35.77 | 231 | 231 |
|
Jessica Marie Kent
5016 Us Hwy 75 |
$72.38 | 229 | 223 |
|
Crystal Denise Miller-Williams
5012 S Us Highway 75 |
$30.18 | 189 | 157 |
|
Sarah Branam
5012 S Us Highway 75 Ste 225 |
$43.39 | 161 | 147 |
|
Sarah E Grady
5012 S Us Highway 75 Ste 110 |
$30.05 | 151 | 135 |
|
Ashley Trowbridge
5012 S Us Highway 75 Ste 110 |
$36.85 | 117 | 111 |
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