Average Medicaid Office Visit Payments in Denton, TX: $48.29
Avg. Paid
$48.29
Range
$0.00 – $662.52
Total Claims
172,941
Providers
136
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 Denton, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marquis J Nuby
1208 Bent Oaks Ct |
$40.17 | 30,056 | 27,667 |
|
Hilda Zamani
1306 Teasley Ln |
$33.18 | 11,612 | 10,881 |
|
Young Ron Kim
1306 Teasley Ln |
$32.68 | 9,208 | 8,758 |
|
Arlesia Glaspy Jones
2310 W University Dr |
$67.58 | 7,592 | 7,189 |
|
Decarlo Noble
2435 W Oak St Ste 101 |
$38.65 | 7,584 | 5,109 |
|
Anna Rosen
231 W University Dr Ste 111 |
$22.86 | 7,452 | 1,654 |
|
Health Services Of North Texas, Inc.
3537 S I 35 E Ste 210 |
$36.53 | 6,909 | 4,867 |
|
Ogochukwu Okoye
3304 Colorado Blvd Ste 101 |
$67.27 | 5,890 | 4,348 |
|
Karen Latour Evans
2530 Scripture St |
$26.63 | 4,550 | 3,750 |
|
Imraan A Qureshi
2519 Scripture St |
$62.40 | 3,716 | 3,553 |
|
Ikenna Adugba
2185 Brinker Rd |
$38.63 | 3,238 | 2,494 |
|
Rebecca Sharon Pedersen
2519 Scripture St |
$37.20 | 2,918 | 2,808 |
|
Peter Nyangweso Moenga
2519 Scripture St |
$52.56 | 2,802 | 2,735 |
|
Marc A. Wilson
323 N Bonnie Brae Street |
$33.47 | 2,762 | 1,940 |
|
Cheryl Lee Sanborn
2530 Scripture St |
$34.87 | 2,558 | 2,420 |
|
Stephen A. Schulman
2214 Emery St Ste 210 |
$33.84 | 2,514 | 2,241 |
|
Erin Blaylock
2215 S Loop 288 Ste 322 |
$41.38 | 2,479 | 2,383 |
|
Maria Teresa Toro
1306 Teasley Ln |
$38.87 | 2,467 | 2,265 |
|
Stanley Evans
3105 Colorado Blvd |
$10.13 | 2,149 | 1,782 |
|
Sreenath Nekkalapu
2519 Scripture St |
$26.21 | 1,860 | 1,684 |
|
Matika Wylea Monday
2805 S Mayhill Rd |
$39.85 | 1,781 | 1,360 |
|
Health Services Of North Texas, Inc.
306 N Loop 288 Ste 200 |
$36.15 | 1,769 | 1,681 |
|
Health Services Of North Texas, Inc.
4304 Mesa Dr |
$28.00 | 1,619 | 1,521 |
|
Pediatric Urgent Care Of Denton, Lp
2215 S Loop 288 Ste 322 |
$91.71 | 1,590 | 1,477 |
|
Vijaya M Dasari
2701 Shoreline Dr |
$55.09 | 1,556 | 1,462 |
|
Mahnaz Sameeha Rahman
2665 Scripture St |
$32.59 | 1,544 | 981 |
|
Simon Kaitei
3312 Teasley Ln # 100 |
$37.30 | 1,411 | 1,357 |
|
Susan Nyamapfumba
2519 Scripture St |
$52.26 | 1,391 | 1,313 |
|
Sree L Palchuru
2519 Scripture St |
$55.65 | 1,267 | 1,232 |
|
Health Services Of North Texas, Inc.
4308 Mesa Dr |
$40.02 | 1,252 | 1,164 |
|
Wayne B Bishop
2219 S Loop 288 |
$662.52 | 1,168 | 1,082 |
|
Audrey Rachelle Puentes
2665 Scripture St |
$26.42 | 1,160 | 683 |
|
Ali Aijaz Khan
2026 W University Dr |
$33.22 | 1,157 | 503 |
|
Anitha Anil Abraham
2505 Scripture St Ste 100 |
$36.17 | 1,137 | 952 |
|
Thomas David Newell
1214 Primrose Ln |
$56.01 | 1,129 | 926 |
|
Ahna Alisia Patterson
3751 S I-35 E |
$45.52 | 1,052 | 996 |
|
Heather Anne Higgs
2510 Panhandle St |
$21.81 | 996 | 635 |
|
Bryan P Hoffman
1306 Teasley Ln |
$33.22 | 985 | 948 |
|
Abhinandan Raj
2214 Emery St Ste 220 |
$39.57 | 964 | 877 |
|
Samantha Eubanks
2602 Sherwood St |
$43.64 | 963 | 772 |
|
Janice Hill
3537 S I35 E |
$59.52 | 959 | 671 |
|
Yvette Vernor Dye
2548 Lillian Miller Pkwy #120 |
$631.33 | 940 | 872 |
|
Thomas Bell
2665 Scripture St |
$30.90 | 931 | 610 |
|
Murugesan M Siddhappan
2210 San Jacinto Blvd |
$20.59 | 914 | 806 |
|
Peyton Ruth Dobbs
1206 Bent Oaks Ct Ste 200 |
$30.46 | 878 | 143 |
|
Antonio Asis
2665 Scripture St |
$33.31 | 853 | 584 |
|
Sali Varghese
2519 Scripture St |
$45.43 | 834 | 791 |
|
Nasiha Ahmad
2535 Charlotte St Ste 101 |
$38.68 | 821 | 512 |
|
Jeffrey L Day
3304 Colorado Blvd Ste 10 |
$50.51 | 807 | 751 |
|
Hilda Elena Martinez-Campos
2505 Scripture St Ste 100 |
$21.42 | 752 | 724 |
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 Denton, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Denton, TX is $48.29 per claim, based on 172,941 claims from 136 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 Denton, TX?
There are 136 Medicaid providers offering Office Visit related services in Denton, TX according to public payment data.
What is the price range for Office Visit in Denton, TX?
Medicaid reimbursement for Office Visit in Denton, TX ranges from $0.00 to $662.52 per claim, with an average of $48.29. 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 Denton, TX
Vaccines & Immunizations
Avg $5.76
116,549 claims
Dental Cleaning & Exam
Avg $41.82
110,727 claims
Blood Work & Lab Tests
Avg $17.63
98,105 claims
Emergency Room Visit
Avg $91.32
53,620 claims
Urinalysis & Urine Tests
Avg $2.42
34,709 claims
Dental Filling
Avg $92.57
29,633 claims
Physical Therapy
Avg $36.74
25,840 claims
Speech Therapy
Avg $83.48
20,719 claims