Average Medicaid Office Visit Payments in Donna, TX: $33.91
Avg. Paid
$33.91
Range
$1.99 – $72.39
Total Claims
158,307
Providers
24
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 Donna, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher Michael Guillen
310 North Salinas Blvd |
$31.27 | 12 | 12 |
|
Melissa Antonieta Salcedo Porras
307 N D Salinas Ave Ste D |
$30.42 | 15 | 12 |
|
Rosa Alidya Vallejo-Loza
307 N D Salinas Ave |
$36.36 | 53 | 47 |
|
Maria Espericueta-Rodriguez
307 N D Salinas Ave |
$20.06 | 94 | 84 |
|
Raul Sustaita
2010 East Business 83 |
$22.58 | 131 | 123 |
|
Fedora Esther Paulet
702 E Expressway 83 |
$37.33 | 220 | 198 |
|
Amalia Isabel Mora Campuzano
307 N D Salinas Ave Ste D |
$29.20 | 221 | 202 |
|
Salvi Alday
102 N Salinas Blvd Ste B |
$1.99 | 226 | 154 |
|
Martin I Hinojosa
104 N Salinas Blvd Ste A |
$37.40 | 306 | 286 |
|
Romeo Rolando Guerrero
102 N Salinas Blvd Ste B |
$30.73 | 340 | 273 |
|
John Patrick Gonzales
701 N Main St |
$45.21 | 684 | 592 |
|
Daniela Alejandra Garcia
307 N Salinas Blvd |
$30.23 | 718 | 676 |
|
Edgar Garate
1501 Hooks Ave Ste B |
$24.34 | 829 | 701 |
|
Jose T Sandoval
605 N Main St |
$15.50 | 1,064 | 901 |
|
Maria Del Carmen Silva
2010 E Business Highway 83 |
$24.35 | 2,305 | 1,970 |
|
Julio Avila
308 N Salinas Blvd |
$18.61 | 2,473 | 2,060 |
|
Pearl Divinagracia Katz
313 N D Salinas Ave Ste B |
$29.62 | 4,481 | 3,191 |
|
Jorge Martinez
2010 E Highway 83 |
$27.76 | 7,936 | 7,210 |
|
Clark Abilio Boyer
702 E Expressway 83 Ste A3 |
$72.39 | 8,953 | 8,856 |
|
Marlene Sarahi Garcia
1205 Hooks Ave |
$36.10 | 10,025 | 8,304 |
|
Jose Fernado Pena
307 N Salinas Blvd |
$22.79 | 14,900 | 13,133 |
|
Melissa G. Botello
605 N Main St Ste B |
$34.43 | 21,963 | 19,644 |
|
Michael Anthony Flores
102 N Salinas Blvd Ste B |
$23.29 | 22,565 | 17,275 |
|
Salman Muhammed Khan
1704 Scobey Ave |
$37.16 | 57,793 | 45,686 |
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 Donna, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Donna, TX is $33.91 per claim, based on 158,307 claims from 24 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 Donna, TX?
There are 24 Medicaid providers offering Office Visit related services in Donna, TX according to public payment data.
What is the price range for Office Visit in Donna, TX?
Medicaid reimbursement for Office Visit in Donna, TX ranges from $1.99 to $72.39 per claim, with an average of $33.91. 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 Donna, TX
Personal Care Services
Avg $77.41
510,576 claims
Home Health Visit
Avg $24.61
101,886 claims
Vaccines & Immunizations
Avg $6.64
46,445 claims
Speech Therapy
Avg $73.53
35,714 claims
Blood Work & Lab Tests
Avg $6.09
31,196 claims
Physical Therapy
Avg $74.39
26,305 claims
Non-Emergency Medical Transportation
Avg $6.75
12,658 claims
Echocardiogram
Avg $137.56
9,337 claims