Average Medicaid Office Visit Payments in Duncanville, TX: $36.86
Avg. Paid
$36.86
Range
$0.00 – $56.88
Total Claims
38,707
Providers
22
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 Duncanville, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Harold Cariaga Delasalas
626 W Wheatland Rd |
$44.30 | 16,028 | 14,527 |
|
Ricardo Franklin Urrutia
523 W Wheatland Rd |
$41.38 | 13,343 | 12,399 |
|
Terrence Taylor
529W Wheatland Rd |
$22.92 | 1,553 | 903 |
|
Jalandria Marie Gurley
545 W Wheatland Rd |
$0.00 | 1,395 | 1,129 |
|
Brian A Wiley
407 W Danieldale Rd # 100 |
$7.43 | 1,275 | 1,187 |
|
Helen D Gipson
217 A East Camp Wisdom Rd |
$5.11 | 1,170 | 999 |
|
Lilian Melvis Everts
102 E Danieldale Rd Ste 101 |
$56.88 | 813 | 666 |
|
Ashwani Dayal Srivastava
548 E Wheatland Rd |
$13.61 | 812 | 742 |
|
Dralves G Edwards
777 E Wheatland Rd Ste 106 |
$27.07 | 646 | 543 |
|
Lacey Diane Coffey
407 W Danieldale Rd Ste 100 |
$18.46 | 495 | 457 |
|
Francisca Aninye
408 E Camp Wisdom Rd |
$26.32 | 363 | 340 |
|
Gaurav Gupta
916 E Highway 67 |
$17.30 | 284 | 262 |
|
Adeola Iyamah
423 W Wheatland Rd Ste 101 |
$37.61 | 132 | 128 |
|
Meredith G Amos
319 S Cedar Ridge Dr |
$23.27 | 125 | 115 |
|
Imran Afridi
916 E Highway 67 |
$21.56 | 94 | 86 |
|
Edward Louis Middleman
310 E Highway 67 |
$24.18 | 48 | 46 |
|
Travicia Lacole Garrett
315 S Cockrell Hill Rd Ste 200 |
$42.17 | 46 | 39 |
|
Bill Vaughn Way
706 W Center St |
$32.23 | 33 | 33 |
|
Melinda J. Velez
1334 Meadow Ridge Drive |
$31.81 | 14 | 12 |
|
Maryada Srinivas Reddy
310 E Highway 67 |
$0.00 | 14 | 12 |
|
Tim T Issac
1018 E Wheatland Rd |
$19.70 | 12 | 12 |
|
Amit Guttigoli
1018 E Wheatland Rd |
$47.88 | 12 | 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 Duncanville, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Duncanville, TX is $36.86 per claim, based on 38,707 claims from 22 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 Duncanville, TX?
There are 22 Medicaid providers offering Office Visit related services in Duncanville, TX according to public payment data.
What is the price range for Office Visit in Duncanville, TX?
Medicaid reimbursement for Office Visit in Duncanville, TX ranges from $0.00 to $56.88 per claim, with an average of $36.86. 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 Duncanville, TX
Dental Cleaning & Exam
Avg $45.11
125,183 claims
Dental Filling
Avg $90.64
94,830 claims
Home Health Visit
Avg $33.91
78,300 claims
Speech Therapy
Avg $5.03
36,109 claims
Vaccines & Immunizations
Avg $5.76
23,316 claims
Psychiatric Evaluation
Avg $53.04
22,969 claims
Non-Emergency Medical Transportation
Avg $5.74
14,108 claims
Podiatry (Foot Care)
Avg $6.27
13,945 claims