Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Edinburg, TX: $39.60

Avg. Paid

$39.60

Range

$0.00 – $578.23

Total Claims

1,601,805

Providers

373

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 Edinburg, TX

Provider	Avg. Paid	Claims	Patients
David Lee Jimenez 4634 S Us Highway 281	$39.87	114,260	88,512
Gerardo Athanasi Orfanos 2703 W Trenton Rd	$37.19	114,217	83,693
Allan Francis Mercado 316 Conquest	$35.14	88,166	71,211
Riaz Ahmed Shareef 5325 S Mccoll Rd	$37.64	80,718	53,954
Argelia Clementina Douglas 5007 S Mccoll Rd	$35.43	71,736	58,886
Livania Y Zavala-Spinetti 4709 S Jackson Rd	$35.90	53,830	43,091
Mahfuzul Huq 1102 W Trenton Rd	$35.47	34,828	31,035
Muhammad Amar Khan 5506 S Jackson Rd	$65.49	34,775	33,087
Zeeshan Afzal 2605 W Trenton Rd	$43.34	30,179	26,870
Jessica Aguilar 5105 S Mccoll Rd	$39.93	25,238	21,587
Eduardo Guillen 802 E University Dr Ste B	$36.30	24,465	20,293
Martin Garza 3521 W Freddy Gonzalez Dr	$32.85	22,611	18,656
Assad Ismael Alhroob 5506 S Jackson Rd	$64.03	22,579	21,565
Doctors Hospital At Renaissance, Ltd 5501 S Mccoll Rd	$55.07	21,082	17,718
Maria Aurora Raypon Manongas 316 Conquest Ste 300	$35.50	20,765	16,950
Jimmy L Tiu 802 E University Dr Ste B	$36.60	20,594	17,612
Monzer Hassan Yazji 502 S Closner Blvd	$29.54	20,580	16,106
Padraic Chisholm 910 S Closner Blvd	$42.27	20,535	14,145
Dalia Contreras 316 Conquest Ste 300	$32.89	19,884	18,128
Rodrigo Argenal 4102 Crosspoint Blvd	$38.64	19,577	16,641
Johnny F Estrellado 802 E University Dr Ste B	$36.69	18,831	15,884
Agustin B Mego 1102 W Trenton Rd	$22.78	17,906	14,613
Daniella Rodriguez-Rico 4716 S Jackson Rd	$42.49	16,210	14,002
Tina Michelle Wisdom 609 N Jackson Rd	$48.74	15,927	14,907
Pablo De Jesus Olmedo 1102 W Trenton Rd	$30.00	15,919	13,159
Nelson Jesus Spinetti 2707 Cornerstone Blvd	$74.76	15,571	14,456
Karelys Diaz Rivera 2821 Michealangelo	$42.64	15,487	13,512
Jyoti Gupta 5017 S Mccoll Rd	$58.80	14,814	12,951
Rodolfo M. Lozano 2821 Michael Angelo	$37.28	14,492	9,871
Jose David Gamez-Godoy 2821 Michaelangelo Dr Ste 102B	$56.38	14,375	13,366
Luis A. Ramirez 2821 Michael Angelo Ste 100	$37.65	14,020	9,212
Arlene Y Sanchez 2123 Jackson Crk Ave	$38.17	13,320	11,877
Manish Prabhakar Lambat 2821 Michaelangelo Dr Ste 102	$56.05	13,155	12,223
Priti M Manohar 3125 Center Pointe Dr	$46.76	11,826	10,961
Ashley Bose 3601 S Business Highway 281	$37.23	11,718	10,491
Joan Abulag 316 Conquest	$36.54	10,725	9,627
Raul Anthony Correa 1409 S 9Th Ave Ste 143	$44.93	10,126	9,375
Wilson C. Sy 1102 W Trenton Rd	$57.79	10,101	9,948
Corazon Gladys White Ajero 316 Conquest Blvd	$55.77	10,083	9,628
Cesar A Matos-Martinez 2110 W Trenton Rd Ste A	$33.95	10,002	9,672
Ali Hasnain Naqvi 3212 S Sugar Rd	$24.82	9,943	8,112
Robert S Marez 609 N Jackson Rd	$48.29	9,574	8,780
Roberto A Ayres 2821 Michaelangelo Dr Ste 303	$49.13	9,330	9,020
Maria Ruby Guajardo 5111 S Mccoll Rd	$35.10	8,854	6,860
Salvador Juventino Mendez 5540 Raphael Dr	$53.87	8,649	7,872
Nancy E. Santillan Jimenez 4634 S Closner Blvd	$39.28	8,569	6,805
Marcel B Twahirwa 2609 Michaelangelo Dr	$30.49	8,560	8,079
Antonio Wong 122 W. Champion	$27.88	8,550	7,216
Surya Narayan Mulukutla 2821 Michaelangelo Dr Ste 102B	$53.67	7,967	7,488
Imtiaz A Mehkri 510 S Closner Blvd	$46.86	7,866	7,443

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 Edinburg, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Edinburg, TX is $39.60 per claim, based on 1,601,805 claims from 373 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 Edinburg, TX?

There are 373 Medicaid providers offering Office Visit related services in Edinburg, TX according to public payment data.

What is the price range for Office Visit in Edinburg, TX?

Medicaid reimbursement for Office Visit in Edinburg, TX ranges from $0.00 to $578.23 per claim, with an average of $39.60. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Edinburg, TX: $39.60

Providers Offering Office Visit in Edinburg, TX

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Physical Therapy

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Urinalysis & Urine Tests

Emergency Room Visit