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
Jorge Eduardo Garcia 3115 Sabercat Ave Apt 2	$84.80	12	12
Carlos Humberto Salas 315 E Palm Dr Suite B	$25.56	12	12
Dane David Gruenebaum 2800 W Trenton Rd Ste 2868	$0.00	12	12
Amanda Lynne Mure 2603 Michaelangelo Dr	$0.00	12	12
Miguel Angel Mata 2511 Cornerstone Blvd Ste 2511	$22.83	13	13
Laura E Manzanilla Luberti 3804 S Jackson Rd Ste 2	$56.93	13	12
Marshall Gillette 5423 S Mccoll Rd	$57.62	13	13
Crystal Marie Ferron-Carrales 5520 Leonardo Da Vinci Ste 100	$25.33	13	13
Oscar J Garcia 2717 Michael Angelo	$20.93	13	12
Erica Marie Ortiz 2603 Michaelangelo Dr	$7.26	14	12
Margarone Momplaisir 4302 S Sugar Rd Ste 206	$15.70	14	12
Emily Quick Bear 5502 S Mccoll Rd	$26.47	14	12
Osiel Perez 1201 W University Dr	$15.91	14	14
Juan Antonio Serrato 2402 Cornerstone Blvd	$39.86	14	12
Samaris Isel Ortega 502 S Closner Blvd	$15.24	15	13
Joanne Marie Torres 1506 S Lone Star Way Ste 1	$173.84	15	15
Jeannie Marie Reyes 4420 S Mccoll Rd	$0.00	15	12
Tomasz Rogula 5500 Raphael Dr	$15.84	15	12
Lester W. Peacock 2227 Cornerstone Blvd	$53.67	15	15
Priscila Marina Ibarra Becerra 1200 S 10Th Ave	$45.09	16	12
Lorena Zenaida Flores-Hernandez 3804 S Jackson Rd Ste 4	$25.57	17	14
Oneida Elizondo 5416 S Jackson Rd	$1.15	17	14
Magdalena Ramirez 502 S Closner Blvd	$6.09	19	18
Randy De Hoyos 2703 W Trenton Rd	$0.00	24	24
Noel E Oliveira 5509 Doctors Dr	$24.57	26	25
Manish Singh 5500 Raphael Dr	$72.60	27	27
Dina Segovia Dennis 1901 S 24Th Ave	$31.59	28	27
Sarah Baguiwet Souffrant 3804 S Jackson Rd Ste 2	$25.54	28	25
Basilisa S Vela 218 Baltic Ave	$22.49	29	26
Sylvia Rodriguez 2717 Michaelangelo Dr Ste 200	$26.16	29	29
Gustavo Alonzo Vela 2717 Michaelangelo Dr Ste 200	$33.94	30	29
Maria Luisa Romero 3108 Center Point Dr	$12.08	32	25
Dennis Madriaga Elefante 5106 June Ct	$6.65	33	18
Trisha Patel 2512 Penrose Ave	$24.83	34	25
Dahud Jamal Farhan 5416 S Jackson Rd	$40.74	37	31
Kayla Denise Delapena 5501 S Mccoll Rd	$24.20	39	38
David Malaquias Martinez 2800 W Trenton Rd	$5.01	40	40
San Juanita Salinas-Avila 2717 Michaelangelo Dr Ste 303	$24.20	43	24
Lyuba Levine 2717 Michaelangelo Dr	$73.37	44	38
Gabriela L Solis 2800 W Trenton Rd	$6.29	46	41
Vanessa Sanchez 4150 Crosspoint Blvd	$22.73	46	45
Mariam Washington 2821 Michaelangelo Dr Ste 201	$64.10	48	45
Hector Garza 2500 W Trenton Rd Ste 7	$29.24	49	44
Emily Lorraine Partida 2603 Michaelangelo Dr	$18.80	49	42
Praveen Vijhani 5501 S Mccoll Rd	$48.03	51	45
Tania Gonzalez 2601 Cornerstone Blvd	$5.52	55	53
Samuel Pena 4302 S Sugar Rd Ste 213	$14.70	56	48
Maria Christina Sosa 5007 S Mccoll Rd	$17.54	58	53
Heather Davis-Lopez 293 E Trenton Rd Ste 20	$39.39	58	45
Efraim Vela 2821 Michaelangelo Dr Ste 202	$54.95	58	44

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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Emergency Room Visit