Average Medicaid Office Visit Payments in Ennis, TX: $39.89
Avg. Paid
$39.89
Range
$4.01 – $54.16
Total Claims
100,802
Providers
14
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 Ennis, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Margaret Mary Sullivan
802 W Lampasas St |
$38.01 | 41 | 39 |
|
Ellis County Coalition For Health Options
805 W Lampasas St |
$30.06 | 71 | 62 |
|
Stefanie Nicole Rust
2201 West Lampasas Street |
$4.01 | 128 | 126 |
|
Rebecca L Lucas
2203 W Lampasas St |
$6.47 | 236 | 203 |
|
Robert A Silverman
802 W Lampasas St |
$18.14 | 391 | 346 |
|
Larry A Jinks
802 W Lampasas St |
$19.00 | 413 | 362 |
|
Felicia Lenora Lewis
2203 W Lampasas St |
$54.16 | 445 | 387 |
|
Kara Elizabeth Sjogren
711 W Lampasas St |
$18.05 | 512 | 448 |
|
Katherine Elizabeth Brown
2203 W Lampasas St |
$32.28 | 884 | 794 |
|
Courtney Aguado
2201 W Lampasas St |
$23.87 | 1,339 | 1,209 |
|
Keith Douglas Rigsby
601 S Clay St |
$24.73 | 2,045 | 1,722 |
|
Dianne Sharon Mckenzie
805 S Clay St |
$43.28 | 8,034 | 6,913 |
|
Jose J Salguero
900 W Ennis Ave |
$48.72 | 28,446 | 25,018 |
|
Emmanuel Edmund Sackey
601 S Clay St Ste 101 |
$36.71 | 57,817 | 47,831 |
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 Ennis, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ennis, TX is $39.89 per claim, based on 100,802 claims from 14 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 Ennis, TX?
There are 14 Medicaid providers offering Office Visit related services in Ennis, TX according to public payment data.
What is the price range for Office Visit in Ennis, TX?
Medicaid reimbursement for Office Visit in Ennis, TX ranges from $4.01 to $54.16 per claim, with an average of $39.89. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Ennis, TX
Vaccines & Immunizations
Avg $5.00
93,490 claims
Dental Cleaning & Exam
Avg $42.55
51,635 claims
Physical Therapy
Avg $0.63
37,487 claims
Emergency Room Visit
Avg $81.05
16,375 claims
Dental Filling
Avg $83.10
15,298 claims
Nursing Facility Care
Avg $2.11
7,698 claims
Blood Work & Lab Tests
Avg $23.87
7,334 claims
Urinalysis & Urine Tests
Avg $4.56
2,170 claims