Average Medicaid Office Visit Payments in Forney, TX: $43.92
Avg. Paid
$43.92
Range
$0.00 – $211.46
Total Claims
26,456
Providers
15
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 Forney, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher Edward Miller
757 E Us Highway 80 Ste 200 |
$36.89 | 12 | 12 |
|
Shannon Keli Smith
775 E Us Highway 80 |
$17.74 | 16 | 12 |
|
Amali Nelunika Ratnapala
1303 Bideford Way |
$0.00 | 71 | 38 |
|
Antonio D Barksdale
757 E Us Highway 80 Ste 180 |
$8.31 | 76 | 75 |
|
Ashley Milby
763 E Us Highway 80 Ste 100 |
$9.59 | 87 | 84 |
|
Amarily Barahona
2451 Brightling Bnd |
$17.68 | 91 | 74 |
|
Carolyn Earnest
17547 University Dr |
$39.51 | 262 | 241 |
|
Carrie Viola Phillips
9478 Homestead Ln. |
$35.19 | 318 | 269 |
|
Mary Katherine Hayes
757 E Us Highway 80 Ste 240 |
$35.53 | 345 | 331 |
|
Rachel Elizabeth Zettl
711 W Broad St |
$211.46 | 411 | 401 |
|
Susan Nyambura Kinyanjui
775 E Us Highway 80 |
$5.09 | 451 | 353 |
|
Felix Ojo Bosede
3275 Emerson Rd |
$45.29 | 1,097 | 1,059 |
|
Anita R. Shah
101 N Fm 548, Suite 100 |
$49.85 | 1,378 | 1,291 |
|
Carol N Atuma
2032 Dripping Springs Dr |
$51.28 | 3,407 | 2,808 |
|
Deloris Renee Harwell
104 E Us Highway 80 Ste 190 |
$40.26 | 18,434 | 16,611 |
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 Forney, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Forney, TX is $43.92 per claim, based on 26,456 claims from 15 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 Forney, TX?
There are 15 Medicaid providers offering Office Visit related services in Forney, TX according to public payment data.
What is the price range for Office Visit in Forney, TX?
Medicaid reimbursement for Office Visit in Forney, TX ranges from $0.00 to $211.46 per claim, with an average of $43.92. 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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Avg $54.47
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Other Procedures in Forney, TX
Dental Cleaning & Exam
Avg $40.14
88,618 claims
Vaccines & Immunizations
Avg $6.65
35,383 claims
Dental Filling
Avg $86.46
25,720 claims
Tooth Extraction
Avg $45.67
3,597 claims
Psychiatric Evaluation
Avg $76.55
2,123 claims
Hearing Test (Audiometry)
Avg $22.59
1,974 claims
Blood Work & Lab Tests
Avg $1.78
1,933 claims
Nursing Facility Care
Avg $7.13
1,895 claims