Average Medicaid Office Visit Payments in Fort Worth, TX: $52.71
Avg. Paid
$52.71
Range
$0.00 – $719.00
Total Claims
2,341,902
Providers
1,304
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 Fort Worth, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sonya F Loftis-Dayal
1401 W Pulaski St |
$57.00 | 43,407 | 42,478 |
|
Fijula Pokkasrakath
1401 W Pulaski St |
$57.10 | 40,292 | 39,294 |
|
Raymund Mart Poquiz
1500 Oakland Pl |
$37.73 | 31,603 | 29,266 |
|
Yesenia Gutierrez
800 8Th Ave. |
$46.79 | 29,138 | 26,130 |
|
Marian I Pobee
1401 W Pulaski St |
$53.86 | 26,777 | 26,215 |
|
Kshitij V Bhalani
10601 N Riverside Dr |
$51.54 | 25,858 | 25,215 |
|
Tarrant County Hospital District
1500 S Main St |
$90.49 | 24,566 | 21,768 |
|
Leigh A Dixon
2825 Stadium Dr |
$95.43 | 18,138 | 17,024 |
|
Heather D Volkman
1129 6Th Ave |
$51.93 | 17,922 | 16,887 |
|
Frank J Sloan
1401 W Pulaski St |
$53.61 | 17,627 | 17,298 |
|
Triveni Anantharaman Kallur
1401 W Pulaski St |
$61.06 | 17,466 | 17,132 |
|
Michelle C Marcincuk
1500 Cooper St |
$54.59 | 16,419 | 16,133 |
|
Nilda Shiorkor Lopez
1500 S Main St |
$5.52 | 16,181 | 9,443 |
|
Ann Palagi-Pate
1201 S Main St |
$50.16 | 16,133 | 13,482 |
|
Mario Gabriel Gonzalez
855 Montgomery |
$38.14 | 15,429 | 12,256 |
|
Yesenia Acevedo
1200 Woodhaven Blvd |
$36.85 | 14,957 | 14,126 |
|
Krista M Putty
801 7Th Ave |
$61.18 | 14,627 | 14,360 |
|
Robert E. Murphy
1200 Woodhaven Blvd |
$32.25 | 14,473 | 13,490 |
|
Khalid H Syed
2332 Beverly Hills Dr |
$22.99 | 14,354 | 13,486 |
|
Virginia L Ruas
2600 E Berry St |
$64.49 | 14,184 | 13,653 |
|
Melissa A Lemoine
1500 Cooper St |
$30.19 | 14,032 | 13,295 |
|
Irma Elena Betty
2600 E Berry St |
$60.74 | 13,858 | 13,334 |
|
Juan T Cocjin
2600 E Berry St |
$61.00 | 13,759 | 13,299 |
|
Sadi Ramirez Mercado
4405 River Oaks Blvd |
$37.16 | 13,731 | 12,541 |
|
Adunni M. Morohunfola
3750 S University Dr |
$41.75 | 13,617 | 13,004 |
|
Folashade Kuburat Asekun
855 Montgomery St |
$49.35 | 13,372 | 11,132 |
|
Hector Grajeda Acosta
4405 River Oaks Blvd |
$64.00 | 13,147 | 12,672 |
|
Jamie Renee Shields
2200 Ephriham Ave |
$53.36 | 13,118 | 10,776 |
|
Julio Augusto Valdes Salinas
4200 South Fwy |
$36.21 | 13,024 | 11,724 |
|
Allison Gail Chisholm
901 7Th Ave |
$56.98 | 12,122 | 11,898 |
|
Ashoo M Rao
4405 River Oaks Blvd |
$56.73 | 11,720 | 11,026 |
|
Zabdi Benitez
1500 Cooper St |
$32.02 | 11,717 | 10,868 |
|
Susan Yi Hsian Hsieh
1500 Cooper St |
$52.05 | 11,703 | 11,591 |
|
Bryan J Carroll
6900 Harris Pkwy Ste 200 |
$53.30 | 11,247 | 10,790 |
|
Lawrence Scott Wilner
855 Montgomery St |
$50.41 | 11,125 | 9,762 |
|
Christina Ateek
6421 Mccart Ave |
$68.78 | 10,839 | 10,283 |
|
Deeni Luz De La Rosa Perez
1729 8Th Ave |
$35.56 | 10,743 | 9,574 |
|
Cherryll Phoebe Taruc Libed
4701 Bryant Irvin Rd. N |
$36.02 | 10,683 | 10,106 |
|
Sharhonda Marie Ansley
4405 River Oaks Blvd |
$59.43 | 10,651 | 10,212 |
|
Amy Lynn Richardson
1401 W Pulaski St |
$51.51 | 10,557 | 10,381 |
|
Alison Cory Wortman Lunardon
3025 N Tarrant Pkwy Ste 380 |
$25.00 | 10,232 | 5,983 |
|
Allison Peddle
1500 S Main St |
$202.95 | 10,134 | 8,914 |
|
Hina Aziz Rehman
1401 W Pulaski St |
$70.70 | 9,873 | 9,317 |
|
Steven James Leung
1401 W Pulaski St |
$44.14 | 9,656 | 9,280 |
|
Misty Gail Graham
855 Montgomery St |
$47.65 | 9,447 | 7,795 |
|
Kara L Stewart
6421 Mccart Ave |
$64.08 | 9,432 | 9,034 |
|
Pamela J Sherman
1500 Cooper St |
$74.52 | 9,408 | 8,901 |
|
Jason Matthew Kennedy
1500 Cooper St |
$69.37 | 9,375 | 8,942 |
|
Nicholas A Ogunmola
1500 Cooper St |
$65.55 | 9,361 | 9,283 |
|
Heather L. Miller
1500 Cooper St |
$61.88 | 9,188 | 8,746 |
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 Fort Worth, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fort Worth, TX is $52.71 per claim, based on 2,341,902 claims from 1304 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 Fort Worth, TX?
There are 1304 Medicaid providers offering Office Visit related services in Fort Worth, TX according to public payment data.
What is the price range for Office Visit in Fort Worth, TX?
Medicaid reimbursement for Office Visit in Fort Worth, TX ranges from $0.00 to $719.00 per claim, with an average of $52.71. 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 Fort Worth, TX
Vaccines & Immunizations
Avg $5.83
1,567,560 claims
Emergency Room Visit
Avg $219.10
1,524,539 claims
Blood Work & Lab Tests
Avg $7.15
1,050,378 claims
X-Ray
Avg $9.73
940,197 claims
Dental Cleaning & Exam
Avg $40.51
661,534 claims
Urinalysis & Urine Tests
Avg $4.34
393,896 claims
Ultrasound
Avg $58.37
255,075 claims
CT Scan (Computed Tomography)
Avg $46.39
204,845 claims