Average Medicaid Office Visit Payments in Fredericksburg, TX: $46.40
Avg. Paid
$46.40
Range
$17.61 – $638.33
Total Claims
30,185
Providers
29
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 Fredericksburg, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nancy Kaye Thompson
205 W Windcrest St |
$33.61 | 12 | 12 |
|
Maggie Klein Gainer
1308 S State Highway 16 |
$42.96 | 14 | 13 |
|
David A Cantu
1305 N Milam St |
$24.60 | 20 | 15 |
|
Yvonne K Haug
1305 N Milam St |
$25.96 | 27 | 25 |
|
John Radcliffe Kothmann
1308 South Highway 16 |
$40.16 | 28 | 27 |
|
Giovanni Antonio Campagna
751 S Washington St |
$43.39 | 29 | 24 |
|
Felice H Howard
205 W Windcrest St |
$29.92 | 30 | 25 |
|
Rose Evlynn Cortina
205 W Windcrest St Ste 130 |
$47.53 | 33 | 30 |
|
James Michael Crawford
1031 S State Highway 16 |
$22.55 | 84 | 71 |
|
Curtis Ryan Stubblefield
205 W Windcrest St Ste 210 |
$43.36 | 98 | 93 |
|
Matthew J Hoermann
514 W Windcrest St |
$33.50 | 102 | 96 |
|
Ralph George Menard
205 W Windcrest St Ste 350 |
$26.26 | 142 | 134 |
|
Dureshahwar J Fernandez
1009 S Milam St Ste 3 |
$60.33 | 160 | 152 |
|
Michael Abel
506 W Windcrest St |
$41.73 | 178 | 172 |
|
Lisa Kott-Harrington
1308 S State Highway 16 |
$31.72 | 294 | 266 |
|
Kathleen M Fryburger
1308 South Highway 16 |
$17.61 | 345 | 279 |
|
Pinky Bennett Pratt
1020 S State Highway 16 |
$638.33 | 482 | 467 |
|
Loretta Keese
1308 South Highway 16 |
$36.78 | 566 | 513 |
|
Magdalena Johana Klein
205 W Windcrest St Ste 230 |
$42.65 | 587 | 544 |
|
Kellie F Flood-Shaffer
506 W Windcrest St |
$29.01 | 708 | 515 |
|
Mark D Eden
820 Reuben St Ste B |
$36.15 | 734 | 668 |
|
Tracy Allen Byerly
205 W Windcrest St Ste 210 |
$41.46 | 1,025 | 936 |
|
Roland Wilke
1031 S State Highway 16 |
$23.14 | 1,126 | 989 |
|
Erika Broslat Benfield
200 W Windcrest St |
$40.61 | 1,855 | 1,731 |
|
John P Ramsay
514 W Windcrest St |
$36.86 | 2,262 | 1,876 |
|
Karen G Cornett
514 W Windcrest St |
$36.05 | 2,711 | 1,970 |
|
Kristi Ann Stafford
514 W Windcrest St |
$37.58 | 3,611 | 2,636 |
|
Baileigh Williams
1426 E Main St Ste 300-400 |
$35.20 | 6,117 | 5,640 |
|
Richard M Dulaney
816 Reuben St |
$39.86 | 6,805 | 5,787 |
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 Fredericksburg, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fredericksburg, TX is $46.40 per claim, based on 30,185 claims from 29 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 Fredericksburg, TX?
There are 29 Medicaid providers offering Office Visit related services in Fredericksburg, TX according to public payment data.
What is the price range for Office Visit in Fredericksburg, TX?
Medicaid reimbursement for Office Visit in Fredericksburg, TX ranges from $17.61 to $638.33 per claim, with an average of $46.40. 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 Fredericksburg, TX
Vaccines & Immunizations
Avg $7.61
24,214 claims
Emergency Room Visit
Avg $261.94
23,343 claims
Blood Work & Lab Tests
Avg $14.76
7,332 claims
Urinalysis & Urine Tests
Avg $5.85
6,925 claims
Psychiatric Evaluation
Avg $23.70
4,227 claims
X-Ray
Avg $35.25
2,816 claims
EKG / ECG (Electrocardiogram)
Avg $12.19
2,076 claims
Physical Therapy
Avg $54.38
1,973 claims