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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Gainesville, TX: $45.15

Avg. Paid

$45.15

Range

$4.95 – $254.67

Total Claims

14,452

Providers

20

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 Gainesville, TX

Provider Avg. Paid Claims Patients
Tracy Wang

801 N Grand Ave

 $44.34 3,213 3,004
Virgil G Sears

836 East California

 $82.99 2,054 2,011
Amber R Lavender

800 W Highway 82

 $34.87 2,011 1,901
Abdul Nasir Khan

800 W Highway 82

 $40.17 1,745 1,642
Virendra Kumar Agarwal

715 E California St Ste D

 $22.36 1,539 1,272
Jeril Anthony Kannampuzha

1902 Hospital Blvd

 $48.63 900 789
Amy Klein

1902 Hospital Blvd

 $29.41 739 547
Jeremy Rinner

1902 Hospital Blvd

 $37.29 677 626
Grant Webb

1902 Hospital Blvd

 $35.37 341 311
Amber Cordero

800 W Highway 82

 $38.13 251 238
Sears Medical Associates

836 E California St

 $24.46 224 200
Polly Anna Klement

801 N Grand Ave

 $28.12 186 170
Christian Frank Vissers

1615 Hospital Blvd Ste C

 $34.15 173 157
Jamai Freeman

165 Park Ln

 $95.29 170 157
Lauren Nicole Taylor

801 N Grand Ave

 $149.24 78 76
Vidya Pai

801 N Grand Ave

 $24.49 64 63
Heather Leann Bowen

1900 Hospital Blvd

 $56.69 45 45
Michelle Hacker

302 S Grand Ave

 $29.46 14 12
Betty Masching

800 W Highway 82

 $4.95 14 14
Zaira Jorai-Khan

1902 Hospital Blvd

 $254.67 14 12

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 Gainesville, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gainesville, TX is $45.15 per claim, based on 14,452 claims from 20 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 Gainesville, TX?

There are 20 Medicaid providers offering Office Visit related services in Gainesville, TX according to public payment data.

What is the price range for Office Visit in Gainesville, TX?

Medicaid reimbursement for Office Visit in Gainesville, TX ranges from $4.95 to $254.67 per claim, with an average of $45.15. 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 Gainesville, TX

Dental Cleaning & Exam

Avg $40.43

27,898 claims

Emergency Room Visit

Avg $121.18

6,471 claims

Physical Therapy

Avg $19.48

4,812 claims

Blood Work & Lab Tests

Avg $4.26

4,229 claims

Dental Filling

Avg $84.83

3,750 claims

Vaccines & Immunizations

Avg $9.93

2,806 claims

Dialysis

Avg $62.19

1,410 claims

Eye Exam

Avg $43.12

1,195 claims