Average Medicaid Office Visit Payments in Gatesville, TX: $43.96
Avg. Paid
$43.96
Range
$0.00 – $127.58
Total Claims
33,441
Providers
28
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 Gatesville, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Diedra Deanne Wuenschel
1507 W Main St |
$53.16 | 5,265 | 4,824 |
|
Adrian Marie Dirk
1507 W Main St |
$51.95 | 5,004 | 4,572 |
|
Daryl K Potter
1507 W Main St |
$47.09 | 3,679 | 3,427 |
|
Amy Belen Stewart
1507 W Main St |
$37.65 | 2,432 | 2,286 |
|
Coryell County Memorial Hospital Authority
1507 W Main St |
$7.91 | 2,157 | 1,288 |
|
Karly Ashlyn Keith
1507 W Main St |
$35.80 | 1,871 | 1,787 |
|
Jacinto A Obregon
319 Highway 36 Byp S |
$48.42 | 1,734 | 1,572 |
|
Alecia Nicole Eads
1507 W Main St |
$51.07 | 1,733 | 1,671 |
|
Jessica Nicole Christian
319 Highway 36 Byp S Ste 401 |
$41.07 | 1,462 | 1,339 |
|
Rhonda Mangum
1507 W Main St |
$52.83 | 1,436 | 1,324 |
|
Charles Rismyhr
319 Highway 36 Byp S |
$37.75 | 1,336 | 1,190 |
|
Keri Tatum
227 Memorial Dr |
$39.08 | 1,232 | 1,131 |
|
Austin E Horrocks
1507 W Main St |
$51.28 | 790 | 717 |
|
Courtney Chung
Rr 2 Box 4400 |
$35.55 | 677 | 665 |
|
Anthony Carey Podbielski
1507 W Main St |
$48.71 | 439 | 417 |
|
Zoe Michelle Walker
1507 W Main St |
$54.19 | 379 | 356 |
|
Nicole Amber Batcheller
1507 W Main St |
$36.41 | 349 | 331 |
|
Nancy Jill Clay
1507 West Main Street |
$26.27 | 330 | 321 |
|
Rachel J Hopson
319 Highway 36 Byp S |
$26.69 | 246 | 224 |
|
Bradford W Holland
1507 W Main St |
$62.09 | 243 | 231 |
|
Kimberly Jo Jacobs
1507 W Main St |
$26.54 | 238 | 231 |
|
Joanne E Pritchard
319 Highway 36 Byp S |
$51.32 | 180 | 167 |
|
Lesa Marie Rodriguez
1507 W Main St |
$44.71 | 119 | 105 |
|
Ashley Lynette Stephens
1507 W Main St |
$27.02 | 34 | 34 |
|
David Lyon Hudson
1507 W Main St |
$0.00 | 29 | 13 |
|
Gary Lynn Cramer
1507 W Main St |
$20.22 | 21 | 14 |
|
John Joseph Bawduniak
1507 W Main St |
$127.58 | 13 | 13 |
|
Timothy D. Maynard
1507 W Main St |
$72.88 | 13 | 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 Gatesville, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gatesville, TX is $43.96 per claim, based on 33,441 claims from 28 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 Gatesville, TX?
There are 28 Medicaid providers offering Office Visit related services in Gatesville, TX according to public payment data.
What is the price range for Office Visit in Gatesville, TX?
Medicaid reimbursement for Office Visit in Gatesville, TX ranges from $0.00 to $127.58 per claim, with an average of $43.96. 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 Gatesville, TX
Emergency Room Visit
Avg $141.75
17,892 claims
Blood Work & Lab Tests
Avg $3.94
9,860 claims
Physical Therapy
Avg $0.63
8,291 claims
Personal Care Services
Avg $42.29
5,141 claims
Eye Exam
Avg $49.22
4,153 claims
Nursing Facility Care
Avg $9.53
4,054 claims
Dental Cleaning & Exam
Avg $36.98
3,919 claims
Psychiatric Evaluation
Avg $72.27
1,854 claims