Average Medicaid Office Visit Payments in Gilmer, TX: $21.41
Avg. Paid
$21.41
Range
$0.00 – $47.77
Total Claims
1,604
Providers
7
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 Gilmer, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Longview Wellness Center, Inc.
602 Titus St Ste 130 |
$0.00 | 16 | 12 |
|
Dustin Wade Smith
359 N Cypress St Ste 102 |
$21.15 | 28 | 24 |
|
March Ellen Gray
602 Titus St Ste 120 |
$24.53 | 128 | 115 |
|
Felix Ekanem
712 N Wood St |
$8.39 | 156 | 154 |
|
Lewis Roy King
602 Titus St |
$19.53 | 249 | 229 |
|
Eleazar Vera
602 Titus St Ste 130 |
$47.77 | 260 | 244 |
|
David Warren Buller
602 N Titus |
$15.68 | 767 | 686 |
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 Gilmer, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gilmer, TX is $21.41 per claim, based on 1,604 claims from 7 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 Gilmer, TX?
There are 7 Medicaid providers offering Office Visit related services in Gilmer, TX according to public payment data.
What is the price range for Office Visit in Gilmer, TX?
Medicaid reimbursement for Office Visit in Gilmer, TX ranges from $0.00 to $47.77 per claim, with an average of $21.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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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
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in Gilmer, TX
Home Health Visit
Avg $15.52
19,001 claims
Emergency Room Visit
Avg $171.91
18,182 claims
Psychiatric Evaluation
Avg $24.92
10,355 claims
Non-Emergency Medical Transportation
Avg $6.61
4,427 claims
Podiatry (Foot Care)
Avg $4.73
3,271 claims
Blood Work & Lab Tests
Avg $7.55
3,254 claims
Nursing Facility Care
Avg $4.87
2,580 claims
Speech Therapy
Avg $16.95
1,927 claims