Average Medicaid Office Visit Payments in Grapevine, TX: $44.59
Avg. Paid
$44.59
Range
$0.00 – $110.45
Total Claims
38,182
Providers
31
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 Grapevine, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Faryal Abdul Ghaffar
1120 S Main St |
$40.29 | 19,776 | 18,237 |
|
Douglas Alexander Calenda
2535 Ira E Woods Ave |
$63.83 | 2,537 | 2,224 |
|
Orson P Rodriguez
2355 E Grapevine Mills Cir |
$88.35 | 2,020 | 1,991 |
|
Gary L. Malone
1450 Hughes Road |
$31.46 | 1,807 | 1,202 |
|
Imran Shuja Khawaja
823 Ira E Woods Ave Ste 200 |
$44.79 | 1,759 | 1,551 |
|
Gerald Gene Payne
1600 W College St |
$51.19 | 1,637 | 1,222 |
|
James L Carlisle
1631 Lancaster Dr Ste 235 |
$6.34 | 1,271 | 1,183 |
|
Dency Troy
3701 Ira E Woods Ave |
$31.30 | 1,038 | 835 |
|
Michaela Ermanie Herbert
837 E Walnut St |
$47.76 | 999 | 868 |
|
Renee Mary Mathew
2020 W State Highway 114 |
$42.15 | 842 | 750 |
|
Ashlee Dillon
1325 W Northwest Hwy |
$55.19 | 610 | 604 |
|
Jagadish Puppala
1643 Lancaster Dr |
$20.55 | 452 | 420 |
|
Paul S. Bhella
2020 W State Highway 114 Ste 200 |
$29.23 | 437 | 433 |
|
Stephanie Elizabeth Machisak
3701 Ira E Woods Ave |
$5.77 | 404 | 364 |
|
Lija L Thomas
1604 Lancaster Dr |
$79.58 | 367 | 335 |
|
Hitomi Saso
1650 W. College Street, Box # 54 |
$96.93 | 359 | 342 |
|
Michelle Lee
2355 E Grapevine Mills Cir |
$110.45 | 331 | 329 |
|
Dongchul Paek
2355 E Grapevine Mills Cir |
$2.97 | 283 | 146 |
|
Anthony G Huff
1650 W College St |
$108.17 | 226 | 220 |
|
Mary Mcsparren Sutton
1631 Lancaster Dr Ste 150 |
$48.65 | 198 | 182 |
|
Nneka Chinelo Jon-Ubabuco
220 N Park Blvd |
$9.88 | 196 | 131 |
|
Qurratulain Yousuf
1120 S Main St Ste 100 |
$86.53 | 170 | 163 |
|
Jorge L Candiotti
1604 Lancaster Dr |
$26.97 | 128 | 121 |
|
Ashley K Hall
1280 S Main St Ste 100 |
$24.84 | 102 | 99 |
|
Naznin Esphani
2355 E Grapevine Mills Cir |
$8.43 | 58 | 49 |
|
Christopher James Whiting
2331 Mustang Dr Ste 400 |
$48.69 | 57 | 56 |
|
Shopana Ganpath
1604 Lancaster Dr |
$27.77 | 44 | 40 |
|
Justin Thomas Dowdy
1650 W College St Ste 140 |
$11.11 | 26 | 24 |
|
Peter A. Brokish
4851 Merlot Ave Unit 550 |
$43.68 | 19 | 18 |
|
Mohammed Usman Shaikh
1615 Lancaster Dr Ste 150 |
$0.00 | 16 | 12 |
|
Charles Edward Singleton
1245 S Main St |
$34.72 | 13 | 13 |
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 Grapevine, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Grapevine, TX is $44.59 per claim, based on 38,182 claims from 31 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 Grapevine, TX?
There are 31 Medicaid providers offering Office Visit related services in Grapevine, TX according to public payment data.
What is the price range for Office Visit in Grapevine, TX?
Medicaid reimbursement for Office Visit in Grapevine, TX ranges from $0.00 to $110.45 per claim, with an average of $44.59. 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 Grapevine, TX
Vaccines & Immunizations
Avg $6.27
33,157 claims
Dental Cleaning & Exam
Avg $36.74
24,506 claims
Home Health Visit
Avg $3.21
20,998 claims
Emergency Room Visit
Avg $119.88
11,998 claims
Nursing Facility Care
Avg $11.41
11,502 claims
Blood Work & Lab Tests
Avg $5.02
8,746 claims
Podiatry (Foot Care)
Avg $2.25
8,254 claims
EKG / ECG (Electrocardiogram)
Avg $5.71
6,206 claims