Average Medicaid Office Visit Payments in Gun Barrel City, TX: $31.65
Avg. Paid
$31.65
Range
$4.62 – $55.17
Total Claims
45,534
Providers
17
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 Gun Barrel City, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elena Mayra Rodriguez
170 Municipal Dr |
$23.34 | 9,649 | 8,937 |
|
Mayela Delgado Angeles
170 Municipal Dr |
$26.53 | 8,700 | 8,166 |
|
Victoria Marie Grounds
801 W Main St |
$42.41 | 6,872 | 6,003 |
|
Jon M Rich
2412 W Main St |
$42.07 | 5,247 | 4,790 |
|
Alice Renee Splinter
801 W. Main St. |
$36.09 | 4,809 | 4,414 |
|
Angela J Wright
519 N Gun Barrel Ln Ste C |
$11.97 | 3,045 | 2,611 |
|
Susan C Mcmullen
100 Municipal Dr |
$50.55 | 1,993 | 1,822 |
|
Bruce Woodall
801 W Main Street |
$27.96 | 1,815 | 1,603 |
|
Douglas W Curran
801 W Main St |
$21.95 | 976 | 898 |
|
William Russell Giles
126 W Main St |
$53.29 | 695 | 649 |
|
Garrett Hill
801 W Main St |
$34.49 | 640 | 573 |
|
Charles Ted Mettetal
801 W Main St |
$25.71 | 625 | 587 |
|
Savannah Christian Atkins
100 Municipal Dr Ste 300 |
$41.01 | 226 | 206 |
|
Jaime James Caceres
801 W Main St |
$4.62 | 142 | 140 |
|
Etmc Physician Group Inc.
100 Municipal Dr Ste 300 |
$55.17 | 57 | 57 |
|
Lauren Kay Hughes
1837 W Main St |
$34.47 | 28 | 27 |
|
Shannon Middleton
100 Municipal Dr Ste 300 |
$44.89 | 15 | 15 |
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 Gun Barrel City, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gun Barrel City, TX is $31.65 per claim, based on 45,534 claims from 17 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 Gun Barrel City, TX?
There are 17 Medicaid providers offering Office Visit related services in Gun Barrel City, TX according to public payment data.
What is the price range for Office Visit in Gun Barrel City, TX?
Medicaid reimbursement for Office Visit in Gun Barrel City, TX ranges from $4.62 to $55.17 per claim, with an average of $31.65. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $81.86
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Avg $24.20
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Avg $48.27
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Other Procedures in Gun Barrel City, TX
Vaccines & Immunizations
Avg $7.23
266,934 claims
Emergency Room Visit
Avg $239.12
17,100 claims
Blood Work & Lab Tests
Avg $6.72
9,317 claims
Dental Cleaning & Exam
Avg $41.76
4,485 claims
Nursing Facility Care
Avg $5.65
1,819 claims
Urinalysis & Urine Tests
Avg $3.04
1,727 claims
Psychiatric Evaluation
Avg $31.28
1,514 claims
Dental Filling
Avg $86.75
1,303 claims