Average Medicaid Office Visit Payments in Harlingen, TX: $30.32
Avg. Paid
$30.32
Range
$0.00 – $954.81
Total Claims
632,837
Providers
213
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 Harlingen, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Sauceda
2226 Haine Dr |
$15.75 | 48,663 | 40,117 |
|
Rosseller B Tapangan
2710 Emerald Lake Dr |
$36.54 | 40,119 | 36,442 |
|
Rafael Villalobos-Nieto
2121 Pease St |
$63.66 | 38,799 | 37,644 |
|
Mihaela Ringheanu
512 Victoria Ln Ste 14 |
$49.29 | 38,578 | 34,718 |
|
Surapureddy Seetharam Reddy
1821 S Sesame Sq |
$33.80 | 25,729 | 22,611 |
|
Todd D Shenkenberg
1719 Treasure Hills Blvd. |
$17.53 | 21,472 | 17,534 |
|
Jarod Mendez
1713 Treasure Hills Blvd Ste 1D |
$32.49 | 19,130 | 12,894 |
|
Ruben Maria Torres
2230 Haine Dr |
$32.32 | 17,108 | 12,109 |
|
Ricardo A Ochoa
632 N Ed Carey Dr Ste 400 |
$21.93 | 15,078 | 11,594 |
|
Elva Nora Osuna Salazar
2102 Treasure Hills Blvd |
$0.44 | 14,824 | 10,082 |
|
Larry M Miranda
608 N Ed Carey Drive |
$38.86 | 12,096 | 10,464 |
|
Maria Del Carmen Romero
512 Victoria Ln Ste 14 |
$39.87 | 10,773 | 9,640 |
|
Erwin Danilo Sanchez
321 S 21St St |
$17.47 | 10,647 | 9,878 |
|
Alicia Gonzalez
321 S 21St St |
$17.16 | 10,025 | 9,514 |
|
Uvaldo Cantu
2230 Haine Dr |
$35.84 | 9,871 | 7,405 |
|
Francisco R Papilla
321 S 21St St |
$17.58 | 9,482 | 8,643 |
|
Stephanie Renee Hinojosa
321 S 21St St |
$18.70 | 9,399 | 8,671 |
|
Nolan E Perez
512 Victoria Ln Ste 2 |
$21.86 | 8,968 | 8,285 |
|
Brajesh Bhatla
4402 E Sesame Dr |
$13.74 | 8,724 | 8,145 |
|
Shridhar Kotta
512 Victoria Lane |
$22.07 | 8,204 | 6,603 |
|
Ferdinand Lyndon Q Magno
721 W Harrison Ave |
$28.09 | 8,108 | 7,161 |
|
Marissa Felicitas Cabrera
613 Victoria Ln |
$16.36 | 7,803 | 7,279 |
|
Luis A Reynoso
2401 N Ed Carey Dr |
$20.52 | 7,510 | 5,985 |
|
Tammy Farrah Lin
2222 Benwood St |
$0.73 | 6,783 | 4,351 |
|
Frank Torres
721 W Harrison Ave |
$26.27 | 6,501 | 5,853 |
|
William R Mckenna
1713 Treasure Hills Blvd Ste 1B |
$52.28 | 6,432 | 6,273 |
|
Noemi Infante
1821 S Sesame Sq Ste 8 |
$28.84 | 5,986 | 4,797 |
|
Mogbolahan Martin Kuye
597 W Sesame Dr Ste A |
$17.27 | 5,478 | 4,673 |
|
Rolando Posada
512 Victoria Lane |
$27.82 | 5,381 | 4,304 |
|
Eliana Cruz Martinez
1206 S F St Ste A |
$36.35 | 5,076 | 4,739 |
|
Leticia L Lopez
1706 Treasure Hills Blvd |
$39.46 | 5,060 | 4,141 |
|
Prasad V Movva
922 E Tyler Ave |
$23.13 | 4,308 | 3,580 |
|
Usman M Sheriff
597 Sesame Square |
$11.78 | 4,269 | 3,688 |
|
Kamesh Sivagnanam
2121 Pease St Ste 406 |
$25.47 | 4,115 | 3,291 |
|
Ann C Kanaan
721 W Harrison Ave |
$30.14 | 4,024 | 3,721 |
|
Nisar Ahmad
1719 Treasure Hills Blvd |
$30.81 | 3,883 | 3,654 |
|
Jose Cohen
1717 Ed Carey Drive |
$33.63 | 3,872 | 3,410 |
|
Timothy Bothwell
721 W Harrison Ave |
$33.03 | 3,854 | 3,469 |
|
Nicole M Grigg Gutierrez
512 Victoria Ln Ste 2 |
$16.17 | 3,748 | 3,462 |
|
Alberto Vasquez
1706 Treasure Hills Blvd |
$38.29 | 3,543 | 3,096 |
|
Nabeel Sarhill
2121 Pease St Ste 101 |
$21.78 | 3,530 | 3,210 |
|
Irina A Minina
1706 Treasure Hills Blvd |
$10.79 | 3,517 | 3,071 |
|
Martha M Garcia
1206 S F St Ste A |
$35.93 | 3,398 | 3,165 |
|
Terence Spencer Herman
2902 Haine Dr |
$39.68 | 3,388 | 2,413 |
|
Syed K Shah
1502 Midlane Dr |
$39.56 | 3,217 | 2,526 |
|
Syed Azhar Hassan
620 N Ed Carey Dr |
$45.13 | 3,168 | 3,052 |
|
Maribel Deponce
512 Victoria Ln |
$16.18 | 3,094 | 2,860 |
|
Marco Adolfo Araneda
2121 Pease St |
$18.49 | 2,908 | 2,682 |
|
Nubia Benavides
2121 Pease St |
$38.04 | 2,902 | 2,612 |
|
Stephen Lloyd Schwartz
1919 N Ed Carey Dr |
$65.31 | 2,845 | 2,793 |
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 Harlingen, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Harlingen, TX is $30.32 per claim, based on 632,837 claims from 213 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 Harlingen, TX?
There are 213 Medicaid providers offering Office Visit related services in Harlingen, TX according to public payment data.
What is the price range for Office Visit in Harlingen, TX?
Medicaid reimbursement for Office Visit in Harlingen, TX ranges from $0.00 to $954.81 per claim, with an average of $30.32. 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 Harlingen, TX
Blood Work & Lab Tests
Avg $5.05
331,329 claims
Personal Care Services
Avg $55.77
319,886 claims
Home Health Visit
Avg $23.45
263,732 claims
Physical Therapy
Avg $45.23
217,946 claims
Dental Cleaning & Exam
Avg $38.77
204,573 claims
Vaccines & Immunizations
Avg $5.95
170,740 claims
Emergency Room Visit
Avg $124.90
168,271 claims
Urinalysis & Urine Tests
Avg $3.24
156,381 claims