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 |
|---|---|---|---|
|
Julian Salazar
2101 Pease St |
$15.23 | 12 | 12 |
|
Ramsis K Benjamin
2902 Haine Dr |
$75.99 | 13 | 13 |
|
Linda Mercado
2306 Camelot Plaza Cir |
$9.62 | 13 | 13 |
|
Naohiro Shibuya
2106 Treasure Hills Blvd Ste 1.326 |
$84.12 | 13 | 12 |
|
Marlon Monayao
2101 Pease St |
$10.02 | 13 | 12 |
|
Jackie Elizabeth Garcia
510 Victoria Ln Ste 1 |
$29.35 | 13 | 13 |
|
Vy Nguyen Jaime
613 Victoria Ln |
$0.00 | 14 | 12 |
|
Bradley Herman Stephens
2222 Vela Dr |
$65.83 | 14 | 12 |
|
Rafael Olacio
512 Victoria Ln |
$8.79 | 15 | 13 |
|
Christopher Evan Olson
2106 Treasure Hills Blvd # 1.326 |
$60.78 | 15 | 15 |
|
Michelle Corona Costley
Unimovil Unit |
$17.43 | 15 | 15 |
|
Claire Louise Acevedo
616 Maco Dr |
$4.16 | 15 | 14 |
|
Alondra Salazar
5505 S Expressway 77 Ste 203 |
$33.94 | 16 | 13 |
|
Eron Grant Manusov
2106 Treasure Hills Blvd # 1.326 |
$24.16 | 16 | 13 |
|
Stephen Alan Larsen
1205 N Ed Carey Dr |
$1.85 | 18 | 18 |
|
Daniela Rivas
512 Victoria Ln Ste 2 |
$16.29 | 21 | 19 |
|
Rosario E Gutierrez
2102 Treasure Hills Blvd # 1.326 |
$5.42 | 22 | 18 |
|
Deanna Yamamura
2310 N Ed Carey Dr Ste 1A |
$34.40 | 24 | 24 |
|
Vijian Dhevan
2222 Vela Dr |
$87.56 | 25 | 25 |
|
Jose A Cobos
2114 Hale Ave |
$30.03 | 26 | 26 |
|
Maria Landaeta Manzanero
1706 Treasure Hills Blvd |
$41.78 | 28 | 27 |
|
Tami Terese Dittburner
617 E Loop 499 |
$27.66 | 31 | 25 |
|
Fernando Vasquez
1801 N Ed Carey Dr Ste A |
$64.52 | 31 | 26 |
|
Brian M O'Donnell
1713 Treasure Hills Blvd Ste 2D |
$26.58 | 34 | 26 |
|
Shaun Joseph Adams
1713 Treasure Hills Blvd Ste 2D |
$25.06 | 36 | 30 |
|
Thelma Cavazos Fitzgerald
2902 Haine Dr |
$5.18 | 36 | 34 |
|
Randolph Valenzuela
5505 S Expressway 77 Ste 203 |
$1.67 | 39 | 28 |
|
Lourdes B Concha
1821 S Sesame Square |
$0.00 | 41 | 41 |
|
Christopher Dennett
5505 S Expressway 77 Ste 303 |
$52.71 | 44 | 43 |
|
Bright Ohene Odei
707 W Sesame Dr |
$34.54 | 60 | 51 |
|
Miroslava Garza
1205 N Ed Carey Dr |
$14.45 | 72 | 69 |
|
Haywood Hall
2101 Pease St |
$115.54 | 73 | 73 |
|
Kyle Beasley
2101 Pease St |
$61.80 | 74 | 64 |
|
Savvas Costas Poulos
2121 Pease St Ste 600 |
$47.31 | 76 | 73 |
|
Joseph Horton
2101 Pease St |
$32.32 | 82 | 77 |
|
Nathali Isadora Lozano
721 W Harrison Ave |
$26.18 | 85 | 85 |
|
Rogelio Cantu
1205 N Ed Carey Dr |
$25.13 | 86 | 83 |
|
Lizeth Martinez
2106 Treasure Hills Blvd # 1.326 |
$44.15 | 92 | 79 |
|
Cleofas Pena
1713 Treasure Hills Blvd Ste 1B |
$19.93 | 107 | 64 |
|
Farley B Neasman
2121 Pease St Ste 407 |
$24.43 | 115 | 114 |
|
Antonia Maritza Hernandez
597 W Sesame Dr Ste B |
$26.11 | 122 | 107 |
|
Steve Allen Pichler
709 E Flynn Ct |
$20.02 | 122 | 110 |
|
James Ross Stone
2310 N Ed Carey Dr Ste 1A |
$38.69 | 125 | 122 |
|
Anabelle Hernandez Rodriguez
509 S Expressway 83 Ste B2 |
$11.02 | 127 | 120 |
|
Rigoberto Garza
1713 Treasure Hills Blvd Ste 1B |
$45.46 | 128 | 127 |
|
Aaron Royeston Whittington
2101 Pease St |
$954.81 | 137 | 132 |
|
Cecilia Christine Gonzales
613 Victoria Ln |
$18.53 | 146 | 135 |
|
Hayan Moualla
2121 Pease St Ste 101 |
$26.23 | 168 | 156 |
|
Marcus Anthony Medrano
2101 Pease St |
$0.20 | 171 | 128 |
|
Raissa Elaine Tanqueco
2601 Veterans Dr |
$8.04 | 180 | 179 |
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