Average Medicaid Office Visit Payments in Henderson, TX: $44.62
Avg. Paid
$44.62
Range
$0.00 – $96.00
Total Claims
14,274
Providers
19
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 Henderson, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roger C Sessions
612 N High St |
$96.00 | 12 | 12 |
|
Mt. Enterprise Community Health Clinic
1115 Highway 259 South |
$0.00 | 12 | 12 |
|
Tina L Coen
1600 Us Highway 79 S |
$22.02 | 14 | 13 |
|
Henderson Hospital, Llc
300 Wilson St |
$32.49 | 16 | 13 |
|
Mica Ladon Norman
300 Wilson St |
$51.35 | 32 | 31 |
|
Cheryl Ann Polkowski
300 Wilson St |
$44.98 | 71 | 63 |
|
Joseph G. Carver
300 Wilson St |
$67.10 | 110 | 109 |
|
Kimberly Catlin
1600 Us Highway 79 S |
$53.45 | 273 | 239 |
|
Penny Blake
1600 Us Highway 79 S |
$34.75 | 320 | 306 |
|
Deborah Franks
105 Zeid Blvd |
$32.13 | 343 | 315 |
|
Glena June Davis
300 Wilson St |
$24.93 | 653 | 445 |
|
Ruston Bray
612 N High St Ste A |
$66.59 | 689 | 659 |
|
Chelsi M Jackson
105 Zeid Blvd |
$42.33 | 746 | 703 |
|
Jennifer S Melendez
105 Zeid Blvd Bldg 2 |
$33.97 | 833 | 785 |
|
Charles M Perricone
105 Zeid Blvd |
$43.56 | 1,064 | 1,009 |
|
Kenneth W Stegall
105 Zeid Blvd Bldg 2 |
$35.67 | 1,187 | 1,095 |
|
Meredith D Arnall
105 Zeid Blvd |
$46.09 | 1,233 | 1,169 |
|
Jeffrey P Cahill
325 Wilson St |
$36.53 | 1,373 | 1,247 |
|
Yogesh Govindaraya Pai
105 Zeid Blvd |
$50.69 | 5,293 | 4,356 |
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 Henderson, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Henderson, TX is $44.62 per claim, based on 14,274 claims from 19 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 Henderson, TX?
There are 19 Medicaid providers offering Office Visit related services in Henderson, TX according to public payment data.
What is the price range for Office Visit in Henderson, TX?
Medicaid reimbursement for Office Visit in Henderson, TX ranges from $0.00 to $96.00 per claim, with an average of $44.62. 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 Henderson, TX
Dental Cleaning & Exam
Avg $38.32
32,264 claims
Blood Work & Lab Tests
Avg $4.92
12,612 claims
Home Health Visit
Avg $6.02
11,713 claims
Personal Care Services
Avg $48.08
10,654 claims
Emergency Room Visit
Avg $157.80
7,238 claims
Dental Filling
Avg $78.21
6,423 claims
Physical Therapy
Avg $0.98
6,072 claims
Vaccines & Immunizations
Avg $6.50
3,718 claims