Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Houston, TX: $48.27

Avg. Paid

$48.27

Range

$0.00 – $704.28

Total Claims

8,766,644

Providers

4,540

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 Houston, TX

Provider	Avg. Paid	Claims	Patients
Conner Bowers 3100 Shenandoah St	$95.96	12	12
Mehul Dilip Patel 6410 Fannin St Ste 370	$170.64	12	12
Paul Joseph Smith 915 Gessner Rd Ste 720	$22.76	12	12
Martha Lissette Acevedo 1515 Holcombe Blvd	$20.41	12	12
Alicia Ann Austerman 6701 Fannin St	$142.96	12	12
Gregory A Krynski 6060 Bellaire Blvd Ste A	$10.57	12	12
Mariam Khan 1222 Ridgeley Dr	$24.65	12	12
Garth P. Davis 2308 Bissonnet St Unit A	$68.75	12	12
Soledad Khoury 6630 De Moss Dr	$45.22	12	12
Idrees Mian 6431 Fannin St	$135.06	12	12
Suneal Kumar Agarwal 7200 Cambridge St	$70.72	12	12
Hong Nguyen 2128 Spears Rd	$18.28	12	12
Nora Upina Torres 13018 Woodforest Blvd	$43.32	12	12
Juan Fernando Moreno 1504 Taub Loop	$21.45	12	12
Peter Chan 11821 East Fwy Ste 175	$37.26	12	12
Ihab Hamzeh 1515 Holcombe Blvd	$24.99	12	12
Amanda Kathleen Arrington 6550 Fannin St Ste 1661A	$100.23	12	12
Jean Lafontaine Rivera 1 Baylor Plz	$8.21	12	12
Sarah Dawson 925 Gessner Rd Ste 600&650	$52.50	12	12
Emmanuel Adjei-Gyamfi 1504 Taub Loop	$32.42	12	12
Bonnie R. Lanternier 6701 Fannin St	$118.65	12	12
Alexandra Ngo 1 Baylor Plz	$3.42	12	12
Holly D Smith 6410 Fannin St	$96.57	12	12
Line Kastrup Hinojosa 6560 Fannin St	$41.31	12	12
Andrey Zuskov 6400 Fannin St Ste 1700	$35.94	12	12
Michael C Breckel 6400 Fannin St	$0.00	12	12
Tarek Dammad 6550 Fannin St Ste 1001	$85.61	12	12
Christina Guijarro Morice 6410 Fannin St	$34.96	12	12
Nishin Anil Bhadkamkar 1515 Holcombe Blvd	$19.36	12	12
Esther A Batram 8901 Boone Rd	$33.24	12	12
Alfred Phillips 18200 Katy Fwy	$36.31	12	12
Ruiyang Jiang 921 Gessner Rd	$65.63	12	12
Mariette Pierre 1315 St Joseph Pkwy	$1.48	12	12
Fatmata Kaikai 11519 Stancliff Rd	$30.83	12	12
Masayuki Nigo 6431 Fannin St	$21.78	12	12
Caeli Barker 1515 Holcombe Blvd	$55.03	12	12
Lisa Cheung 5959 Long Dr Ste K	$3.44	12	12
Laura Schoch Farach 6431 Fannin St	$167.55	12	12
Christina Y Kim 6410 Fannin St Ste 1014	$44.73	12	12
Maitanya Macalino-Manuel 2201 W Holcombe Blvd Ste 320	$52.03	12	12
Jonathan Garland Eastman 6414 Fannin St Ste G150	$39.34	12	12
Taraneh Baesmat 8539 Gulf Fwy	$26.43	12	12
Nathan Rogers 6400 Fannin St	$37.36	12	12
Edith Napoleon 6410 Fannin St	$50.58	12	12
Sushanth Rao Aroor 6410 Fannin St Ste 1014	$86.47	12	12
John Wesley Munz 6414 Fannin St Ste G150	$58.54	12	12
Amit Verma 6560 Fannin St	$42.51	12	12
Nhu Nguyen 8200 Wilcrest Dr	$0.00	12	12
Fangyi Zhang 6410 Fannin St	$24.50	12	12
Christopher Younghoon Lee 1 Baylor Plz	$32.33	12	12

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 Houston, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Houston, TX is $48.27 per claim, based on 8,766,644 claims from 4540 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 Houston, TX?

There are 4540 Medicaid providers offering Office Visit related services in Houston, TX according to public payment data.

What is the price range for Office Visit in Houston, TX?

Medicaid reimbursement for Office Visit in Houston, TX ranges from $0.00 to $704.28 per claim, with an average of $48.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Houston, TX: $48.27

Providers Offering Office Visit in Houston, TX

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Las Vegas, NV

Columbus, OH

Other Procedures in Houston, TX

Vaccines & Immunizations

Dental Cleaning & Exam

Blood Work & Lab Tests

Emergency Room Visit

X-Ray

Personal Care Services

Urinalysis & Urine Tests

Speech Therapy