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 |
|---|---|---|---|
|
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 |
|
Lan Nguyen
13125 East Fwy |
$97.08 | 12 | 12 |
|
Malvika Juneja
6630 De Moss Dr |
$76.97 | 12 | 12 |
|
Bahar Kapoor Force
7200 Cambridge St Fl 8 |
$37.66 | 12 | 12 |
|
Simar K Singh
20207 Chasewood Park Dr Ste 300 |
$76.31 | 12 | 12 |
|
Nino Carlo Rainusso
6621 Fannin St |
$52.69 | 12 | 12 |
|
Tal R Raphaeli
1125 Cypress Station Dr Ste G-3 |
$49.29 | 12 | 12 |
|
Ekenedilichukwu Azuka Onwuka
6701 Fannin St Ste 1210 |
$11.36 | 12 | 12 |
|
Kevin Mark Abraham
1 Baylor Plz |
$21.62 | 12 | 12 |
|
Sanmati Rao Cuddapah
6701 Fannin St Ste 1560 |
$83.89 | 12 | 12 |
|
Julia Saba Nassif
11476 Space Center Blvd Ste 100 |
$64.14 | 12 | 12 |
|
Chia-Kai Chu
2855 Gramercy St |
$12.78 | 12 | 12 |
|
Argyrios Stampas
1333 Moursund St |
$72.32 | 12 | 12 |
|
Mike Nanyong Yuan
1065 Gessner Rd |
$17.74 | 12 | 12 |
|
Mary Ijeoma Ukor
8901 Boone Rd |
$40.05 | 12 | 12 |
|
Charity Halphen Grannis
2855 Gramercy St |
$30.93 | 12 | 12 |
|
Taresa Fenelon
1003 Richmond Ave |
$40.15 | 12 | 12 |
|
Jeffrey N Johnston
6620 Main Street |
$60.05 | 12 | 12 |
|
Chukwuma I Egwim
6410 Fannin St Ste 225 |
$9.73 | 12 | 12 |
|
Chad M Lemaire
1415 California St |
$141.09 | 12 | 12 |
|
Manju Babu George
1917 W Gray St |
$111.43 | 12 | 12 |
|
Ram K Saha
6431 Fannin St Ste 1014 |
$49.37 | 12 | 12 |
|
Lesley Abraham Thomas
13031 Wortham Center Dr |
$21.49 | 12 | 12 |
|
Chimatara Melody Nwabuko
6651 Main St |
$44.23 | 12 | 12 |
|
Fernando Xavier Cuascut
7200 Cambrigde St. |
$38.48 | 12 | 12 |
|
Li Xiong
6410 Fannin St |
$127.53 | 12 | 12 |
|
Ahmed Arslan Yousuf Awan
7200 Cambridge St Fl 8 |
$71.62 | 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 |
|
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 |
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.
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
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Columbus, OH
Avg $62.00
8,388,006 claims · 3806 providers
Other Procedures in Houston, TX
Vaccines & Immunizations
Avg $6.36
4,720,768 claims
Dental Cleaning & Exam
Avg $39.95
3,744,881 claims
Blood Work & Lab Tests
Avg $9.56
3,408,214 claims
Emergency Room Visit
Avg $183.70
2,360,699 claims
X-Ray
Avg $9.02
1,931,677 claims
Personal Care Services
Avg $67.63
1,546,221 claims
Urinalysis & Urine Tests
Avg $5.15
1,340,067 claims
Speech Therapy
Avg $75.74
1,302,800 claims