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
Legacy Community Health Services, Inc 1415 California St	$0.21	140,124	115,477
Nicolas Phoebus Xydas 6500 North Fwy	$31.40	114,606	65,645
Kashif Rahat Ali 10900 Jones Rd	$39.61	82,391	64,622
Syed Naser Mujeeb 10311 N Eldridge Pkwy	$89.30	78,235	69,956
Mie Mie Kyaw 5990 Airline Drive	$43.66	76,835	61,994
Marise Kelly 900 Broadway St	$33.12	60,704	44,633
Harris County Hospital District 1504 Taub Loop	$33.86	59,361	48,843
Imran Baig 13018 Woodforest Blvd	$42.18	57,244	51,769
Cesar Augusto Parra 1821 Wirt Rd	$36.11	53,195	48,559
Homero Garza 1919 North Loop W Ste 140	$40.25	52,948	41,549
Talynn A Hanissian 9809 Rowlett Rd	$37.85	50,070	40,791
Abdul Waheed 6108 Gulfton St	$63.09	46,663	40,339
Tuan Hoang Nguyen 12060 Bellaire Blvd	$37.42	46,566	43,567
Mehboob Nazarani 7324 Southwest Fwy	$51.54	45,190	41,593
Muhammad Farrukh Noor 11003 Resource Pkwy,	$41.38	44,941	36,117
Na Liu 8250 Bellaire Blvd Ste 1	$44.59	43,364	36,040
Pablo E Amador 11012 Airline Dr Ste A	$35.45	37,823	29,453
Teodoro Yanuario Sanchez-Burgos 8200 Wednesbury Ln	$37.78	37,507	30,855
Idalia R Rivera-Matos 13630 Beamer Rd Ste 108	$38.95	37,310	32,061
Texas Children'S Urgent Care 1919 S Braeswood Blvd	$137.23	34,110	31,620
Yuliet Mora Amador 3420 Woodridge Dr	$42.21	33,630	27,132
Hany H. Ahmed 1919 North Loop W	$32.73	32,657	21,716
Adnan Trabulsi 11450 Space Center Blvd Ste 100	$37.64	28,643	23,860
Brandy La'Shay Beauchamp 7877 Willow Chase Blvd	$26.05	28,460	24,682
Richard Escobar 3313 Orlando St	$37.27	28,254	26,363
Jeena Abraham 1515 Holcombe Blvd	$117.42	27,934	25,274
Nita Israni Singhal 2727 W Holcombe Blvd	$100.06	27,796	26,541
Salimah Cumber 1826 Wirt Rd	$37.70	27,372	23,651
Muhammad Babar Rajput 17070 Red Oak Dr Ste 409	$37.99	27,041	24,121
Festus Uzokwe 12660 Beechnut St Ste 110	$31.88	26,745	25,328
Samuel Javar Heardmon 7333 North Fwy Ste 122	$40.20	26,447	23,887
Dinesh Chaudhary 6400 Hillcroft St Ste 100	$40.19	25,830	21,494
Karla Rangel 5800 Bellaire Blvd	$38.57	25,456	22,510
Ignacio H Valdes 7505 Fannin St Ste 170	$45.99	25,257	23,540
Selina Hall 1821 Wirt Rd	$35.37	25,046	23,017
Thrity B Desai 4560 Fm 1960 Rd W	$39.52	23,712	20,210
Shilpa Thakkar Pankaj 1740 W 27Th St	$49.51	23,649	21,096
Eliza Trevino-Beene 800 Peakwood Dr Ste 6F	$37.77	23,585	19,864
Michael D Kelly 1125 Cypress Station Dr Ste C	$36.83	23,550	15,880
Emma Claudia Murillo 15211 Park Row Apt 618	$34.73	23,411	21,477
Sonober Umair 902 Frostwood Dr Ste 179	$28.67	23,316	20,001
Cesar Antonio Ortega 3313 Orlando St	$41.31	23,086	21,422
Jessica Murphy 1821 Wirt Rd	$35.16	23,062	21,237
Martin Yudovich 4501 Groveway	$48.88	22,996	21,201
Anjali Jain 6776 Southwest Fwy	$34.77	21,902	19,390
Emmanuel Ulonnaya Agoh 8610 Martin Luther King Blvd	$35.56	21,766	18,758
Vinh Lu Nguyen 6918 Wilcrest Dr Ste B	$40.15	21,686	17,520
Hirva Pandya 12121 Richmond Ave Ste 307	$38.79	21,316	18,422
Margaret Mary Gonzalez 2323 Wirt Rd Ste F	$36.73	21,302	20,629
Ciro Jorge Porras 6510 Hillcroft	$43.82	21,052	19,150

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