Average Medicaid Office Visit Payments in Irving, TX: $39.93
Avg. Paid
$39.93
Range
$0.00 – $756.00
Total Claims
507,595
Providers
209
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 Irving, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rajshree Namdeorao Bongale
9518 Cliffside Dr |
$0.00 | 12 | 12 |
|
Janae Thomas
3501 N Macarthur Blvd Ste 500 |
$31.23 | 12 | 12 |
|
Paul B Bourland
4545 Fuller Dr Ste 325 |
$90.79 | 12 | 12 |
|
Robert Ernest Morgan
3219 Macarthur Blvd |
$34.79 | 12 | 12 |
|
Abdul-Ghaffaar Clark
6800 N Macarthur Blvd |
$47.56 | 13 | 13 |
|
Smitha Mathew
1605 Skyview Dr |
$35.35 | 13 | 13 |
|
Theresa Margaret Stryk
7453 Las Colinas Blvd |
$21.30 | 13 | 12 |
|
Andrew Bradford Pazandak
3100 N Macarthur Blvd |
$26.76 | 14 | 12 |
|
Ashley U So
6750 N Macarthur Blvd |
$0.00 | 14 | 13 |
|
Nimisha Aggarwal
3501 N Macarthur Blvd Ste 450 |
$51.29 | 14 | 14 |
|
Alex W Garcia
800 W. Airport Freeway |
$0.00 | 15 | 13 |
|
Leoa A Sanders
6800 N Macarthur Blvd |
$756.00 | 15 | 13 |
|
Joseph Justin Herold
1901 N Macarthur Blvd |
$0.00 | 15 | 15 |
|
Robin L. Worsham
4545 Fuller Dr |
$54.75 | 15 | 13 |
|
Vicky R Taylor
6724 Verde #228 |
$0.00 | 16 | 14 |
|
Lauri Cherese Bass
6363 N State Highway 161 Ste 100 |
$11.39 | 18 | 14 |
|
Vimi Ketan Masters
1107 S Macarthur Blvd |
$6.90 | 18 | 18 |
|
Walter Nicholas Gaman
6161 N State Highway 161 |
$48.41 | 18 | 13 |
|
Diana S. Divanji
6121 State Hwy 161 Ste 200 |
$26.80 | 19 | 13 |
|
Rasha Yacoub
7400 N Macarthur Blvd |
$55.67 | 19 | 12 |
|
Linda Kottoor
1800 North Britain Road |
$68.44 | 24 | 24 |
|
Trung Van Ha
4441 W Airport Fwy Ste 215 |
$3.89 | 24 | 24 |
|
Cristina Virgina Valdez
3501 N Macarthur Blvd Ste 400 |
$15.31 | 24 | 24 |
|
Renuka Vijay Basavaraju
2021 N Macarthur Blvd Ste 225 |
$46.72 | 25 | 25 |
|
Maria Nicola Biard
6161 N State Highway 161 |
$15.72 | 26 | 24 |
|
Casey Nguyen
1420 N Macarthur Blvd |
$61.88 | 27 | 27 |
|
Ben Ray Graham
1901 N Macarthur Blvd |
$29.09 | 30 | 29 |
|
Miziana Raoofi
600 E John Carpenter Fwy Ste 125 |
$109.14 | 30 | 30 |
|
Maria Carmina Perez
2005 W Park Dr Ste 200 |
$15.78 | 32 | 32 |
|
Alice Pierre
1825 W Walnut Hl Ln |
$48.64 | 32 | 29 |
|
Caroline Fisher
7200 State Highway 161 |
$46.60 | 33 | 28 |
|
Devinda De Soyza
1625 N Story Rd |
$18.15 | 35 | 28 |
|
Meghan Thompson
4545 Fuller Dr Ste 325 |
$60.50 | 36 | 31 |
|
Victor Suva-Viola Mangona
1501 W Royal Ln |
$35.43 | 39 | 39 |
|
Sumitha Atluri
701 Tuscan Dr Ste 125 |
$17.10 | 39 | 39 |
|
Maya Patel
7512 Primrose Dr |
$20.44 | 41 | 41 |
|
Anastasia Alex
3200 N Macarthur Blvd Ste 200 |
$39.51 | 45 | 44 |
|
Natalya Pruden
2021 N Macarthur Blvd Ste 350 |
$131.68 | 47 | 45 |
|
Shyma Varughese
1800 N Britain Rd |
$80.07 | 49 | 47 |
|
Melissa Demasi
3501 N Macarthur Blvd Ste 360 |
$44.48 | 49 | 44 |
|
Marvinia Charles
1901 N Macarthur Blvd |
$67.71 | 55 | 52 |
|
Topcare Medical Pa
300 E John Carpenter Fwy |
$0.94 | 56 | 51 |
|
Sridevi Juvvadi
2021 N Macarthur Blvd |
$24.17 | 57 | 49 |
|
Chimdi Mfebe
6121 N Highway 161 Ste 300 |
$39.69 | 59 | 56 |
|
Nhan Dinh
916 W 6Th St |
$34.66 | 59 | 54 |
|
Donna Marie Schultz
Pediatric Health Specialists |
$30.06 | 64 | 59 |
|
Jocelyn Ybarra
6363 N State Highway 161 Ste 100 |
$0.00 | 65 | 64 |
|
Dora Luz Tirado
320 Decker Dr |
$92.53 | 65 | 62 |
|
Nilam Patel
5500 N Macarthur Blvd |
$2.72 | 66 | 50 |
|
Jaimi Lynne Stockstill
6161 N State Highway 161 Ste 310 |
$60.23 | 78 | 76 |
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 Irving, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Irving, TX is $39.93 per claim, based on 507,595 claims from 209 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 Irving, TX?
There are 209 Medicaid providers offering Office Visit related services in Irving, TX according to public payment data.
What is the price range for Office Visit in Irving, TX?
Medicaid reimbursement for Office Visit in Irving, TX ranges from $0.00 to $756.00 per claim, with an average of $39.93. 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 Irving, TX
Blood Work & Lab Tests
Avg $8.49
3,578,999 claims
Urinalysis & Urine Tests
Avg $4.09
737,053 claims
Vaccines & Immunizations
Avg $5.81
510,026 claims
Culture & Microbiology Tests
Avg $5.28
424,288 claims
Dental Cleaning & Exam
Avg $40.91
331,811 claims
Pathology & Lab Services
Avg $22.82
198,259 claims
Emergency Room Visit
Avg $117.79
110,758 claims
Dental Filling
Avg $84.71
108,114 claims