Average Medicaid Office Visit Payments in Jacksonville, TX: $33.10
Avg. Paid
$33.10
Range
$3.47 – $90.19
Total Claims
27,011
Providers
23
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 Jacksonville, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kathleen Hope Helgesen
510 E Commerce St |
$31.57 | 5,092 | 4,420 |
|
Charles P Cameron
417 S Main St |
$41.19 | 3,494 | 3,109 |
|
Harsh Yogeshkumar Adhyaru
423 S Main St |
$25.17 | 3,286 | 2,062 |
|
Honey Michelle Smith
2026 S Jackson St |
$31.15 | 2,711 | 2,044 |
|
Kari D Herman
1011 College Ave |
$35.42 | 2,349 | 1,973 |
|
Jane Ragland
2026 S Jackson St |
$23.06 | 2,281 | 1,253 |
|
Kristin L Ault
2116 E Rusk St |
$31.36 | 1,943 | 1,782 |
|
Michele Lee Bentoski
2026 S Jackson St |
$29.80 | 1,504 | 809 |
|
Justin M Mcinnis
203 Nacogdoches St Ste 280 |
$31.92 | 879 | 832 |
|
Mother Frances Hospital Jacksonville
2026 S Jackson St |
$15.14 | 812 | 769 |
|
Colleen Erin Marzilli
2116 E Rusk St |
$90.19 | 712 | 697 |
|
Amanda Nicole Long
2026 S Jackson St |
$45.19 | 547 | 531 |
|
Matthew Todd Proctor
2026 S Jackson St |
$27.27 | 450 | 258 |
|
Jacksonville Hospital Llc
203 Nacogdoches St Ste 280 |
$56.85 | 273 | 257 |
|
Rita Alumanah
2026 S Jackson St |
$28.88 | 259 | 127 |
|
Natalie Marie Morgan
2026 S Jackson St |
$28.47 | 171 | 170 |
|
Todd Alan Parrish
203 Nacogdoches St |
$30.91 | 74 | 68 |
|
Adam T Newman
203 Nacogdoches St |
$74.15 | 49 | 37 |
|
Stephanie R Ryle
2026 S Jackson St |
$54.76 | 40 | 39 |
|
Marie Wynn
1101 College Ave |
$25.51 | 39 | 35 |
|
Thomas Fitzpatrick
2026 S Jackson St |
$82.55 | 20 | 20 |
|
Victoria O Obianwu
1602 S Jackson St |
$3.47 | 14 | 14 |
|
Jayanna D Byrd
928 S Bolton St |
$33.89 | 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 Jacksonville, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jacksonville, TX is $33.10 per claim, based on 27,011 claims from 23 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 Jacksonville, TX?
There are 23 Medicaid providers offering Office Visit related services in Jacksonville, TX according to public payment data.
What is the price range for Office Visit in Jacksonville, TX?
Medicaid reimbursement for Office Visit in Jacksonville, TX ranges from $3.47 to $90.19 per claim, with an average of $33.10. 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 Jacksonville, TX
Blood Work & Lab Tests
Avg $5.85
27,943 claims
Vaccines & Immunizations
Avg $5.98
16,734 claims
Dental Cleaning & Exam
Avg $38.52
14,161 claims
Emergency Room Visit
Avg $170.42
12,307 claims
Urinalysis & Urine Tests
Avg $3.35
9,533 claims
Physical Therapy
Avg $0.10
8,360 claims
Psychiatric Evaluation
Avg $37.28
7,665 claims
X-Ray
Avg $14.75
5,048 claims