Average Medicaid Office Visit Payments in Kaufman, TX: $40.98
Avg. Paid
$40.98
Range
$0.00 – $73.56
Total Claims
72,990
Providers
15
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 Kaufman, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charles Turner Lewis
1011 W Grove St |
$41.06 | 58,554 | 49,883 |
|
Karen Cheshire
6169 Palmer Ln |
$34.52 | 5,868 | 4,955 |
|
Melissa Martin
1011 W Grove St Ste 120 |
$49.50 | 4,352 | 4,152 |
|
James Mcclintock
874 Ed Hall Dr |
$43.01 | 1,083 | 866 |
|
Jayaprakash Narayana
101 N Houston St |
$31.19 | 1,000 | 812 |
|
Garry Macasaet Guce
874 Ed Hall Dr Ste 106 |
$54.71 | 696 | 669 |
|
Maycie Groth
2600 Commerce Way |
$40.60 | 539 | 514 |
|
Karen S. Watt
874 Ed Hall Dr |
$42.16 | 211 | 203 |
|
Madelyn Kennedy
1011 W Grove St |
$73.56 | 205 | 199 |
|
Community Health Service Agency, Inc
2600 Commerce Way |
$0.79 | 202 | 195 |
|
Saima Zafar
2801 Millennium Dr Ste B&C |
$24.26 | 196 | 141 |
|
Trixie Diane Newkirk
101 N Houston St |
$26.03 | 44 | 38 |
|
Savannah Brown
2300 Commerce Way |
$19.01 | 14 | 12 |
|
Theodoor Christiaan Hancke
850 Highway 243 West |
$0.00 | 14 | 13 |
|
Mark W Sij
874 Ed Hall Dr Ste B-108 |
$35.16 | 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 Kaufman, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kaufman, TX is $40.98 per claim, based on 72,990 claims from 15 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 Kaufman, TX?
There are 15 Medicaid providers offering Office Visit related services in Kaufman, TX according to public payment data.
What is the price range for Office Visit in Kaufman, TX?
Medicaid reimbursement for Office Visit in Kaufman, TX ranges from $0.00 to $73.56 per claim, with an average of $40.98. 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 Kaufman, TX
Vaccines & Immunizations
Avg $5.01
65,110 claims
Emergency Room Visit
Avg $115.09
33,838 claims
Blood Work & Lab Tests
Avg $6.76
25,380 claims
Speech Therapy
Avg $23.18
22,843 claims
Home Health Visit
Avg $30.67
21,068 claims
Pulmonary Function Test
Avg $24.41
16,120 claims
Urinalysis & Urine Tests
Avg $5.01
7,377 claims
EKG / ECG (Electrocardiogram)
Avg $10.87
6,229 claims