Average Medicaid Office Visit Payments in Kingsville, TX: $25.35
Avg. Paid
$25.35
Range
$4.89 – $46.72
Total Claims
110,001
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 Kingsville, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anil C Patel
1018 S 14Th St |
$9.04 | 30,741 | 25,878 |
|
Unam Cho
1311 General Cavazos Blvd |
$12.43 | 19,698 | 16,716 |
|
Julio C O'Ryan
1311 General Cavazos Blvd Ste 303C |
$44.73 | 18,110 | 14,532 |
|
Dorovenia Nicole Hawkins-Koch
1311 E General Cavazos Blvd |
$39.11 | 8,082 | 5,729 |
|
Martin Alan Boyd
1311 General Cavazos Blvd |
$43.35 | 5,492 | 4,285 |
|
Octavio J Rodriguez
1021 Senator Carlos Truan Blvd |
$27.27 | 4,122 | 3,228 |
|
Robert Morales
1305 S 14Th St |
$22.87 | 3,429 | 3,163 |
|
Shelby Byrom
1311 General Cavazos Blvd Ste 305 |
$26.80 | 3,370 | 2,731 |
|
Laura C Flores-Rodriguez
1311 General Cavazos Blvd |
$32.64 | 3,113 | 2,386 |
|
Autumn Beth Whitlock-Morales
1311 E General Cavazos Blvd Ste 201 |
$41.36 | 2,797 | 2,540 |
|
Alfredo R Andaya
1311 General Cavazos Blvd |
$44.92 | 2,594 | 2,256 |
|
Alliskair Anibal Ortiz
1311 E General Cavazos Blvd Ste 303C |
$40.69 | 2,110 | 1,704 |
|
Jose M Ugarte
1311 E General Cavazos Blvd Ste L |
$45.99 | 912 | 822 |
|
Community Action Corporation Of South Texas
1311 E General Cavazos Blvd Ste 303C |
$32.03 | 866 | 682 |
|
Pamela A Ortiz
1018 S 14Th St |
$4.89 | 812 | 720 |
|
South Texas Family Planning & Health Corporation
1000 W Corral Ave |
$30.76 | 807 | 741 |
|
Jerome K Hemmert
227 W Kleberg Ave |
$38.05 | 730 | 670 |
|
Norma V Vela
1621 E Corral Ave |
$46.72 | 701 | 690 |
|
Women'S And Men'S Health Services Of The Coastal Bend, Inc.
1022B S 14Th St |
$33.52 | 399 | 365 |
|
Timothy D Tom
1311 General Cavazos Blvd |
$29.85 | 351 | 328 |
|
Patricia G Arguijo
1311 E General Cavazos Blvd |
$32.79 | 322 | 281 |
|
Brandi Lee Smith
1305 S 14Th St |
$8.78 | 286 | 265 |
|
Jerin D Bryant
227 W Kleberg Ave |
$30.98 | 157 | 142 |
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 Kingsville, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kingsville, TX is $25.35 per claim, based on 110,001 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 Kingsville, TX?
There are 23 Medicaid providers offering Office Visit related services in Kingsville, TX according to public payment data.
What is the price range for Office Visit in Kingsville, TX?
Medicaid reimbursement for Office Visit in Kingsville, TX ranges from $4.89 to $46.72 per claim, with an average of $25.35. 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 Kingsville, TX
Personal Care Services
Avg $68.22
938,875 claims
Dental Cleaning & Exam
Avg $47.93
73,439 claims
Vaccines & Immunizations
Avg $5.39
57,176 claims
Home Health Visit
Avg $33.52
39,149 claims
Eye Exam
Avg $101.43
30,233 claims
Blood Work & Lab Tests
Avg $5.35
25,011 claims
Emergency Room Visit
Avg $183.86
24,557 claims
Urinalysis & Urine Tests
Avg $3.14
19,953 claims