Average Medicaid Office Visit Payments in Kingwood, TX: $54.21
Avg. Paid
$54.21
Range
$0.00 – $155.30
Total Claims
178,145
Providers
124
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 Kingwood, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Akinyinka A. Ajelabi
201 Kingwood Medical Dr Ste B100 |
$49.67 | 12 | 12 |
|
Alian Garay
855 Rockmead Dr Ste 202 |
$88.87 | 12 | 12 |
|
Pavan Jhaveri
22730 Professional Dr |
$24.05 | 13 | 12 |
|
Taz Thomas
22999 Highway 59 N |
$0.00 | 13 | 13 |
|
Ramesh Babu Kesavan
451 Kingwood Medical Dr Ste 100 |
$0.00 | 14 | 14 |
|
Aurora Villaluz Yllana-Shepperd
22698 Professional Drive |
$30.21 | 14 | 12 |
|
Rupa Patel
4533 Kingwood Dr Ste C2-500 |
$34.08 | 26 | 26 |
|
James Cook
22999 Highway 59 N |
$81.49 | 27 | 27 |
|
Martha S Dixon
4533 Kingwood Dr Ste C2-500 |
$30.50 | 28 | 24 |
|
Julie A Bernell
19701 Kingwood Dr Bldg 5 |
$22.99 | 29 | 25 |
|
Michael Hanlon Wynn
23972A Highway 59 N |
$16.82 | 32 | 25 |
|
Rapid Response Physicians Pllc
22001 Northpark Dr Ste 221 |
$2.47 | 33 | 30 |
|
Felicia Boutte
4435 Kingwood Dr |
$70.18 | 34 | 32 |
|
Cordell Okezie Nwokeji
22751 Professional Dr |
$18.83 | 41 | 38 |
|
Bradley Paul Borsboom
19701 Kingwood Dr Bldg 3 |
$21.60 | 57 | 52 |
|
Robert Carl Dillard
22999 Hwy 59 N Ste B220 |
$99.84 | 64 | 64 |
|
Amy C Plummer
23802 Highway 59 N |
$28.25 | 65 | 41 |
|
Joann Negron
19701 Kingwood Dr |
$29.03 | 65 | 63 |
|
Kelly O'Neal Callahan
4420 Kingwood Dr |
$28.62 | 71 | 64 |
|
Marloe Prince
2627 Chestnut Ridge Dr Ste 100 |
$40.09 | 85 | 79 |
|
Gregory T Seymour
22710 Professional Dr |
$27.96 | 98 | 72 |
|
John D Edwards
22999 Highway 59 N Ste 400 |
$54.01 | 106 | 103 |
|
Elsa Kristel Castrejon Garza
1849 Kingwood Dr Ste 105 |
$28.97 | 131 | 106 |
|
Jacob P Doering
22710 Professional Drive |
$38.54 | 131 | 120 |
|
Marisa Comalander
451 Kingwood Medical Dr Ste 200 |
$67.15 | 134 | 121 |
|
Elizabeth A Coon-Nguyen
19701 Kingwood Drive |
$30.00 | 150 | 134 |
|
Ahmad Asadi
22999 Highway 59 N |
$96.38 | 156 | 137 |
|
Razvan G Scobercea
601 Rockmead Dr |
$70.98 | 162 | 153 |
|
Catherine Garza Worley
24018 Highway 59 N |
$93.66 | 172 | 157 |
|
Andrew Michael Kelley
22698 Professional Dr Ste 100 |
$40.13 | 178 | 177 |
|
Paul Jon Lascuna
300 Northpark Dr |
$73.41 | 210 | 193 |
|
Carmen Josefa Perez
22710 Professional Dr |
$43.11 | 216 | 181 |
|
Carla Y Deflora
4420 Kingwood Dr |
$22.23 | 219 | 188 |
|
Richelle Garrow
22999 Highway 59 N |
$7.52 | 223 | 184 |
|
Ira H Lieber
2627 Chestnut Ridge Dr |
$40.44 | 227 | 208 |
|
Eva Rodriguez
4420 Kingwood Dr |
$6.34 | 233 | 210 |
|
Ken M Korthauer
601 Rockmead Drive |
$48.77 | 237 | 215 |
|
Salvador Rafael Recio
22710 Professional Dr |
$37.18 | 238 | 206 |
|
Peter Qing Ye
2855 W Lake Houston Pkwy Ste 101 |
$35.84 | 249 | 186 |
|
Rabia Shafiq
4533 Kingwood Dr Ste C2-500 |
$40.61 | 253 | 242 |
|
Joseph O Muscat
601 Rockmead Dr |
$56.98 | 267 | 252 |
|
Iram Ramzan
4501 Magnolia Cove Dr Ste 106 |
$67.51 | 274 | 242 |
|
Polly Jewell Logan
201 Kingwood Medical Dr. |
$25.15 | 281 | 192 |
|
Mary Elizabeth Cavnar-Johnson
201 Kingwood Medical Drive |
$7.85 | 287 | 152 |
|
Ahmed Kabir Qadri
22999 Highway 59 N |
$30.40 | 303 | 251 |
|
Roger Gomez
1414 Green Oak Terrace Ct Ste 200 |
$47.99 | 315 | 290 |
|
Shannon Lynn Havens
22659 Highway 59 N Ste 140 |
$85.51 | 327 | 293 |
|
Sujatha Nvenkata Thota
23423 Highway 59 N |
$42.97 | 329 | 250 |
|
Aruna Perumal
19701 Kingwood Drive, Bldg 3 |
$47.43 | 349 | 330 |
|
Mfon Ekong
22999 Highway 59 N |
$13.03 | 360 | 359 |
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 Kingwood, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kingwood, TX is $54.21 per claim, based on 178,145 claims from 124 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 Kingwood, TX?
There are 124 Medicaid providers offering Office Visit related services in Kingwood, TX according to public payment data.
What is the price range for Office Visit in Kingwood, TX?
Medicaid reimbursement for Office Visit in Kingwood, TX ranges from $0.00 to $155.30 per claim, with an average of $54.21. 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 Kingwood, TX
Emergency Room Visit
Avg $135.02
165,929 claims
Blood Work & Lab Tests
Avg $4.96
88,714 claims
Vaccines & Immunizations
Avg $7.89
78,986 claims
Dental Cleaning & Exam
Avg $39.00
61,538 claims
Urinalysis & Urine Tests
Avg $5.52
45,414 claims
Ultrasound
Avg $92.39
43,634 claims
EKG / ECG (Electrocardiogram)
Avg $24.11
27,707 claims
Nursing Facility Care
Avg $9.46
23,161 claims