Average Medicaid Office Visit Payments in Leander, TX: $40.21
Avg. Paid
$40.21
Range
$15.78 – $57.02
Total Claims
18,131
Providers
16
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 Leander, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sudhakar Konda
901 Crystal Falls Pkwy Ste 103 |
$52.08 | 4,090 | 3,836 |
|
Joanne Raquel Li-Pelaez
10824 E Crystal Falls Pkwy Ste 201 |
$38.05 | 4,065 | 3,457 |
|
Theresa Ann Jones
651 N Highway 183 |
$30.41 | 1,820 | 1,568 |
|
Dorian Frackelton
320 Kingfisher Ln Ste 100 |
$51.40 | 1,663 | 1,613 |
|
Lee R. Dockray
901 Crystal Falls Pkwy Ste 103 |
$37.79 | 1,515 | 1,446 |
|
Luis Egelsee
651 N Highway 183 Ste 110 |
$33.28 | 949 | 847 |
|
Clare T. Wright
18220 Fm 1431 Ste D |
$43.77 | 932 | 837 |
|
Rosie Augustin-Wheeler
1735 Union St Ste A |
$15.78 | 890 | 681 |
|
Amanda Lequire
651 N Highway 183 Ste 110 |
$37.79 | 768 | 707 |
|
Laura Nicole Higginbotham
651 N Highway 183 Ste 110 |
$21.49 | 488 | 374 |
|
Timothy A Mack
3725 N Lakeline Blvd Ste C |
$49.00 | 409 | 407 |
|
Jordan Elizabeth Gjolberg
800 Crystal Falls Pkwy Unit 4 |
$21.84 | 224 | 219 |
|
Jaclyn Teresa Marroquin
505 Saint Davids Loop Ste 320 |
$34.04 | 181 | 163 |
|
Neesha Settipalle
901 Crystal Falls Pkwy |
$57.02 | 88 | 66 |
|
Kathryn Clay Sampson
502 Crystal Falls Pkwy |
$29.21 | 32 | 30 |
|
Sandra Iris Ordonez-Sanchez
15609 Ronald W Reagan Blvd Bldg B |
$19.64 | 17 | 13 |
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 Leander, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Leander, TX is $40.21 per claim, based on 18,131 claims from 16 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 Leander, TX?
There are 16 Medicaid providers offering Office Visit related services in Leander, TX according to public payment data.
What is the price range for Office Visit in Leander, TX?
Medicaid reimbursement for Office Visit in Leander, TX ranges from $15.78 to $57.02 per claim, with an average of $40.21. 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 Leander, TX
Dental Cleaning & Exam
Avg $43.09
19,133 claims
Vaccines & Immunizations
Avg $8.69
6,282 claims
Physical Therapy
Avg $16.34
4,997 claims
Nursing Facility Care
Avg $5.24
2,375 claims
Behavioral & Mental Health Therapy
Avg $67.44
2,360 claims
Dental Filling
Avg $85.85
2,065 claims
Podiatry (Foot Care)
Avg $0.83
1,120 claims
Chiropractic Care
Avg $34.50
913 claims