Average Medicaid Office Visit Payments in Little Elm, TX: $65.99
Avg. Paid
$65.99
Range
$2.20 – $85.11
Total Claims
7,608
Providers
12
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 Little Elm, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rebecca Valdez Kirkley
2774 E Eldorado Pkwy |
$85.11 | 4,771 | 4,428 |
|
Vijay Sriraj Madhurapantula
2774 E Eldorado Pkwy Ste 100 |
$47.65 | 1,175 | 1,154 |
|
Khalida N/A Yasmin
2601 Little Elm Pkwy Ste 1204 |
$14.82 | 446 | 317 |
|
David A Slater
1395 E Eldorado Pkwy Ste 400 |
$2.20 | 318 | 302 |
|
Taek Soo Shin
2601 Little Elm Pkwy Ste 1404 |
$21.05 | 291 | 201 |
|
Jeremy Scott Baker
2043 Fm 423 |
$56.23 | 200 | 176 |
|
Dae Sik Alex Kim
2601 Little Elm Pkwy Ste 803 |
$28.31 | 155 | 151 |
|
Jared Wilson
1150 E Eldorado Pkwy Ste 300 |
$59.30 | 135 | 107 |
|
Kristen Marie Cox
2669 Deer Hollow Dr |
$2.47 | 42 | 42 |
|
Sarah Azim Khan-Atif
2601 Little Elm Pkwy Ste 1204 |
$76.74 | 27 | 26 |
|
Natalia Tanisha Black
2701 Little Elm Pkwy, |
$12.93 | 26 | 25 |
|
Ebele Okeke
2591 Fm 423 |
$18.92 | 22 | 22 |
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 Little Elm, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Little Elm, TX is $65.99 per claim, based on 7,608 claims from 12 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 Little Elm, TX?
There are 12 Medicaid providers offering Office Visit related services in Little Elm, TX according to public payment data.
What is the price range for Office Visit in Little Elm, TX?
Medicaid reimbursement for Office Visit in Little Elm, TX ranges from $2.20 to $85.11 per claim, with an average of $65.99. 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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Little Elm, TX
Dental Cleaning & Exam
Avg $40.30
29,126 claims
Chiropractic Care
Avg $18.70
6,535 claims
Dental Filling
Avg $89.29
4,554 claims
Nursing Facility Care
Avg $8.60
3,021 claims
Physical Therapy
Avg $56.28
2,747 claims
Psychiatric Evaluation
Avg $71.40
1,312 claims
Emergency Room Visit
Avg $59.06
730 claims
Urinalysis & Urine Tests
Avg $0.07
294 claims