Average Medicaid Office Visit Payments in Lockhart, TX: $64.72
Avg. Paid
$64.72
Range
$13.33 – $204.86
Total Claims
8,023
Providers
9
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 Lockhart, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Veronica Parker
300 S Colorado St Ste A |
$91.37 | 3,628 | 3,194 |
|
Ascension Seton
300 S Colorado St |
$49.69 | 3,080 | 2,529 |
|
Community Health Centers Of South Central Texas Inc.
2060 S Colorado St |
$13.33 | 850 | 728 |
|
Ascension Seton
209 S Church St Ste B |
$63.62 | 210 | 205 |
|
Randall Moon
2060 S Colorado St |
$35.23 | 74 | 70 |
|
Arjun Mohandas
209 S Church St |
$24.92 | 67 | 64 |
|
Robert M Mingea
209 S Church St |
$22.48 | 51 | 42 |
|
Pratima Kamada
1711 S Colorado St Ste C |
$15.49 | 44 | 40 |
|
Ascension Seton
300 S Colorado St |
$204.86 | 19 | 17 |
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 Lockhart, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lockhart, TX is $64.72 per claim, based on 8,023 claims from 9 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 Lockhart, TX?
There are 9 Medicaid providers offering Office Visit related services in Lockhart, TX according to public payment data.
What is the price range for Office Visit in Lockhart, TX?
Medicaid reimbursement for Office Visit in Lockhart, TX ranges from $13.33 to $204.86 per claim, with an average of $64.72. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Lockhart, TX
Nursing Facility Care
Avg $44.08
19,202 claims
Psychiatric Evaluation
Avg $35.56
17,842 claims
Speech Therapy
Avg $5.33
11,524 claims
Vaccines & Immunizations
Avg $10.10
11,103 claims
Dental Cleaning & Exam
Avg $39.40
7,865 claims
Home Health Visit
Avg $29.98
4,673 claims
Eye Exam
Avg $14.51
4,021 claims
Blood Work & Lab Tests
Avg $79.70
3,784 claims