Average Medicaid Office Visit Payments in Marble Falls, TX: $50.38
Avg. Paid
$50.38
Range
$6.69 – $194.04
Total Claims
41,750
Providers
42
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 Marble Falls, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Suzette Mikula
800 W Highway 71 |
$93.74 | 12 | 12 |
|
Yasir Imtiaz Cheema
800 W Highway 71 |
$67.20 | 12 | 12 |
|
Aruna Lakshmi Jahoor
800 W Highway 71 |
$69.17 | 13 | 13 |
|
Robert R Anthony
800 W Highway 71 |
$7.83 | 13 | 13 |
|
Adam Wesley Racusin
800 West Hwy 71 |
$29.71 | 15 | 13 |
|
Heather Marie Chambers
810 W Highway 71 |
$23.29 | 16 | 14 |
|
Gary James Gostnell
800 W Highway 71 |
$33.31 | 17 | 12 |
|
Scott & White Hospital - Marble Falls
706 Ave G |
$6.69 | 27 | 26 |
|
Maya Pramod Lele
800 W Highway 71 |
$79.04 | 34 | 27 |
|
Hanna Marie Coyle
800 W Highway 71 |
$47.97 | 35 | 35 |
|
Steven A Johnson
800 W Highway 71 |
$22.76 | 39 | 27 |
|
Scott & White Hospital - Marble Falls
810 W Highway 71 |
$34.15 | 49 | 42 |
|
Tasha Faubion
800 W Highway 71 |
$61.72 | 51 | 40 |
|
Aneesha Hossain
810 W Highway 71 |
$55.40 | 69 | 61 |
|
Cheryl L Coldwater
608 Gateway Central Ste 200 |
$67.13 | 78 | 71 |
|
Kristi H. Mckenzie
800 W Highway 71 |
$37.52 | 120 | 104 |
|
Stefan Cosmin Buca
810 W Highway 71 |
$194.04 | 169 | 164 |
|
Rey Ximenes
503 Fm 1431 Ste 201 |
$43.62 | 186 | 175 |
|
Ryan Odders
706 Avenue G |
$73.47 | 245 | 240 |
|
Prashanth Adapala
800 W Highway 71 |
$22.16 | 256 | 235 |
|
Fred Michael Moore
800 W Highway 71 |
$88.51 | 310 | 302 |
|
Munira A Khambati
1009 Falls Pkwy Ste C |
$28.76 | 313 | 281 |
|
Dianne Perdue
800 W Highway 71 |
$7.33 | 368 | 280 |
|
Chad Gray
706 Avenue G |
$34.23 | 392 | 385 |
|
Jara K Mcdonald
810 W Highway 71 |
$7.58 | 401 | 334 |
|
Carrie Gonzalez
800 W Highway 71 |
$11.12 | 480 | 410 |
|
Mitzi Taylor
800 W Highway 71 |
$40.22 | 508 | 479 |
|
Mercedes Banigan
800 W Highway 71 |
$52.63 | 531 | 488 |
|
Vaishali Mahesh Vaidya
1701 Us Highway 281 |
$29.39 | 532 | 513 |
|
Donald Baldwin Warren
800 W Highway 71 |
$57.23 | 688 | 669 |
|
Cristin Lee Harper
706 Avenue G |
$138.06 | 760 | 746 |
|
Janelle Elizabeth Brown
800 W Highway 71 |
$38.99 | 929 | 836 |
|
Syed N Haq
800 W Highway 71 |
$41.55 | 953 | 854 |
|
Melia Marie Lucero
800 W Highway 71 |
$34.59 | 958 | 647 |
|
Lone Star Circle Of Care
802 Avenue J |
$9.17 | 1,106 | 947 |
|
Amanda Lindo
800 W Highway 71 |
$39.87 | 1,526 | 1,408 |
|
Larissa K Ramirez
800 W Highway 71 |
$33.13 | 2,350 | 2,236 |
|
Robert F Jones
810 W Highway 71 |
$53.28 | 3,070 | 2,504 |
|
Judith Ngozi Brown
810 W Highway 71 |
$84.98 | 3,132 | 1,644 |
|
Candice Black
800 W Highway 71 |
$38.17 | 3,251 | 3,101 |
|
Krystal Suzanne Murphy
810 W Highway 71 |
$52.90 | 4,975 | 3,356 |
|
Sandra Kay Thomas
1009 Falls Pkwy |
$52.23 | 12,761 | 11,142 |
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 Marble Falls, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marble Falls, TX is $50.38 per claim, based on 41,750 claims from 42 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 Marble Falls, TX?
There are 42 Medicaid providers offering Office Visit related services in Marble Falls, TX according to public payment data.
What is the price range for Office Visit in Marble Falls, TX?
Medicaid reimbursement for Office Visit in Marble Falls, TX ranges from $6.69 to $194.04 per claim, with an average of $50.38. 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 Marble Falls, TX
Dental Cleaning & Exam
Avg $40.14
37,542 claims
Vaccines & Immunizations
Avg $4.41
23,563 claims
Blood Work & Lab Tests
Avg $7.23
18,720 claims
Home Health Visit
Avg $9.80
10,717 claims
Emergency Room Visit
Avg $122.59
9,049 claims
Urinalysis & Urine Tests
Avg $3.41
8,292 claims
Dental Filling
Avg $75.15
7,520 claims
EKG / ECG (Electrocardiogram)
Avg $6.61
5,119 claims