Average Medicaid Office Visit Payments in Marshall, TX: $25.13
Avg. Paid
$25.13
Range
$0.00 – $76.03
Total Claims
44,181
Providers
36
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 Marshall, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charity U Eko
815 S Washington Ave Ste 303 |
$50.30 | 12 | 12 |
|
Tonja Deem
815 S Wahshington Ave Ste 302 |
$27.57 | 16 | 12 |
|
Charles Kilpatrick
815 S Washington Ave |
$13.33 | 19 | 13 |
|
Latausha Tomeka Gaskin
805 Lindsey Dr |
$30.61 | 21 | 20 |
|
Joan Turner Billeaud
300 N Alamo Blvd |
$32.76 | 24 | 24 |
|
East Texas Border Health Clinic
815 S Washington Ave Ste 203 |
$44.70 | 32 | 31 |
|
Juliana Ekpenyong
815 S Washington Ave Ste 201 |
$42.62 | 41 | 40 |
|
Randall Curtis Lane
811 S. Washington Street |
$33.68 | 49 | 42 |
|
Y Nguyen Pham
815 S Washington Ave |
$73.08 | 60 | 60 |
|
Emma Marie Ritter
815 S Washington Ave Ste 100 |
$38.11 | 66 | 66 |
|
Dawn R. Whelchel
401 E Pinecrest Dr |
$10.32 | 96 | 75 |
|
Odette Mohamed-Santa
402 S Bolivar St |
$19.66 | 117 | 114 |
|
Amy D Sustaita
815 S Washington Ave Ste 100 |
$53.71 | 120 | 112 |
|
James Logan
402 S Bolivar St |
$30.61 | 136 | 133 |
|
Veronica Mccoy
805 Lindsey Dr |
$40.95 | 141 | 128 |
|
Mary S Anderson
805 Lindsey Dr |
$21.55 | 155 | 133 |
|
Susan Fernandes
620 S Grove St Ste 105 |
$0.00 | 162 | 154 |
|
East Texas Border Health Clinic
622 S Grove St |
$34.56 | 268 | 229 |
|
Kavita Nirmal
815 S Washington Ave Ste 100 |
$20.08 | 287 | 273 |
|
Terry Lynn Gerber
204 E Crockett St |
$44.54 | 345 | 316 |
|
Angelica C Belo
815 S Washington Ave |
$34.19 | 345 | 332 |
|
East Texas Border Health Clinic
705 S Grove St |
$17.99 | 459 | 436 |
|
Shannon Marie Cash
1 Tiger Dr |
$53.14 | 583 | 569 |
|
Michelle Lee Ray
815 S Washington Ave Ste 100 |
$54.99 | 585 | 545 |
|
Kimberly Barbolla
1600 S Washington Ave |
$30.47 | 662 | 620 |
|
Nancy Anne Mosby
711 E End Blvd S |
$14.88 | 863 | 697 |
|
East Texas Border Health Clinic
620 S Grove St Ste 105 |
$38.86 | 931 | 876 |
|
Douglas E Duncan
815 S Washington Ave Ste 301 |
$30.38 | 967 | 836 |
|
Stephanie Sue White
1500 W Grand Ave |
$76.03 | 1,093 | 1,065 |
|
Luis Balbuena
703 S Washington Ave |
$51.89 | 1,119 | 1,035 |
|
Natalie Emery
703 S Washington Ave |
$34.95 | 1,172 | 1,086 |
|
East Texas Border Health Clinic
805 Lindsey Dr |
$15.57 | 1,273 | 1,204 |
|
Arthur L Strahan
815 S Washington Ave |
$29.70 | 2,460 | 2,282 |
|
East Texas Border Health Clinic
1900 E End Blvd N |
$41.10 | 3,573 | 3,297 |
|
West Chandler
620 S Grove St |
$40.08 | 10,562 | 9,505 |
|
Tara Ashley Holland
1900 E End Blvd N |
$1.01 | 15,367 | 12,900 |
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 Marshall, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marshall, TX is $25.13 per claim, based on 44,181 claims from 36 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 Marshall, TX?
There are 36 Medicaid providers offering Office Visit related services in Marshall, TX according to public payment data.
What is the price range for Office Visit in Marshall, TX?
Medicaid reimbursement for Office Visit in Marshall, TX ranges from $0.00 to $76.03 per claim, with an average of $25.13. 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 Marshall, TX
Dental Cleaning & Exam
Avg $40.54
20,665 claims
Vaccines & Immunizations
Avg $0.00
4,164 claims
Dental Filling
Avg $77.04
4,149 claims
Blood Work & Lab Tests
Avg $2.23
3,315 claims
Speech Therapy
Avg $135.66
3,280 claims
Emergency Room Visit
Avg $65.86
2,887 claims
Physical Therapy
Avg $28.58
2,824 claims
Psychiatric Evaluation
Avg $70.93
2,700 claims