Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Mcallen, TX: $34.30

Avg. Paid

$34.30

Range

$0.00 – $876.52

Total Claims

1,812,622

Providers

467

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 Mcallen, TX

Provider	Avg. Paid	Claims	Patients
Fadi Mogharbel Torres 6900 N 10Th St	$34.19	139,156	115,221
Flor Aurora Limas 3220 Buddy Owens Ave Ste 300	$35.49	53,502	35,328
Maria E Hoffman-Guardia 1200 E Ridge Rd	$37.13	52,946	43,320
Francisco J Vega 6900 N 10Th St Ste 8	$33.83	47,663	40,103
Bertha Laura Rodriguez-Medina 721 Savannah Ave	$30.48	45,535	33,552
Leonardo Garcia-Mendez 2010 S Cynthia St Ste 106	$43.65	40,261	37,897
Zaheda Hussain 801 E Nolana Ave	$36.15	38,136	33,530
Gholam A Kiani Khozani 5121 N Jackson Rd Ste 10	$32.80	37,763	23,932
Carlos Eduardo Puig 3001 N 23Rd St Ste 1	$44.95	33,220	22,064
Alejandro A Tey 801 E Nolana St	$28.24	29,606	23,323
Rick Jui Han Lin 3100 Buddy Owens Blvd	$45.43	29,324	25,896
Fernando Javier Otero 3401 N 23Rd St	$42.18	28,632	22,388
Odiel Rodriguez 801 E Nolana Ave Ste 13A	$34.74	25,897	22,251
Sarojini G. Bose 801 E Nolana Ave Ste 13A	$34.67	25,692	22,177
Erasto Canales 334 Lindberg Ave	$31.84	23,940	18,428
Kesturkoppal Muralidhara 800 E Dove Ave	$35.31	23,829	19,384
Javier Ramirez-Lavin 413 Lindberg Ave	$47.04	23,618	14,848
Keith Andrew Picou 2101 S Cynthia St Ste A	$43.97	23,403	22,425
Archer Crosley 412 Lindberg Ave	$36.95	22,369	17,813
Luis Edmundo Garcia 6900 N 10Th St Ste 1	$30.15	20,388	17,323
Manuel Adolfo Reinoso 1400 E Ridge Rd	$63.83	19,804	19,061
Ninette Ochoa-Cortez 801 E Nolana Ave Ste 13A	$34.46	19,544	16,741
Gerard Scot Johnson 5110 N 10Th St	$33.93	19,448	15,926
Megan Nicole Chavez 3600 N 23Rd St Ste 103	$38.68	18,423	17,496
Hildebrando Salinas 2010 S Cynthia St	$43.47	18,308	18,005
Luis Antonio Rodriguez 1400 E Ridge Rd Ste 8	$38.33	17,965	15,788
Melecio Jesus Medina 1100 E Dove Ave Ste 402	$59.47	16,937	15,985
Monica Lisa Shoemaker 801 E Nolana Ave	$36.71	16,185	14,104
Enrique J Griego 1900 S Jackson Rd Ste 9	$14.96	15,950	13,029
Sardar Ali 801 E Nolana Ave Ste 13A	$35.42	15,533	14,482
Samuel T. Garcia 4115 Pecan Blvd Ste B	$25.26	14,748	12,098
Ricardo Ochoa 508 N 10Th St Ste C7	$36.14	14,665	10,625
Alfredo Lopez 2010 S Cynthia St Ste 110	$22.56	14,263	10,636
Guillermo R Pechero 1005 E Nolana Loop	$38.73	13,805	12,452
Ricardo Canales 240 Lindberg Ave	$29.57	13,658	11,681
Juan J Saenz 5300 N G Street	$34.82	12,739	9,937
Dona E Cooper-Dockery 801 E Nolana Ave	$22.99	12,408	9,955
Florencia Perez 5505 N Mccoll Rd	$38.59	12,341	10,090
Ruben Aleman 4408 N Mccoll Rd	$29.09	12,029	9,602
Jaime E Bernal 801 E Nolana	$34.42	11,950	10,192
Enrique Caceres 4236 N. Mccoll	$37.72	11,885	9,485
Paola Deborah Wiernik 4412 N Mccoll Rd	$39.57	11,669	9,710
Elvin R. Garcia 811 E Fern Ave Ste 1	$11.64	11,483	10,771
Jocelyn Elnar 801 E Nolana Ave Ste 13A	$34.00	11,319	10,588
David Rostenberg 1801 S 5Th St	$39.16	11,012	10,122
Eduardo Candanosa 4232 N Mccoll Rd	$16.48	10,849	8,497
Wilfredo Alfonso Munoz 700 Lindberg Ave	$15.52	10,654	7,595
Jaime Arturo Jimenez 801 E Nolana Ave Ste 13A	$37.58	10,607	8,887
Ofelia Rodriguez 2501 N 23Rd St Ste A	$20.54	10,414	8,178
Ernesto H Ramirez 6900 N 10Th St	$26.59	10,380	9,418

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 Mcallen, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mcallen, TX is $34.30 per claim, based on 1,812,622 claims from 467 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 Mcallen, TX?

There are 467 Medicaid providers offering Office Visit related services in Mcallen, TX according to public payment data.

What is the price range for Office Visit in Mcallen, TX?

Medicaid reimbursement for Office Visit in Mcallen, TX ranges from $0.00 to $876.52 per claim, with an average of $34.30. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Mcallen, TX: $34.30

Providers Offering Office Visit in Mcallen, TX

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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