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 |
|---|---|---|---|
|
Mylien T Huynh
205 E Toronto Ave |
$88.28 | 12 | 12 |
|
Sarojini Bose Md Pa
801 E Nolana Ave Ste 13A |
$13.44 | 12 | 12 |
|
Vincent F. Honrubia
4865 N. Mccoll Rd |
$9.41 | 12 | 12 |
|
Marie Yolette Rios
1200 E Ridge Rd Ste 12 |
$0.00 | 12 | 12 |
|
Paul Anthony Berry
1100 E Dove Ave Ste 400 |
$66.09 | 12 | 12 |
|
Pamela Sifuentes Velazquez
3401 N. 23Rd St. |
$17.50 | 12 | 12 |
|
Charles Ike Austin
205 E Toronto Ave |
$22.32 | 12 | 12 |
|
Alexis Larissa Del Bosque
1100 E Dove Ave Ste 200 |
$33.94 | 12 | 12 |
|
Ryan Kirk
1000 E Dove Ave |
$123.85 | 13 | 12 |
|
Ivan Garcia
1000 E Dove Ave Ste 200 |
$0.00 | 13 | 12 |
|
Jessica Leal-Porras
5128 N 10Th St |
$2.35 | 13 | 12 |
|
Yanilda Maria Nunez Germosen
1200 E Ridge Rd Ste 7 |
$10.78 | 13 | 13 |
|
Marelyn Medina
412 E Dove Ave |
$0.00 | 14 | 13 |
|
Jeffrey Panting Crespo
4200 Tres Lagos Boulevard |
$39.67 | 14 | 12 |
|
Eric Sandrock
3100 Buddy Owens Ave |
$0.76 | 14 | 12 |
|
Rogelio Salinas
1901 S 2Nd St |
$17.66 | 14 | 14 |
|
Linda Lydia Garcia
5140 N 10Th St |
$67.77 | 14 | 13 |
|
Haydee Divino
1200 E Savannah Ave Ste 9 |
$16.20 | 15 | 12 |
|
Michael Songcayauon
1000 E Dove Ave Ste 200 |
$24.83 | 15 | 14 |
|
Martin Mochoge
1100 E Dove Ave Ste 202 |
$18.45 | 15 | 13 |
|
Rodelyn Reyes Lucag
1421 N Col Rowe Blvd Ste A |
$33.15 | 16 | 16 |
|
Andrea Fernandez
1401 E Ridge Rd Ste C |
$3.06 | 16 | 14 |
|
Chelsy Cavazos
1417 N Ware Rd Ste 300 |
$2.38 | 17 | 16 |
|
Gracie Adams
1100 E Dove Ave Ste 402 |
$28.95 | 18 | 13 |
|
Ricardo G Del Villar
222 E Ridge Rd |
$20.79 | 18 | 17 |
|
Greity Yenisel Dominguez Barthelemy
205 E Toronto Ave |
$26.10 | 19 | 18 |
|
Cassandra Pauline Contreras
5429 N 23Rd St Ste C |
$7.22 | 19 | 17 |
|
Oscar Sandoval
801 E Nolana Ave Ste 13A |
$14.41 | 20 | 19 |
|
Dennis Yanneth Martinez-Garza
1417 N Ware Rd Ste 300 |
$48.84 | 22 | 19 |
|
Maria A Macias
2801 S M St |
$4.81 | 23 | 15 |
|
Rgv Primary Care, Inc.
110 E Savannah Ave |
$20.21 | 24 | 24 |
|
Jessica Hinojosa
110 E Savannah Ave Bldg C Ste 101 |
$21.24 | 25 | 24 |
|
Ernesto Garza
416 Lindberg Ave |
$15.52 | 26 | 26 |
|
Juan J Castano
533 Pecan Blvd |
$27.86 | 27 | 25 |
|
Maria C Colon-Gonzalez
205 E Toronto Ave |
$46.26 | 27 | 27 |
|
Vianey Dennett
6316 N 10Th St Ste C1 |
$26.65 | 27 | 24 |
|
Vinh Nguyen
301 W Expressway 83 |
$40.39 | 27 | 26 |
|
Raul Diaz De Leon Sanchez
7900 N 10Th St Ste A |
$39.65 | 27 | 25 |
|
Rachel Elizabeth Salinas
1000 E Dove Ave |
$47.38 | 28 | 27 |
|
Ali Kilic
1100 E Dove Ave Ste 400 |
$92.43 | 29 | 24 |
|
Charles Jefferson Hines
1200 E Savannah Ave |
$32.53 | 29 | 28 |
|
Amy Rosalie Galvan
1200 E Savannah Ave Ste 14A |
$0.00 | 30 | 24 |
|
Luz Gonzalez
1801 S 5Th St Ste 209 |
$27.75 | 30 | 28 |
|
Juan Ignacio Sanchez
1100 E Dove Ave Ste 200 |
$26.91 | 30 | 29 |
|
Daniela Hernandez
205 E Toronto Ave |
$55.76 | 30 | 25 |
|
Andres Mauricio Perez
1200 S Col Rowe Blvd Ste B12 |
$18.78 | 31 | 29 |
|
Craig Dennis Comisky
1309 E Ridge Rd Ste 1 |
$33.94 | 32 | 26 |
|
Isabel Cristina Martins Rodrigues
4211 N Jackson Rd |
$19.85 | 32 | 24 |
|
Meenakshisundaram Subramanian
1309 E Ridge Rd Ste 1 |
$80.61 | 32 | 32 |
|
Valeria Jeannette Gonzalez-Molina
3100 Buddy Owens Ave |
$0.00 | 34 | 26 |
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.
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 Mcallen, TX
Personal Care Services
Avg $63.38
875,432 claims
Blood Work & Lab Tests
Avg $6.37
629,855 claims
Physical Therapy
Avg $43.78
459,714 claims
Vaccines & Immunizations
Avg $6.56
436,231 claims
Urinalysis & Urine Tests
Avg $3.15
342,921 claims
Dental Cleaning & Exam
Avg $38.45
308,893 claims
Speech Therapy
Avg $83.20
295,326 claims
Emergency Room Visit
Avg $120.78
203,406 claims