Average Medicaid Office Visit Payments in Mckinney, TX: $42.71
Avg. Paid
$42.71
Range
$0.00 – $318.71
Total Claims
260,522
Providers
151
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 Mckinney, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Masoud Almasi
4510 Medical Center Dr Ste 209 |
$42.02 | 24,186 | 22,518 |
|
Pat Lee Arnett
4200 S Lake Forest Dr Ste 100 |
$23.16 | 17,600 | 15,769 |
|
Afsheen Abid
1400 N Coit Rd Ste 2101 |
$7.10 | 16,384 | 10,220 |
|
Nanette Ariayefah Icho
2745 Virginia Parkway |
$44.26 | 14,099 | 10,328 |
|
Daniel Vernier
1872 N. Lake Forest Dr. |
$57.54 | 11,797 | 10,862 |
|
Vivian Le
1720 N Central Expy Ste 150 |
$36.21 | 10,839 | 9,992 |
|
North Central Texas Community Health Care Center Inc
1620 W Virginia Street |
$54.51 | 9,333 | 4,511 |
|
North Central Texas Community Health Care Center Inc
4510 Medical Center Dr Ste 201 |
$51.41 | 8,082 | 4,852 |
|
Sarah Cunningham
6850 Tpc Dr Ste 100 |
$41.95 | 8,056 | 7,476 |
|
Bruce William Rajala
5236 W University Dr |
$39.98 | 7,999 | 7,244 |
|
Asim A Farooqui
1515 Heritage Dr |
$123.27 | 6,417 | 5,413 |
|
Rita K Joe
1872 N. Lake Forest Dr. |
$59.94 | 5,614 | 5,346 |
|
Frances Delhoste
175 Ridge Rd Ste 200 |
$0.00 | 4,846 | 3,071 |
|
Stephanie Nichole Heine
1720 N Central Expy Ste 150 |
$30.04 | 4,635 | 4,433 |
|
Barbara Lynn Larsen
7900 Henneman Way |
$44.95 | 4,491 | 3,585 |
|
Naushad Pyarali Banani
5900 South Lake Forest Drive |
$30.11 | 4,339 | 3,809 |
|
Jason Uche
105 S Tennessee St Ste 102 |
$35.86 | 4,091 | 3,936 |
|
Wael S. Abo-Auda
5325 W University Dr |
$35.78 | 3,087 | 2,936 |
|
Gerald Dan Luciani
4701 Medical Center Dr |
$42.08 | 2,988 | 1,827 |
|
Omomengbe Oni
307 S Mcdonald St Ste 100E |
$66.40 | 2,940 | 2,567 |
|
Cesar Augusto Reyes
1700 N Lake Forest Dr |
$43.47 | 2,897 | 1,679 |
|
Benjamin Barton Cable
5220 W University Dr Ste 150 |
$68.33 | 2,838 | 2,682 |
|
Courtney Lane Jones
8995 Stacy Rd |
$20.90 | 2,665 | 2,500 |
|
Robert Charles Neal
1872 N. Lake Forest Dr. |
$48.39 | 2,642 | 2,527 |
|
Robin Ann Evenson
7900 Henneman Way Ste 100 |
$42.17 | 2,528 | 1,902 |
|
Simmy Aloor
3951 Alma Rd |
$39.32 | 2,384 | 2,240 |
|
Akbar Rizvi
5236 W University Dr Ste 1000 |
$23.63 | 2,153 | 1,379 |
|
Yvette Cebrian
4200 S Lake Forest Dr Ste 100 |
$36.56 | 2,105 | 1,990 |
|
Kimberly Renee Scott
4200 S Lake Forest Dr Ste 100 |
$50.49 | 2,081 | 1,983 |
|
Bradly J Keller
1515 Heritage Dr |
$55.39 | 2,002 | 1,928 |
|
Cassandra Boduch
4817 Medical Center Dr # 3B |
$48.28 | 1,999 | 1,674 |
|
Cheryl D Eley
6587 Virginia Parkway |
$40.73 | 1,984 | 1,818 |
|
Evlin Joseph Varghese
8080 State Highway 121 Ste 200 |
$51.89 | 1,895 | 1,768 |
|
Carnika Donald
1400 N Coit Rd Ste 302 |
$32.40 | 1,884 | 1,654 |
|
Laura Gardner
7900 Henneman Way |
$43.21 | 1,849 | 1,455 |
|
Elizabeth Rebecca Barta
1400 N Coit Rd Ste 302 |
$32.50 | 1,746 | 1,703 |
|
Ankit Maheshwari
4510 Medical Center Dr Ste 207 |
$52.62 | 1,692 | 1,618 |
|
Vanessa A. Brimigion
1515 Heritage Dr |
$54.92 | 1,674 | 1,614 |
|
Elise Griffin
2750 Virginia Pkwy Ste 108 |
$50.53 | 1,571 | 947 |
|
Mary Harrell Winborn
3001 Eldorado Pkwy |
$48.46 | 1,555 | 1,537 |
|
Thao Phuong Nguyen
5971 Virginia Pkwy Ste 100 |
$49.14 | 1,549 | 1,239 |
|
Nagaratina Chandrasekaran Salem
6850 Tpc Dr |
$40.91 | 1,507 | 1,348 |
|
Pavan Bang
1872 N Lake Forest Dr |
$88.11 | 1,494 | 1,448 |
|
Tina M Gingrich
4510 Medical Center Dr |
$31.02 | 1,372 | 816 |
|
Mary Yimei Huang
4510 Medical Center Dr Ste 301 |
$52.40 | 1,371 | 1,337 |
|
Zahid Zafar
4201 Medical Center Dr Ste 300 |
$20.26 | 1,334 | 1,269 |
|
Fazila Siddiqi
2300 W White Ave |
$98.43 | 1,280 | 1,005 |
|
Patricia Allyson Petroff
1720 N Central Expy |
$84.10 | 1,173 | 1,091 |
|
Elizabeth Consuelo Lessner
1872 N Lake Forest Dr |
$42.31 | 1,170 | 1,111 |
|
Jikyung Kim
2100 Eldorado Pkwy |
$52.54 | 1,135 | 1,050 |
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 Mckinney, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mckinney, TX is $42.71 per claim, based on 260,522 claims from 151 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 Mckinney, TX?
There are 151 Medicaid providers offering Office Visit related services in Mckinney, TX according to public payment data.
What is the price range for Office Visit in Mckinney, TX?
Medicaid reimbursement for Office Visit in Mckinney, TX ranges from $0.00 to $318.71 per claim, with an average of $42.71. 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 Mckinney, TX
Vaccines & Immunizations
Avg $5.26
172,677 claims
Dental Cleaning & Exam
Avg $37.35
122,461 claims
Blood Work & Lab Tests
Avg $4.20
92,466 claims
Emergency Room Visit
Avg $138.06
64,983 claims
Psychiatric Evaluation
Avg $47.01
45,603 claims
Physical Therapy
Avg $20.33
44,040 claims
Speech Therapy
Avg $85.55
37,942 claims
Nursing Facility Care
Avg $11.99
36,216 claims