Average Medicaid Office Visit Payments in Midlothian, TX: $51.58
Avg. Paid
$51.58
Range
$22.30 – $352.84
Total Claims
25,845
Providers
15
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 Midlothian, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mcfranklin Chigozie Ogbonna
214 Rossville Dr |
$31.59 | 13 | 12 |
|
Elizabeth Okoroma
4431 E Highway 287 |
$71.73 | 22 | 22 |
|
Margaret Jean Mcclendon
1441 S Midlothian Pkwy Ste 100A |
$25.39 | 52 | 44 |
|
Kristi Jean Garrett
4440 E Highway 287 |
$40.62 | 56 | 49 |
|
Santhi Penmetsa
423 E Main St |
$41.34 | 65 | 64 |
|
Mussie Futwi Mebrahtu
214 Canterbury Ct |
$352.84 | 120 | 115 |
|
Tammy Lynn Germany
1000 E Main St Ste 205 |
$85.20 | 328 | 287 |
|
Bobby Allen Brite
151 Walton Way Ste 107 |
$42.74 | 813 | 746 |
|
Ariana Moss-Fields
1441 S Midlothian Pkwy Ste 100 |
$27.41 | 1,052 | 870 |
|
Michael E Schwartz
979 Don Floyd Drive |
$44.67 | 1,211 | 1,198 |
|
Spiro Adel Khoury
430 Hawkins Run Rd Ste 1 |
$22.30 | 1,434 | 1,387 |
|
Charisse Hanne Tagapulot Te
4431 E Highway 287 |
$70.74 | 2,018 | 1,863 |
|
Regina M Nicholson
220 Us Highway 287 Ste 200 |
$116.04 | 2,587 | 2,565 |
|
Cynthia Ann Pressley
3271 Fm 663 Ste D |
$35.81 | 3,521 | 3,192 |
|
Vivekananda Dasari
340 Hawkins Run Rd Ste 200 |
$42.69 | 12,553 | 11,045 |
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 Midlothian, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Midlothian, TX is $51.58 per claim, based on 25,845 claims from 15 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 Midlothian, TX?
There are 15 Medicaid providers offering Office Visit related services in Midlothian, TX according to public payment data.
What is the price range for Office Visit in Midlothian, TX?
Medicaid reimbursement for Office Visit in Midlothian, TX ranges from $22.30 to $352.84 per claim, with an average of $51.58. 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 Midlothian, TX
Vaccines & Immunizations
Avg $6.73
16,761 claims
Nursing Facility Care
Avg $4.87
13,247 claims
Emergency Room Visit
Avg $141.32
9,672 claims
Blood Work & Lab Tests
Avg $14.18
5,460 claims
Hearing Test (Audiometry)
Avg $7.26
1,700 claims
Urinalysis & Urine Tests
Avg $5.81
1,295 claims
Dental Cleaning & Exam
Avg $31.09
1,191 claims
X-Ray
Avg $19.20
926 claims