Average Medicaid Office Visit Payments in Mount Pleasant, TX: $44.62
Avg. Paid
$44.62
Range
$2.49 – $251.74
Total Claims
118,144
Providers
45
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 Mount Pleasant, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark Edmond Quiring
305 W 20Th St |
$5.77 | 12 | 12 |
|
Jami Lanette Baker
1610 S Jefferson Ave |
$5.36 | 12 | 12 |
|
Tania Soc
203 W 20Th St Ste D |
$2.49 | 14 | 14 |
|
Teresa Glenda Townes
2015 Mulberry Ave Ste 310 |
$47.93 | 14 | 14 |
|
Donald Roseberry
2001 N Jefferson Ave |
$74.58 | 30 | 27 |
|
Edgar Zambrano
2015 Mulberry Ave |
$15.92 | 34 | 27 |
|
Stephen L Sigal
2015 Mulberry Ave Ste 310 |
$34.37 | 37 | 26 |
|
Lindsay Beasley
2001 N Jefferson Ave Ste 204B |
$64.23 | 50 | 45 |
|
Derek Walter Molina
1610 S Jefferson Ave |
$27.24 | 66 | 65 |
|
William Wayne Hooks
2001 N Jefferson Ave |
$37.25 | 69 | 69 |
|
Jessica Leigh Allen
1610 S Jefferson Ave |
$37.10 | 108 | 100 |
|
Michael A Pappas
2001 N Jefferson Ave Ste 100 |
$51.73 | 168 | 158 |
|
Gregory N Smith
2001 N Jefferson Ave Ste 300 |
$41.82 | 213 | 207 |
|
Caitlin Jo Branham
107 W 20Th St |
$42.30 | 233 | 159 |
|
Teleshia Shanta Austin
203 W 20Th St Ste C |
$23.95 | 241 | 217 |
|
Titus County Hospital District
2320 Harts Bluff Rd |
$18.15 | 290 | 270 |
|
Sai Hemanth Chavala
2007 N Jefferson Ave Ste 102 |
$20.52 | 317 | 225 |
|
Mohammad N. Alfarawati
2001 N Jefferson Ave Ste 130 |
$28.91 | 346 | 258 |
|
Lisa Ann Currey
2001 N Jefferson Ave |
$17.82 | 358 | 302 |
|
Milan Sekulic
2015 Mulberry Ave |
$18.63 | 420 | 391 |
|
Kimberly Humphrey
2001 N Jefferson Ave Ste 202A |
$34.84 | 461 | 408 |
|
Ryan S Bellaw
2320 Harts Bluff Rd |
$38.22 | 539 | 445 |
|
Shania Williamson Mcbride
2001 N Jefferson Ave Ste 202A |
$33.28 | 669 | 590 |
|
Valerie Ann Snyder
2001 N Jefferson Ave Ste 204A |
$25.01 | 695 | 602 |
|
Jacob Green
2101 Mulberry Ave |
$16.95 | 728 | 521 |
|
Emma Burch
2001 N Jefferson Ave |
$94.85 | 785 | 773 |
|
David A Hester
2001 N Jefferson Ave Ste 100 |
$49.07 | 828 | 769 |
|
Shannon D Leake
410 N Jefferson Ave # 262 |
$251.74 | 893 | 705 |
|
Dana Shields
2015 Mulberry Ave Ste 250 |
$30.45 | 961 | 662 |
|
Mohammad Javeed Shafi
203 W 20Th St Ste C |
$12.85 | 1,031 | 894 |
|
Chelsey Nicole Hinkle
2001 N Jefferson Ave |
$37.69 | 1,391 | 1,316 |
|
Melissa Shannon Slovak-Tucker
2015 Mulberry Ave |
$27.78 | 1,675 | 1,146 |
|
Scott W Campbell
2001 N Jefferson Ave Ste 203 |
$30.41 | 1,829 | 1,681 |
|
Kathleen Anne Rice
1610 S Jefferson Ave |
$52.76 | 1,946 | 1,795 |
|
J. Colton Bradshaw
2001 N Jefferson Ave |
$41.15 | 1,988 | 1,910 |
|
Barjinder Singh
2101 Mulberry Ave |
$33.54 | 2,060 | 1,515 |
|
Cheryl Ann Shovan
1610 S Jefferson Ave |
$18.30 | 2,447 | 1,908 |
|
Christopher Norman Mason
2015 Mulberry Ave |
$29.39 | 2,614 | 1,720 |
|
Andrew Covey
1610 S Jefferson Ave |
$46.44 | 2,639 | 2,363 |
|
Joel D. Chapman
2001 N Jefferson Ave |
$49.48 | 3,076 | 2,860 |
|
Craig Martin Delisi
1610 S Jefferson Ave |
$37.71 | 4,795 | 4,254 |
|
Rodney Dale Burrow
1610 S Jefferson Ave |
$40.49 | 5,372 | 4,829 |
|
Marc E Kimball
2001 N Jefferson Ave |
$47.67 | 6,893 | 6,581 |
|
Gerald A Stagg
2001 Mulberry Ave |
$54.09 | 7,264 | 6,597 |
|
Michael Henry
2001 N Jefferson Ave |
$45.34 | 61,533 | 55,579 |
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 Mount Pleasant, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Pleasant, TX is $44.62 per claim, based on 118,144 claims from 45 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 Mount Pleasant, TX?
There are 45 Medicaid providers offering Office Visit related services in Mount Pleasant, TX according to public payment data.
What is the price range for Office Visit in Mount Pleasant, TX?
Medicaid reimbursement for Office Visit in Mount Pleasant, TX ranges from $2.49 to $251.74 per claim, with an average of $44.62. 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 Mount Pleasant, TX
Vaccines & Immunizations
Avg $6.23
96,026 claims
Dental Cleaning & Exam
Avg $39.80
53,658 claims
Dental Filling
Avg $79.12
14,503 claims
Blood Work & Lab Tests
Avg $7.18
10,861 claims
X-Ray
Avg $6.86
9,764 claims
Prescription Medications
Avg $12.42
9,223 claims
Nursing Facility Care
Avg $3.66
4,889 claims
Psychiatric Evaluation
Avg $75.81
3,591 claims