Average Medicaid Office Visit Payments in Nacogdoches, TX: $34.78
Avg. Paid
$34.78
Range
$0.60 – $111.02
Total Claims
156,837
Providers
74
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 Nacogdoches, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ryan Head
625 Russell Blvd |
$36.72 | 22,699 | 19,857 |
|
Michelle Kristen Leone
932 N University Dr |
$35.34 | 14,920 | 12,989 |
|
Binusha Moitheennazima
1209 N Mound St |
$35.21 | 14,752 | 13,340 |
|
Kyle Patrick Mcmorries
4710 Ne Stallings Dr |
$37.17 | 12,274 | 9,100 |
|
Michelle Key
1210 Douglass Rd |
$40.25 | 10,022 | 9,006 |
|
Marian Kathleen Querry
1020 North St |
$29.01 | 6,852 | 5,308 |
|
Ahammed Hashim
1209 N Mound St |
$29.41 | 6,558 | 5,870 |
|
Jena Lyn Rhodes
2702 N University Dr |
$41.74 | 5,539 | 5,150 |
|
Brandi Michelle Ferguson
4710A Ne Stallings Dr |
$36.55 | 4,599 | 4,376 |
|
Melinda E. Wenner
2702 N University Dr |
$39.24 | 4,315 | 4,158 |
|
Vijaya R Pokala
1023 N Mound St |
$25.19 | 3,734 | 3,493 |
|
Kristin Nicole Robinson
1106 South St |
$40.92 | 3,020 | 2,594 |
|
Matthew David Daugherty
3316 N University Dr |
$17.30 | 2,734 | 2,638 |
|
Jack Roy Erwin
4740 Ne Stallings Dr |
$47.41 | 2,531 | 2,404 |
|
Brian E Drake
1018 N Mound St Ste 205 |
$23.72 | 2,523 | 1,311 |
|
Joseph Scamardo
4848 Ne Stallings Dr |
$40.51 | 2,267 | 2,168 |
|
Shekofeh Zamane Adell
1225 N Mound St |
$29.55 | 2,198 | 2,098 |
|
Kavita S Vyas
607 Russell Blvd |
$12.23 | 1,932 | 1,701 |
|
Melanie Lynn Wilson
1108 South St |
$32.39 | 1,830 | 1,461 |
|
Marcia Dee Nelson
623 Russell Blvd |
$33.50 | 1,695 | 1,266 |
|
Arianna Fresquez
1018 N Mound St Ste 206 |
$45.07 | 1,694 | 1,326 |
|
Mark Ephrom Sowell
3316 N University Dr |
$11.72 | 1,686 | 1,511 |
|
Rodrigo William Sotillo
1309 S University Dr |
$76.64 | 1,631 | 1,449 |
|
Ryan Kortni Arreguin
1108 South St |
$33.39 | 1,561 | 1,287 |
|
Carey Jynette Lindemann
3328 N University Dr |
$19.18 | 1,543 | 1,493 |
|
Jamie Cook
3328 N University Dr |
$25.40 | 1,534 | 1,433 |
|
Claudia Rae Shae Mccollough
623 Russell Blvd |
$34.72 | 1,463 | 1,127 |
|
Diana S Selvey
1108 South St |
$33.12 | 1,437 | 1,202 |
|
Courtney Treat
3824 N University Dr |
$42.86 | 1,408 | 1,395 |
|
Rinajoyce F Abril-Walker
1108 South St |
$42.75 | 1,275 | 1,003 |
|
East Texas Community Health Services, Inc.
1309 S University Dr |
$25.56 | 1,264 | 1,199 |
|
Gia Elena Marotta
1023 N Mound St Ste A |
$29.40 | 1,226 | 1,156 |
|
Cheryl G. Scalora
623 Russell Blvd |
$35.04 | 1,170 | 871 |
|
Debra E Mccarthy
1108 South St |
$33.26 | 1,107 | 963 |
|
Lauren Homer
3328 N University Dr |
$29.14 | 968 | 903 |
|
Prabhakar R Guniganti
1303 Mound Street |
$10.72 | 809 | 760 |
|
Crystal Ann Talavera
1309 S University Dr |
$31.16 | 766 | 672 |
|
Deidra Henderson Best
4800 Ne Stallings Dr |
$41.97 | 749 | 734 |
|
Shyam A Vyas
3516 Ne Stallings Dr |
$65.32 | 741 | 710 |
|
Steven Overturf
3816 N University Dr |
$18.14 | 651 | 487 |
|
Christopher L Gayden
2720 N University Dr |
$42.82 | 550 | 485 |
|
Charles Wade Page
1303 Raguet St |
$26.58 | 537 | 475 |
|
James D. Koerner
1018 N Mound St Ste 201 |
$29.22 | 470 | 324 |
|
Ashleigh Clark
1108 South St |
$23.42 | 466 | 399 |
|
Emma Pruett
1309 S University Dr |
$35.30 | 351 | 315 |
|
Keli Sheree Barrios
1108 South St |
$33.07 | 306 | 269 |
|
Kace L Calan
3618 N University Dr |
$0.60 | 299 | 264 |
|
Kenneth A Jurist
2720 North University Drive |
$47.02 | 299 | 284 |
|
Robert R Carlson
1320 N University Dr Ste A |
$40.68 | 258 | 226 |
|
Adrian Craig Jessie
1407 N. University Dr |
$13.97 | 209 | 194 |
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 Nacogdoches, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nacogdoches, TX is $34.78 per claim, based on 156,837 claims from 74 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 Nacogdoches, TX?
There are 74 Medicaid providers offering Office Visit related services in Nacogdoches, TX according to public payment data.
What is the price range for Office Visit in Nacogdoches, TX?
Medicaid reimbursement for Office Visit in Nacogdoches, TX ranges from $0.60 to $111.02 per claim, with an average of $34.78. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Nacogdoches, TX
Vaccines & Immunizations
Avg $6.00
97,895 claims
Dental Cleaning & Exam
Avg $41.02
71,187 claims
Physical Therapy
Avg $35.61
31,416 claims
Emergency Room Visit
Avg $204.25
26,109 claims
X-Ray
Avg $7.52
20,118 claims
Speech Therapy
Avg $89.46
18,066 claims
Blood Work & Lab Tests
Avg $6.30
14,988 claims
Urinalysis & Urine Tests
Avg $3.12
14,874 claims