Average Medicaid Office Visit Payments in Nederland, TX: $43.95
Avg. Paid
$43.95
Range
$4.98 – $122.32
Total Claims
67,295
Providers
23
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 Nederland, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Teekam Das Lohano
2400 Highway 365 Ste 107 |
$48.02 | 40,040 | 34,736 |
|
Eduardo L Jaramillo
2400 Highway 365 |
$46.20 | 8,992 | 6,388 |
|
Christopher Earl Marrero
2400 Highway 365 Ste 207 |
$44.67 | 5,256 | 4,850 |
|
Kristopher Gabas Dela Cruz
2400 Highway 365 Ste 108 |
$26.67 | 3,583 | 3,255 |
|
Ryan C Mchugh
2400 Highway 365 Ste 208 |
$5.28 | 1,724 | 1,615 |
|
Ronald Kent Mccraw
2300 Highway 365 |
$36.41 | 1,591 | 1,263 |
|
Nancy A Austin
1031 Nederland Ave |
$42.13 | 1,134 | 1,048 |
|
Frederick Elefano Quirante
1323 S 27Th Street |
$38.60 | 1,094 | 1,030 |
|
Roozbeh Sharif
2300 Highway 365 Ste 150 |
$31.94 | 1,041 | 804 |
|
Mary Jane Sunga Castro
2400 Highway 365 |
$34.03 | 703 | 674 |
|
Emem Dan Udonta
2300 Highway 365 Ste 600 |
$38.87 | 473 | 465 |
|
Phuc Nhat Le
2400 Highway 365 Ste 201 |
$27.96 | 383 | 344 |
|
Prospero V Arante
2200 Highway 365 |
$39.55 | 360 | 325 |
|
Michael P Thomas
2400 Highway 365 |
$25.30 | 316 | 288 |
|
Deborah Rose Eezzuduemhoi
1323 S 27Th St Ste 400 |
$23.79 | 193 | 170 |
|
Adam Jaynes
1003 Nederland Ave |
$122.32 | 100 | 98 |
|
Michael Badlissi
2300 Highway 365 Ste 330 |
$4.98 | 86 | 64 |
|
Sarah Lynn Gassen
2712 Highway 365 |
$15.26 | 77 | 57 |
|
Syed Shafiqur Rehman
2300 Highway 365 Ste 210 |
$18.20 | 50 | 49 |
|
Lacin Stansbury
2200 Highway 365 |
$27.87 | 48 | 37 |
|
John K Podnewich
1908 Highway 365 |
$79.76 | 25 | 25 |
|
Victor Fermo
405 S Memorial Fwy |
$38.88 | 14 | 14 |
|
Zainab Zamir Kayani
2300 Highway 365 Ste 210 |
$18.64 | 12 | 12 |
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 Nederland, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nederland, TX is $43.95 per claim, based on 67,295 claims from 23 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 Nederland, TX?
There are 23 Medicaid providers offering Office Visit related services in Nederland, TX according to public payment data.
What is the price range for Office Visit in Nederland, TX?
Medicaid reimbursement for Office Visit in Nederland, TX ranges from $4.98 to $122.32 per claim, with an average of $43.95. 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 Nederland, TX
Vaccines & Immunizations
Avg $6.54
42,246 claims
Home Health Visit
Avg $29.16
18,823 claims
Speech Therapy
Avg $12.95
12,500 claims
Urinalysis & Urine Tests
Avg $3.52
8,633 claims
Blood Work & Lab Tests
Avg $3.70
5,896 claims
Psychiatric Evaluation
Avg $50.71
4,712 claims
Physical Therapy
Avg $15.29
4,468 claims
Nursing Facility Care
Avg $3.97
3,988 claims