Average Medicaid Office Visit Payments in Palestine, TX: $36.29
Avg. Paid
$36.29
Range
$0.00 – $97.38
Total Claims
97,681
Providers
52
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 Palestine, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Davida J Wardell
111 Medical Dr |
$39.99 | 15,857 | 14,655 |
|
Michael P Garcia
111 Medical Dr |
$34.80 | 12,617 | 11,392 |
|
Jennifer L Whitfield
111 Medical Dr |
$34.31 | 10,476 | 9,530 |
|
Allen Forbes Mills
4201 S Loop 256 |
$31.28 | 4,283 | 3,804 |
|
Delaney Dean French
4201 S Loop 256 |
$35.91 | 4,011 | 3,619 |
|
John Klein
4201 S Loop 256 |
$33.49 | 3,998 | 3,478 |
|
Rachel Elise Merrifield
4002 S Loop 256 Ste M |
$31.76 | 3,879 | 3,365 |
|
Tina Katherine Sturgeon
111 Medical Dr |
$36.97 | 3,662 | 3,422 |
|
Hilary S Currie
115 Medical Dr |
$29.99 | 3,567 | 2,516 |
|
Tania Shinohara
4002 S Loop 256 |
$97.38 | 2,804 | 2,647 |
|
Danny Lee Bowman
115 Medical Dr |
$31.14 | 2,656 | 1,776 |
|
Eric L Hensen
112 Medical Dr |
$46.79 | 2,507 | 2,106 |
|
Sidney Boyd Chadwell
4201 S Loop 256 |
$33.29 | 2,469 | 2,221 |
|
Andre Thomas
4002 Loop 256 |
$33.10 | 2,264 | 2,071 |
|
Rebekah Sharlene Shultz
116 Medical Dr |
$26.44 | 2,132 | 1,484 |
|
Candice M Buckles
115 Medical Dr |
$31.73 | 2,113 | 1,466 |
|
Robert G Blackwell
115 Medical Dr |
$29.93 | 1,930 | 1,220 |
|
William Alex Nicodemus
2900 S Loop 256 |
$35.39 | 1,765 | 1,659 |
|
Oluyemisi Akintunde
126 Medical Dr. Suite A |
$34.97 | 1,493 | 1,242 |
|
Robert Joseph Pate
118 E Brazos St |
$33.59 | 1,432 | 1,190 |
|
Rebecca Taylor Shipley
3201 S Loop 256 |
$26.29 | 1,254 | 1,213 |
|
Julie Romanovich Quinn
115 Medical Dr |
$32.54 | 1,183 | 839 |
|
Stephanie Lufsey
127 Medical Dr |
$42.82 | 1,147 | 1,061 |
|
Julia Lace Short
4002 S Loop 256 |
$30.56 | 1,145 | 1,021 |
|
Jose I. Tovar-Camargo
4002 S Loop 256 |
$39.28 | 957 | 870 |
|
Shail Dalal
3415 South Loop 256 |
$20.89 | 718 | 692 |
|
Adebayo Adewale
4002 S Loop 256 |
$1.27 | 685 | 231 |
|
Sherry Elizabeth Mcilwain
115 Medical Dr |
$24.01 | 564 | 519 |
|
Brandy C Watson
127 Medical Dr |
$36.24 | 366 | 341 |
|
Donna Halloran Hilderbrand
4726 An County Road 486 |
$60.45 | 361 | 348 |
|
John Thomas Mccurdy
116 Medical Dr |
$38.74 | 356 | 288 |
|
Robert G. Pyle
2217 S Sycamore St |
$31.06 | 328 | 282 |
|
Sandy Louise Webb
4002 S Loop 256 Ste A |
$35.15 | 324 | 284 |
|
Jamie Bishop
3201 S Loop 256 |
$13.72 | 302 | 295 |
|
Eric J Taylor
127 Medical Dr |
$45.15 | 263 | 238 |
|
Steven Johnson
3201 S Loop 256 Ste 630 |
$61.12 | 254 | 246 |
|
Adrianne Patrice Smith
2900 S Loop 256 |
$0.32 | 249 | 139 |
|
Matthew Brian Rudolph
4002 S Loop 256 Ste B |
$51.05 | 220 | 206 |
|
Ernie S Hartley
2223 S Loop 256 |
$6.92 | 208 | 195 |
|
Kimberly Modena Tatum
4002 S Loop 256 Ste A |
$16.85 | 196 | 128 |
|
Tanya M Solis
3201 S Loop 256 |
$18.69 | 142 | 134 |
|
Robert Mcfarlane
3201 S Loop 256 |
$46.59 | 132 | 116 |
|
Brad A Brazeal
300 Willow Creek Pkwy |
$20.42 | 129 | 125 |
|
Jumah Tawfiq Absy
2039 Crockett Rd |
$21.54 | 47 | 39 |
|
Mark Gold
501 E Kolstad St |
$20.00 | 44 | 40 |
|
Amanda Randle
3201 S Loop 256 |
$36.49 | 44 | 42 |
|
Lakshmi Malathy Puvvada
4002 S Loop 256 |
$36.03 | 41 | 40 |
|
Tiffany Linn Mcclendon
2900 S Loop 256 |
$39.45 | 30 | 29 |
|
Desiree Amber Cody
4002 S Loop 256 |
$63.05 | 26 | 26 |
|
Melissa Marie Cobb
3201 S Loop 256 |
$0.00 | 22 | 21 |
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 Palestine, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Palestine, TX is $36.29 per claim, based on 97,681 claims from 52 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 Palestine, TX?
There are 52 Medicaid providers offering Office Visit related services in Palestine, TX according to public payment data.
What is the price range for Office Visit in Palestine, TX?
Medicaid reimbursement for Office Visit in Palestine, TX ranges from $0.00 to $97.38 per claim, with an average of $36.29. 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 Palestine, TX
Vaccines & Immunizations
Avg $6.15
74,737 claims
Emergency Room Visit
Avg $125.08
34,492 claims
Dental Cleaning & Exam
Avg $45.67
29,817 claims
Speech Therapy
Avg $54.89
23,261 claims
Nursing Facility Care
Avg $7.54
23,126 claims
Blood Work & Lab Tests
Avg $3.24
22,365 claims
Urinalysis & Urine Tests
Avg $2.86
19,381 claims
Physical Therapy
Avg $11.89
17,917 claims