Average Medicaid Office Visit Payments in Pasadena, TX: $47.45
Avg. Paid
$47.45
Range
$0.00 – $121.66
Total Claims
680,310
Providers
154
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 Pasadena, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Karim H Romman
4024 Brookhaven Ave |
$40.89 | 101,961 | 91,800 |
|
Ashu Syal
4002 Burke Rd Ste 100 |
$67.39 | 67,565 | 55,327 |
|
Monina Hilario Asuncion
4002 Burke Rd Ste 200 |
$50.83 | 59,979 | 47,258 |
|
Sushma Penmetsa
4024 Brookhaven Ave |
$41.74 | 34,514 | 31,916 |
|
Aldo Fernando Bejarano
3326 Watters Rd Bldg D |
$38.54 | 31,274 | 27,768 |
|
Wagih A Gendi
1430 Pasadena Blvd |
$41.00 | 23,380 | 21,651 |
|
Otto Hans Kieffer
3325 Plainview St |
$38.74 | 21,505 | 18,518 |
|
Debra L. Sharp
3737 Red Bluff Rd |
$52.40 | 18,634 | 13,912 |
|
Natasha Andrea Ruda
3737 Red Bluff Rd Ste 150 |
$54.34 | 18,550 | 12,693 |
|
Monica Marshall
908 Southmore Ave Ste 200 |
$59.18 | 16,688 | 13,990 |
|
Lisa Ann Elliott
3737 Red Bluff Rd Ste 150 |
$53.39 | 12,984 | 9,478 |
|
Subha Sundaram
4600 Fairmont Pkwy |
$35.13 | 11,717 | 8,004 |
|
Rania M Ebrahim
5044 Crenshaw Rd |
$62.15 | 11,125 | 10,850 |
|
Lauren Watta
3737 Red Bluff Rd Ste 150 |
$55.46 | 11,081 | 8,312 |
|
Rafael J Febres
3737 Red Bluff Rd Ste 150 |
$47.99 | 10,845 | 10,084 |
|
Bassem Safwat Tawadrous
4600 Fairmont Pkwy Ste 200 |
$34.90 | 10,293 | 6,915 |
|
Fernando Jose Ocon
3333 Burke Rd |
$39.47 | 9,790 | 6,658 |
|
Carlos Antonio Hernandez
4001 Spencer Hwy |
$44.15 | 8,091 | 5,346 |
|
Ansela Chaluparambil
3326 Watters Rd Bldg D |
$30.75 | 7,948 | 7,354 |
|
Betty Del Rio Rodriguez
3925 Fairmont Pkwy |
$39.47 | 7,588 | 6,928 |
|
John D Kirkwood
3801 Vista Rd Ste 100 |
$37.68 | 7,439 | 6,498 |
|
Karen Perez Cervantes
3326 Watters Rd Bldg D |
$33.45 | 7,062 | 6,520 |
|
Deya Jacob Dafashy
5119 Fairmont Pkwy Ste A |
$33.55 | 6,860 | 4,991 |
|
Akram A Mushtaha
5048 Crenshaw Rd # 100 |
$37.57 | 6,537 | 5,560 |
|
Carlos Anibal Melendez
908 E Southmore Ave |
$43.98 | 5,741 | 5,162 |
|
Jackquelin Perez
3333 Burke Rd |
$35.61 | 5,223 | 3,152 |
|
Syed Naved Hasan
908 Southmore Ave Ste 100 |
$102.17 | 5,111 | 4,832 |
|
Jilly Kunjunny Vidyasagaran
4024 Brookhaven Ave |
$53.78 | 5,033 | 4,193 |
|
Jimmy Dung Doan
5413 Crenshaw Rd |
$45.31 | 4,915 | 3,804 |
|
Jorge L Cuza
3692 E Sam Houston Pkwy S |
$43.64 | 4,881 | 4,634 |
|
Aisha Mirza
3925 Fairmont Pkwy |
$46.98 | 4,157 | 3,733 |
|
Jana Marie Cryan
1430 Pasadena Blvd |
$45.72 | 3,889 | 2,971 |
|
Hector Cantu
6002 Fairmont Pkwy |
$93.56 | 3,713 | 3,570 |
|
Anna Elizabeth Rueda
3925 Fairmont Pkwy |
$39.84 | 3,709 | 3,504 |
|
Jamille Hamad
4949 Fairmont Pkwy |
$64.03 | 3,557 | 3,293 |
|
Rashmi Rode
927 E Shaw St |
$33.24 | 3,526 | 2,852 |
|
Ramon Antonio Pineda
2418 Southmore Ave |
$30.74 | 3,522 | 2,980 |
|
Aisha Odilile Olaleye
3737 Red Bluff Rd Ste 150 |
$53.25 | 3,298 | 2,793 |
|
Renee Nicole Steele
3925 Fairmont Pkwy |
$60.33 | 3,254 | 3,123 |
|
Leanne Shaw Skinner
1430 Pasadena Blvd |
$40.50 | 2,881 | 2,384 |
|
Liliana Kanu
3333 Burke Rd |
$36.87 | 2,634 | 1,771 |
|
Hina Shafqat Hassan
3692 E Sam Houston Pkwy S |
$47.36 | 2,568 | 2,290 |
|
Nabeel H Romman
3325 Plainview St |
$40.43 | 2,560 | 1,800 |
|
Beatris Adriana Silva
4949 Fairmont Pkwy Ste 200 |
$59.10 | 2,547 | 2,335 |
|
Vipul M Patel
629 E Southmore Ave |
$29.74 | 2,524 | 2,175 |
|
Rukan Daccak
4450 E Sam Houston Pkwy S |
$45.62 | 2,493 | 2,464 |
|
Edith Cervantes
3737 Red Bluff Rd # 150 |
$69.74 | 2,486 | 1,997 |
|
Raul A Rivera
3808 Woodlawn |
$22.71 | 2,448 | 2,118 |
|
Loc T Vu
4000 Spencer Hwy |
$34.40 | 2,448 | 2,220 |
|
Stephanie Lynn Shortes
6503 Saint Jude Dr |
$113.30 | 2,432 | 2,382 |
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 Pasadena, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pasadena, TX is $47.45 per claim, based on 680,310 claims from 154 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 Pasadena, TX?
There are 154 Medicaid providers offering Office Visit related services in Pasadena, TX according to public payment data.
What is the price range for Office Visit in Pasadena, TX?
Medicaid reimbursement for Office Visit in Pasadena, TX ranges from $0.00 to $121.66 per claim, with an average of $47.45. 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 Pasadena, TX
Vaccines & Immunizations
Avg $5.93
491,900 claims
Dental Cleaning & Exam
Avg $39.72
151,728 claims
Emergency Room Visit
Avg $168.39
142,654 claims
Urinalysis & Urine Tests
Avg $4.36
128,926 claims
Blood Work & Lab Tests
Avg $8.92
128,029 claims
Personal Care Services
Avg $55.07
83,693 claims
Pulmonary Function Test
Avg $18.01
74,614 claims
Eye Exam
Avg $39.17
71,720 claims