Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Pflugerville, TX: $42.42

Avg. Paid

$42.42

Range

$0.64 – $377.82

Total Claims

40,957

Providers

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 Pflugerville, TX

Provider	Avg. Paid	Claims	Patients
Laurel A Marsac 1701 E Pflugerville Pkwy	$90.91	12	12
Micah J Benson 1616 Fm 685 Ste 106	$39.07	14	14
Sabrina Finley 1701 E Pflugerville Pkwy	$17.17	15	14
Samantha A Graef 1512 Town Center Dr Ste 100	$30.50	15	13
Anne Laurie Milam 2013 Kelly Ln	$8.32	21	15
Sara J Bartos 2700 W Pecan St Ste 102	$377.82	29	25
Mary Kathleen Collins 1434 Wells Branch Pkwy	$10.78	32	32
Amena Rahman 1701 E Pflugerville Pkwy	$23.40	34	27
Hailey Wang Driscoll 701 Fm 685 Ste 600	$44.10	64	56
Yunjie Du 2600 E Pflugerville Pkwy Ste 200	$62.28	104	99
Yetunde Omolara Olusanya 2600 E Pflugerville Pkwy Ste 200	$11.20	107	96
Lucia Peralta 1701 E Pflugerville Pkwy	$23.56	124	109
Joe Chavez 2600 E Pflugerville Pkwy Ste 200	$65.07	148	136
Candice Goodman 2600 E Pflugerville Pkwy	$26.49	149	130
Jasmine Jamin Koo 1601 E Pflugerville Pkwy Ste 3201	$49.49	175	154
Douglas Prescott Stearns 1701 E Pflugerville Pkwy	$27.29	181	165
Madhuri Madabhushi 15803 Windermere Dr Ste 103	$0.64	260	259
Yen K Dao 1512 Town Center Dr	$18.48	280	261
Darian Harris 2100 Autumn Slate Dr Ste 150	$31.54	402	390
Caanan Blakemore 701 Fm 685 Ste 530	$100.37	558	515
Xenia Sai Kempf 3313 Burch Brook Cv	$41.09	564	553
Vy Nguyen 2013 Kelly Ln	$7.01	574	544
Bernadette Murorunkwere 20708 Song Bird Dr	$66.64	621	319
Bethany Eldridge 2600 E Plugerville Pkwy	$47.15	912	781
Robert Kenneth Reed 2600 E Pflugerville Pkwy	$37.44	913	882
Judith W Enders 2100 Autumn Slate Dr Ste 150	$36.76	1,006	981
Central Texas Community Health Centers 15822 Foothill Farms Loop	$12.93	1,245	1,119
Shaili Matta Singh 15803 Windermere Dr	$36.96	1,284	1,263
Ryan Paul Peterson 2100 Autumn Slate Dr Ste 150	$36.20	1,566	1,498
Anna E Holliman 2100 Autumn Slate Dr Ste 150	$37.92	1,647	1,590
Crystal Michelle Salinas 701 Fm 685 Ste 600	$41.48	1,766	1,583
Laura Frances Huston 103 12Th St Ste 101	$60.38	1,795	1,643
Ramla Ali 15803 Windermere Dr Ste 103	$36.59	2,243	2,152
Lone Star Circle Of Care 1501 W Pecan St Ste 102	$15.08	2,821	2,555
Mansi Patel 1701 E Pflugerville Pkwy	$2.37	3,023	1,863
Gudrun P. Cobb 103 12Th St	$46.48	3,760	3,276
Central Texas Community Health Centers 2700 W Pecan St Ste 450	$23.25	4,474	3,637
John Jacob 2600 E Pflugerville Pkwy Bldg 2	$81.12	8,019	7,492

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 Pflugerville, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pflugerville, TX is $42.42 per claim, based on 40,957 claims from 38 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 Pflugerville, TX?

There are 38 Medicaid providers offering Office Visit related services in Pflugerville, TX according to public payment data.

What is the price range for Office Visit in Pflugerville, TX?

Medicaid reimbursement for Office Visit in Pflugerville, TX ranges from $0.64 to $377.82 per claim, with an average of $42.42. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Pflugerville, TX: $42.42

Providers Offering Office Visit in Pflugerville, TX

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Pflugerville, TX

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Speech Therapy

Emergency Room Visit

Physical Therapy

Dental Filling

Podiatry (Foot Care)

Nursing Facility Care