Average Medicaid Office Visit Payments in Pharr, TX: $33.77
Avg. Paid
$33.77
Range
$0.00 – $695.76
Total Claims
758,543
Providers
57
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 Pharr, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Antonio Esparza
900 W Sam Houston St |
$42.32 | 97,525 | 75,478 |
|
Hiram Lee Garcia
1002 W Sam Houston Blvd Ste 4 |
$29.56 | 88,938 | 73,600 |
|
Sergio Gustavo Preciado
832 Del Oro Ln |
$37.84 | 83,465 | 65,078 |
|
Juan A Aguilera
807 N Cage Blvd |
$32.69 | 79,389 | 67,101 |
|
Denise P Uchoa
807 N Cage Blvd |
$28.70 | 62,497 | 53,788 |
|
Marco A Lopez
1402 E Nolana Loop Suite A |
$37.32 | 60,832 | 48,905 |
|
Bernardo Carpio
807 N Cage Blvd |
$27.42 | 47,655 | 41,826 |
|
Maria Jimenez
807 N Cage Blvd |
$34.69 | 45,434 | 38,024 |
|
Norma A Iglesias
712 S Cage Blvd |
$33.23 | 30,094 | 24,861 |
|
Karina Silva
125 E Las Milpas Rd |
$26.08 | 20,687 | 17,920 |
|
Daniel Serna
807 N Cage Blvd |
$30.83 | 20,210 | 18,407 |
|
Peter Dy
806 S Cage Blvd |
$36.91 | 16,097 | 13,904 |
|
Oralia A Martinez
1536 S Cage Blvd Ste 5 |
$30.82 | 14,634 | 11,365 |
|
Israel Mata
105 E Polk Ave |
$38.01 | 12,743 | 10,508 |
|
Elisa G. Sanchez
905 S Jackson Rd |
$35.42 | 10,717 | 10,581 |
|
Renato C Atencio
807 N. Cage |
$28.62 | 10,093 | 9,550 |
|
Alfredo V Gonzalez
1301 W Sam Houston Blvd Unit A |
$20.86 | 8,516 | 7,118 |
|
Manuel J Mercado
502 S Cage Blvd |
$16.75 | 6,207 | 5,376 |
|
Maximiliano E Hernandez
502 S Cage Blvd |
$17.05 | 5,299 | 4,506 |
|
Lucia Alejandra Esquivel
807 N Cage Blvd |
$31.45 | 4,024 | 3,714 |
|
Cassidy Christine Chavez
701 W. Nolana Loop |
$30.93 | 3,774 | 2,766 |
|
Theresa Lynn Valladares
923 E Ferguson St |
$37.53 | 3,758 | 3,242 |
|
Juana Maria Espejo
2404 S Cage Blvd |
$18.31 | 3,318 | 2,619 |
|
Marco Tulio Florez
306 West Park |
$10.62 | 2,068 | 1,864 |
|
Maria Davila
1002 W Sam Houston Blvd Ste 4 |
$39.39 | 1,854 | 1,492 |
|
Oswaldo Ozuna
1002 W Sam Houston Blvd Ste 4 |
$25.53 | 1,845 | 1,683 |
|
Harish Koolwal
214 W Sam Houston Blvd |
$10.23 | 1,688 | 1,617 |
|
Aida Solis Guizar
7013 S Cage Blvd Ste C |
$39.22 | 1,685 | 1,552 |
|
Jesus Barron
807 N Cage Blvd |
$39.14 | 1,410 | 1,197 |
|
Abel Fuentes
1002 W Sam Houston Blvd Ste 4 |
$20.43 | 1,320 | 1,090 |
|
Leticia Cobos
524 S Cage Blvd |
$32.65 | 1,242 | 1,220 |
|
Vicente Alvarez
1002 W Sam Houston Blvd Ste 4 |
$17.59 | 1,119 | 1,034 |
|
Omar A Gomez
524 S Cage Blvd |
$6.71 | 1,002 | 713 |
|
Vincent Rebugio
300 E Nolana Loop Ste B |
$7.32 | 902 | 261 |
|
Lynlee C Dublado
807 N Cage Blvd |
$36.04 | 747 | 619 |
|
Lorena Ysel Medina
401 S Woodland Dr |
$8.40 | 682 | 548 |
|
Celina Angelica Sanchez, Pa
1002 W Sam Houston Blvd Ste 4 |
$21.18 | 656 | 551 |
|
Nandita Nanda
1201 S Jackson Rd |
$695.76 | 632 | 561 |
|
Juan Francisco Lozano
900 W Sam Houston Blvd Ste 1 |
$94.69 | 463 | 326 |
|
Homero Salinas-Perez
516 E Feather Ave |
$9.39 | 443 | 307 |
|
Savita Koolwal
214 W Sam Houston Blvd Ste B |
$13.29 | 421 | 406 |
|
Anna Marie Massie-Gonzalez
524 S Cage Blvd |
$23.40 | 358 | 326 |
|
Kimberly Belgum
1519 S Jackson Rd Ste 2 |
$29.93 | 356 | 274 |
|
Rogelio Castillo
807 N. Cage |
$35.07 | 326 | 322 |
|
Miranda Nicole Martinez
114 W Cherokee Ave |
$12.16 | 259 | 224 |
|
Ellie A Ebreo
420 W Sam Houston St |
$28.29 | 215 | 201 |
|
Ashley Eryn Garcia
524 S Cage Blvd Ste F |
$13.85 | 194 | 172 |
|
Jaime Hernandez
524 S Cage |
$22.20 | 163 | 135 |
|
Nelson J Loggiodice
3908 N Jackson Rd |
$26.66 | 153 | 137 |
|
Leticia Alvarez
807 N. Cage |
$21.33 | 138 | 122 |
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 Pharr, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pharr, TX is $33.77 per claim, based on 758,543 claims from 57 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 Pharr, TX?
There are 57 Medicaid providers offering Office Visit related services in Pharr, TX according to public payment data.
What is the price range for Office Visit in Pharr, TX?
Medicaid reimbursement for Office Visit in Pharr, TX ranges from $0.00 to $695.76 per claim, with an average of $33.77. 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 Pharr, TX
Vaccines & Immunizations
Avg $6.06
360,348 claims
Personal Care Services
Avg $75.21
289,031 claims
Blood Work & Lab Tests
Avg $6.11
287,773 claims
Dental Cleaning & Exam
Avg $41.57
135,470 claims
Speech Therapy
Avg $78.70
134,553 claims
Physical Therapy
Avg $62.99
124,253 claims
Home Health Visit
Avg $16.82
76,548 claims
Urinalysis & Urine Tests
Avg $1.65
42,563 claims