Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Plano, TX: $42.11

Avg. Paid

$42.11

Range

$0.00 – $189.04

Total Claims

400,639

Providers

283

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 Plano, TX

Provider	Avg. Paid	Claims	Patients
Rachna Patel 4032 Mcdermott Rd Ste 100	$76.55	12	12
Khusroo Mohammad Qureshi 3705 W 15Th St	$12.83	12	12
Timothy Michael Milburn 4160 W Spring Creek Pkwy Ste 100	$47.57	12	12
Ellen Ngo 4100 W 15Th St	$51.11	12	12
Suresh Sureddi 3920 Alma Dr	$36.23	12	12
Marykutty Francis 4825 Alliance Blvd Ste 150	$40.78	13	12
Asha Karippot 4708 Alliance Blvd Ste 150	$48.35	13	12
Son T Do 3108 Midway Rd Ste 104	$48.38	13	13
Bridgett Anderson-Wright 1700 Coit Rd Ste 110	$3.21	13	13
Parth Vijay Khade 3705 W 15Th St	$29.72	14	13
Jay P Schwartz 3555 National Dr Ste 100	$52.72	14	14
Mohsin Maqbool 4032 Mcdermott Rd	$51.35	14	14
Roderick Cecil Hunter 1600 Coit Rd Ste 209	$43.68	14	12
Rishin D Shah 6201 Dallas Pkwy Ste 210	$8.90	14	13
Hector L Hidalgo 6105 Windcom Ct Ste 100	$17.27	15	15
Tameem Al-Aqtash 4716 Alliance Blvd Ste 700	$21.59	15	13
Darren Pham 425 Coit Rd	$42.17	16	14
Priti Ranjan 4920 Mcdermott Rd Ste 200	$0.71	16	12
Amanda Raye Chamberlin 4012 Preston Rd Ste 500	$57.60	17	15
Maria Roxana Timis 3705 W 15Th St	$24.21	17	15
Olapeju Fakeye 1255 W 15Th St Ste 815	$2.44	18	13
Mukesh Kumar D Delvadiya 6300 W. Parker Road, Suite 123, Mob Ii	$42.98	20	12
Frederick L Matthews 5072 W Plano Pkwy	$25.77	22	16
Brittany Anne Spence 8277 Belleview Dr Ste 275	$27.07	23	19
Liwen Zhang 6020 W Parker Rd Ste 200	$26.11	23	16
Imagine Programs Llc 1947 K Ave	$30.61	23	18
Muhammad Osman Arif 6513 Preston Rd Ste 300	$96.52	24	24
Rosalia Treto 3032 Communications Pkwy	$63.48	25	24
Eitel J Colberg 6100 Windcom Ct	$25.67	25	25
Sandra Fiorella Munoz 5851 Legacy Cir Fl 6	$2.61	26	26
Allan R Devilleneuve 4001 West 15Th Street, Suite 375	$34.51	26	25
Khawaja Nimr Ikram 5655 W Spring Creek Pkwy Ste 115	$0.00	26	26
Haider Nazeer 4716 Alliance Blvd Ste 100	$56.58	26	25
Cyrus Erik Abbaschian 1600 Coit Rd Ste 104	$30.32	27	25
Ruben Augusto Saez 6957 W Plano Pkwy Ste 2000	$20.14	28	28
Hannah Chong Tak 4001 W 15Th St Ste 350	$37.78	28	25
Atif Saleem 6124 W Parker Rd Ste 336	$83.19	28	28
Phu Cao Tran 4001 W 15Th St Ste 480	$0.69	28	28
Sarah Defreitas 5076 W Plano Pkwy	$81.84	29	29
Yu Zhao 6124 W Parker Rd Ste 432	$32.64	29	28
Grace Woods 7601 Preston Rd	$45.64	29	27
Mohammed Usman Ibrahim 2100 Hedgcoxe Rd Ste 120	$87.21	30	28
Gregory Dann 4001 W 15Th St Ste 350	$56.82	31	29
Devin Gayle Fernandes 7212 Independence Pkwy	$69.43	32	31
Mirada Kangah 6600 Chase Oaks Blvd Ste 150	$0.00	32	27
Jennifer A Shannon 6300 W Parker Rd Ste G28	$27.72	33	32
Nedra L. Rice 6020 W Parker Rd Ste 330	$30.13	34	24
Zhi Mao 1600 Coit Rd	$2.58	37	36
Firas Abdulla 7601 Preston Rd	$10.08	39	39
Niaz Farhat 3909 W Parker Rd	$31.04	40	37

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 Plano, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plano, TX is $42.11 per claim, based on 400,639 claims from 283 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 Plano, TX?

There are 283 Medicaid providers offering Office Visit related services in Plano, TX according to public payment data.

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

Medicaid reimbursement for Office Visit in Plano, TX ranges from $0.00 to $189.04 per claim, with an average of $42.11. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Plano, TX: $42.11

Providers Offering Office Visit in Plano, TX

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Emergency Room Visit

Blood Work & Lab Tests

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