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
Taylor Troup 1621 Watch Hill Dr	$7.07	17,449	10,122
Samra Khan 6201 Dallas Pkwy Ste 210	$15.50	14,825	12,308
Frederick Kyle Comrie 3465 National Drive	$14.56	13,038	11,707
Auj Dossani 7800 Preston Rd Ste 300	$30.72	11,377	10,532
Lionel Reiman 3709 W 15Th St	$89.45	10,870	8,922
Sandip Dilip Patankar 1524 Independence Pkwy Ste A1	$39.18	10,832	10,306
Kiran Bilal 1360 Star Ct Ste T1	$41.47	10,646	9,507
Surekha Machupalli 8901 Independence Pkwy	$42.88	10,442	7,631
Lata Shridharan 2109 W Spring Creek Pkwy	$45.62	9,788	8,421
Irwin Endelman 6130 W. Parker Rd	$32.21	9,423	6,376
David Ernesto Aviles Martinez 7800 Preston Rd Ste 300	$27.86	9,276	8,781
Chet Edward Wells 6124 W Parker Rd	$66.71	8,663	8,124
Muaz Alwan 7800 Preston Rd Ste 300	$28.69	8,103	7,587
Rafael Pomales 1120 E Parker Rd	$27.46	7,617	6,599
Brent Keith 7211 Preston Rd Ste 3500	$68.97	7,469	6,950
John Matt Parker 3713 W 15Th St	$34.28	7,283	4,132
Wei Zhang 3108 Midway Rd	$39.44	6,575	4,672
Yvette Almendarez 7800 Preston Rd	$43.04	6,247	5,419
Kenneth J. Trimmer 6200 W Parker Rd	$23.63	6,144	3,936
Pradeep Kumar 3920 Alma Dr	$38.65	5,899	5,661
Man Ton 3001 Dallas Pkwy	$48.88	5,875	5,436
Shalini Shetty 7308 Alma Dr	$68.96	5,654	5,387
Robin Leigh Landgraf 7601 Preston Rd	$65.82	5,032	4,953
Cynthia Elizabeth Nicholson-Guidry 5068 W Plano Pkwy	$47.94	4,860	4,748
Daniel W Kim 5425 W Spring Creek Pkwy	$33.03	4,735	4,003
Yan Li 4666 Mcdermott Rd Ste 100	$7.72	4,656	3,588
Chinemelum S Chris-Ukah 6124 W Parker Rd Ste 234	$24.75	4,517	4,172
Kishore Gadikota 5655 W Spring Creek Pkwy Ste 200	$35.91	4,506	3,992
Anca Pamfil 3242 Preston Rd	$135.72	4,432	4,317
Miranda Oler Ramirez 3608 Preston Rd	$47.89	4,155	3,576
Kathryn Leigh Bauer 7211 Preston Rd Ste 1200	$60.55	4,136	3,866
Marlee Chang 5085 W Park Blvd Ste 200	$4.91	3,758	2,214
Gustavo Marin 2380 E Park Blvd	$33.69	3,521	2,948
Troy M Smurawa 7211 Preston Rd Ste 1200	$70.72	3,406	3,201
Jianhuan Meng 400 Maplelawn Dr Ste 101	$15.14	3,383	2,594
Brandon Richard Harthan 7211 Preston Rd Ste 1200	$39.51	3,134	2,587
David Christopher Gore 5813 Preston Rd	$34.54	2,875	2,295
Angela Marie Shurtleff 850 Central Pkwy E Ste 275	$48.09	2,851	2,121
Nayeli Liberato 5964 W Parker Rd Ste 100	$46.46	2,845	2,032
Hauw Swan Lie 6200 W Parker Rd	$91.44	2,799	2,773
Jeffrey Craig Komenda 5944 W Parker Rd	$50.07	2,772	2,512
Muhammad Ali Siddiqui 4405 Adriel Ln	$29.20	2,581	1,826
John Allen Vanwagoner 6101 Windcom Ct	$43.95	2,498	2,363
Mohsin Khan 7601 Preston Rd	$58.28	2,463	2,407
Brian Christopher Gutknecht 7211 Preston Rd Ste 1200	$59.15	2,457	2,189
Zehra Jaffer 4716 Alliance Blvd Ste 700	$23.35	2,456	1,866
Mir Majid Ali 4013 14Th St Ste 401	$39.55	2,417	2,195
Kaitlyn Mccurley 7211 Preston Rd Ste 1200	$64.44	2,350	2,193
Alvin Chi 7211 Preston Rd	$58.53	2,313	2,096
Minija A Abraham 811 E Plano Pkwy Ste 108	$44.91	2,294	1,628

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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