Average Medicaid Office Visit Payments in Port Arthur, TX: $34.02
Avg. Paid
$34.02
Range
$0.00 – $129.37
Total Claims
172,067
Providers
44
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 Port Arthur, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Minda Lao Toledo
8333 9Th Avenue |
$34.45 | 33,961 | 25,702 |
|
Reginald W Savoie
8599 9Th Ave |
$25.93 | 17,787 | 11,735 |
|
Mary Denise Sohoski
3300 Jimmy Johnson Blvd Ste 100 |
$34.16 | 15,850 | 13,531 |
|
Mary Ryan Tinnel
1946 9Th Ave |
$34.40 | 14,933 | 12,643 |
|
Mary Kathleen Herrera
8333 9Th Ave |
$46.10 | 10,660 | 8,897 |
|
Oscar Olfindo Enriquez
8333 9Th Ave Ste A |
$29.33 | 9,420 | 8,084 |
|
Nancy T. Ngo
8333 9Th Ave |
$35.63 | 9,040 | 8,049 |
|
Sarah Dubose
3320 Central Mall Drive |
$31.86 | 8,142 | 7,051 |
|
Anasha Bush Butler
3600 Gulfway Drive |
$32.60 | 6,352 | 5,342 |
|
Rebecca E Balfanz
3220 Central Mall Dr |
$37.29 | 6,030 | 5,181 |
|
Leopold Villegas
2548 Memorial Blvd |
$44.41 | 4,356 | 3,803 |
|
Pradip J Morbia
3921 N Twin City Hwy |
$28.07 | 4,127 | 2,780 |
|
Gulf Coast Health Center Inc
2548 Memorial Blvd |
$45.34 | 3,118 | 2,844 |
|
Rojina Habib Jasani
8455 9Th Ave Ste A |
$38.67 | 2,937 | 2,082 |
|
Nabeel Abdullah
3921 N Twin City Hwy |
$24.28 | 2,757 | 2,181 |
|
Marsha Thigpen
2548 Memorial Blvd |
$39.21 | 2,219 | 1,967 |
|
Dia Abochamh
3921 N Twin City Hwy |
$16.48 | 2,134 | 1,704 |
|
Tho Van Tran
2501 Jimmy Johnson Blvd |
$47.51 | 2,108 | 2,029 |
|
Denise Craig
8455 9Th Ave Ste A |
$34.23 | 1,856 | 1,503 |
|
Mohammed Amirul Islam
3921 N Twin City Hwy |
$21.72 | 1,591 | 1,222 |
|
Marian E Cordovez-Tan
3220 Central Mall Dr. |
$27.56 | 1,523 | 1,387 |
|
Justin Feldschau
2501 Jimmy Johnson Blvd Ste 501A |
$30.69 | 1,503 | 1,137 |
|
Cynthia Sigur
2501 Jimmy Johnson Blvd |
$47.57 | 1,373 | 1,250 |
|
Murlidhar Anatkumar Amin
7700 N Twin City Hwy Ste A |
$21.18 | 1,300 | 1,227 |
|
Rhonda S Dixon
7980 Anchor Dr Ste 1100 |
$29.40 | 1,133 | 901 |
|
Hong Catherine Trinh
3615 Professional Dr |
$31.73 | 1,015 | 1,004 |
|
Elias M. Ntsoane
3780 Memorial Blvd |
$39.94 | 906 | 837 |
|
Roman Jules Carpenter
2555 Jimmy Johnson Blvd |
$100.03 | 785 | 781 |
|
Shahnaz Ali
2548 Memorial Blvd |
$1.39 | 546 | 542 |
|
Anthony O. Gambrah Sampaney
7980 Anchor Dr |
$14.36 | 492 | 454 |
|
Monica D Hinojosa
3300 Jimmy Johnson Blvd Ste 100 |
$30.14 | 477 | 411 |
|
Elizabeth Mary Carter
1946 9Th Ave Ste 405 |
$35.60 | 369 | 329 |
|
Bodo Brauer
8555 Memorial Blvd Ste 100 |
$12.60 | 299 | 213 |
|
Vivek Oza
8525 9Th Ave |
$4.05 | 228 | 179 |
|
Jacqueline Mcneal
8801 9Th Ave |
$70.87 | 172 | 166 |
|
Connie Denise Johnson-Wiltz
2933 Park Plaza Ln |
$20.60 | 157 | 153 |
|
Brooke Leigh Kelley
3535 Gates Blvd Ste 116 |
$10.72 | 120 | 95 |
|
Harry Jerome Smith
8333 9Th Ave |
$21.01 | 104 | 96 |
|
Shannon Huebel Keith
2555 Jimmy Johnson Blvd |
$129.37 | 94 | 93 |
|
Allen C. Williamson
2501 Jimmy Johnson Blvd |
$33.48 | 33 | 29 |
|
Hina Sikandar Hussain
2548 Memorial Blvd |
$0.00 | 21 | 19 |
|
Monica Kathleen Loverdi
2555 Jimmy Johnson Blvd |
$38.26 | 14 | 12 |
|
Ernest Clayton Hymel
8333 9Th Ave Ste G |
$19.04 | 13 | 12 |
|
Richard G Bowling
2501 Jimmy Johnson Blvd, #400 |
$20.45 | 12 | 12 |
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 Port Arthur, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Port Arthur, TX is $34.02 per claim, based on 172,067 claims from 44 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 Port Arthur, TX?
There are 44 Medicaid providers offering Office Visit related services in Port Arthur, TX according to public payment data.
What is the price range for Office Visit in Port Arthur, TX?
Medicaid reimbursement for Office Visit in Port Arthur, TX ranges from $0.00 to $129.37 per claim, with an average of $34.02. 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 Port Arthur, TX
Dental Cleaning & Exam
Avg $43.16
152,299 claims
Vaccines & Immunizations
Avg $7.41
123,583 claims
Emergency Room Visit
Avg $85.83
40,120 claims
Dental Filling
Avg $83.53
27,377 claims
Physical Therapy
Avg $20.30
26,688 claims
Nursing Facility Care
Avg $4.41
18,429 claims
Blood Work & Lab Tests
Avg $7.15
17,296 claims
X-Ray
Avg $10.43
14,112 claims