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Based on public Medicaid payment data.

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

Other Procedures in Port Arthur, TX