Average Medicaid Office Visit Payments in Porter, TX: $36.38
Avg. Paid
$36.38
Range
$0.00 – $109.36
Total Claims
103,015
Providers
14
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 Porter, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gayana Grigoryan Roland
21898 Fm 1314 Rd # B |
$87.96 | 12 | 12 |
|
Lakebra Glover
25553 Us Highway 59 |
$109.36 | 39 | 39 |
|
Angelis Berios
24540 Fm 1314 Rd |
$45.61 | 41 | 35 |
|
Katie Jo Kmiecik
23865 Fm 1314 Rd |
$27.95 | 63 | 59 |
|
Dayna Lobue
24540 Fm 1314 Rd |
$0.00 | 74 | 67 |
|
Jasmine Pettiford
25553 Us Highway 59 |
$54.62 | 127 | 119 |
|
Debra Cox Koetter
23865 Fm 1314 Rd |
$18.36 | 178 | 156 |
|
Andraea Wyatt
23865 Fm 1314 Rd |
$39.46 | 196 | 167 |
|
Rosa Guadalupe Brenes
24420 Fm 1314 Rd Ste 6 |
$0.00 | 215 | 207 |
|
Randall Kwarteng Roland
21898 Fm 1314 Rd Ste B |
$43.87 | 237 | 209 |
|
Faunda Nicola Armstrong
25553 Highway 59 |
$34.23 | 1,647 | 1,536 |
|
Wilmer Valentin
24540 Fm 1314 Rd |
$30.46 | 3,436 | 2,962 |
|
Rosaland Rochelle Lacy-Taylor
23736 Highway 59 |
$37.46 | 4,644 | 4,169 |
|
Andreas C. Nikolaidis
24375 Fm 1314 Rd |
$36.65 | 92,106 | 82,048 |
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 Porter, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Porter, TX is $36.38 per claim, based on 103,015 claims from 14 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 Porter, TX?
There are 14 Medicaid providers offering Office Visit related services in Porter, TX according to public payment data.
What is the price range for Office Visit in Porter, TX?
Medicaid reimbursement for Office Visit in Porter, TX ranges from $0.00 to $109.36 per claim, with an average of $36.38. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Porter, TX
Vaccines & Immunizations
Avg $6.21
64,137 claims
Dental Cleaning & Exam
Avg $43.22
39,110 claims
Dental Filling
Avg $86.54
17,633 claims
Emergency Room Visit
Avg $151.11
14,738 claims
Physical Therapy
Avg $79.27
13,011 claims
Speech Therapy
Avg $87.47
8,564 claims
Blood Work & Lab Tests
Avg $21.75
6,928 claims
Urinalysis & Urine Tests
Avg $7.36
6,672 claims