Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Prosper, TX: $51.73

Avg. Paid

$51.73

Range

$0.00 – $481.22

Total Claims

70,106

Providers

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 Prosper, TX

Provider	Avg. Paid	Claims	Patients
Dana Moray Blair 4300 W University Dr Ste 10	$28.01	8,485	8,219
Adeleye Ogunlade 201 S Preston Rd	$15.42	7,646	6,699
Simona Nichita 4300 W University Dr	$47.70	7,552	7,330
Valen J Radimecky 4300 W University Dr Ste 20	$43.11	3,669	3,551
Meghan Cohen 1300 Childrens Way Ste W1100	$58.87	3,518	3,475
Laquatre R. Rhodes 4200 W University Dr	$64.42	3,163	3,004
Vera Ajuma Okwu 4200 W University Dr	$71.67	3,087	2,968
Lydia Ann Bruck 2120 Prairie Dr Ste 102	$40.27	2,791	2,647
Natalie Danielle Davis 4100 W University Dr	$91.87	2,573	2,409
Ying Ying N Morgan 4300 W University Dr Ste 20	$40.31	2,527	2,449
Ahmad E Qawasmi 1120 S Coit Rd Ste 20	$65.33	2,496	2,329
Pragadeeswari Dhanasekaran 2120 Prairie Dr Ste 102	$51.64	2,266	1,912
Olurounke Remi-Johnson 1630 W Prosper Trl Ste 340	$56.29	2,225	1,932
Ghada Abdalla Elhaj 321 N Preston Rd Ste C	$37.72	2,122	1,957
Ally Renee Funkhouser Dye 1300 Childrens Way	$50.93	1,904	1,884
Anthony Omokheowa Anani 4200 W University Dr	$98.98	1,491	1,458
John Marion Robertson 4200 W University Dr	$71.76	1,487	1,362
Pamela Garza Burg 4200 W University Dr	$112.45	1,453	1,415
Yuan Zhao 2760 W 1St St Ste 20	$30.01	1,125	1,084
Xin Ya Chuong 1350 N Preston Rd	$40.94	1,089	956
Kristi K Goodson 4100 W University Dr	$33.90	1,022	908
Andrew Duc-Tuan Tran 321 N Preston Rd Ste C	$27.92	999	908
Ruby Desai 2200 E Prosper Trl Ste 20	$75.38	846	687
Kofoworola Mariam Kuboye 2810 W 1St St Ste 30	$36.72	692	612
Abdul Hafeez Siddiqui 4200 W University Dr	$136.76	615	460
Jennie Mathew 1000 N Preston Rd Ste 20	$481.22	463	422
Kindsay Delaine Leite 4100 W University Dr	$47.19	411	310
Damian Campbell 4200 W University Dr	$77.00	301	296
Mouhammad Rateb Alwazeer 4200 W University Dr	$82.88	286	277
Jonathan Stephen Thomas 111 S Preston Rd	$1.02	254	156
Anita M. Dowdy 4200 W University Dr	$0.00	167	167
Pradeep Reddy Tatagari 701 Hawk Wood Ln	$34.23	158	144
Yolande Mfondoum Pengetnze 4200 W University Dr	$39.41	156	145
Anish Mirchandani 1970 W University Dr Ste 210	$35.54	142	127
Trent Shakespear Boehm 1630 W Prosper Trl Ste 140	$17.77	134	109
Amit Jairaj Mulchandani 111 S Preston Rd Ste 10	$52.34	131	119
Brittney Pryor Craig 4200 W University Dr Fl 3	$86.76	110	109
Sifrance Tran 4200 W University Dr	$80.98	95	88
Sindhu Basavaiah Igala 2120 Prairie Dr Ste 301	$17.13	73	72
Kanika Alake Bowen-Jallow 4200 W University Dr	$94.77	65	64
Jeffrey K. Kachmann 2381 E University Dr Ste 50	$64.20	59	55
Sivasanker Bakthavachalam 4200 W University Dr	$87.14	49	48
Jonathan Guinto 1450 N Preston Rd Ste 60	$38.10	45	45
Lauren J Akers 4200 W University Dr	$48.65	37	37
Katelyn Jean Glasmith 4300 W University Dr	$51.63	36	36
Scott Chowning 1000 N Preston Rd	$25.88	32	28
Paulina Joanna Ramos-Coborn 4100 W University Dr	$1.94	27	23
Jay Robert Woody 211 W Frontier Pkwy	$27.73	19	13
Brandi Henderson 4100 W University Dr	$57.76	13	13

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 Prosper, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Prosper, TX is $51.73 per claim, based on 70,106 claims from 49 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 Prosper, TX?

There are 49 Medicaid providers offering Office Visit related services in Prosper, TX according to public payment data.

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

Medicaid reimbursement for Office Visit in Prosper, TX ranges from $0.00 to $481.22 per claim, with an average of $51.73. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Prosper, TX: $51.73

Providers Offering Office Visit in Prosper, TX

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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