Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Rio Grande City, TX: $27.22

Avg. Paid

$27.22

Range

$0.00 – $41.31

Total Claims

216,639

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 Rio Grande City, TX

Provider	Avg. Paid	Claims	Patients
Daria Babineaux 214 Chaparral Blvd	$33.35	64,822	52,170
Luis Valencia 131 N Fm 3167 Ste D	$36.65	27,427	18,864
Mario A Rodriguez 201 N Fm 3167 Ste 109	$17.18	20,621	16,536
Fernando Garcia 2462 Sentry Palm Dr	$26.00	18,280	15,980
Family Health Center Llp 2768 Pharmacy Rd	$14.18	16,801	13,516
Gauri G. Kanhere 131 N Fm 3167 Ste C	$20.70	9,492	6,679
Deyanira Lopez 5326 E Us Highway 83	$30.91	8,964	8,253
Mia Delagarza Gonzalez 2764 Pharmacy Rd	$31.07	8,027	7,230
Khizar Ahsan 5342 E Hwy 83, C1	$12.34	7,510	7,262
Jessica Yvette Flores 214 Chaparral Blvd	$31.16	7,303	6,774
David Valdez 1627 E. Hwy 83	$15.95	6,485	5,818
Family Medical And Specialty Clinic Llp 2790 Pharmacy Rd Ste B	$12.95	3,151	2,506
Dileep Vijay Menon 101 N Fm 3167 Ste 104	$22.15	2,911	2,698
Mario Luis Vasquez Aguilar 2768 Pharmacy Rd	$26.51	2,678	2,214
Nicholas Green 214 Chaparral Blvd	$31.54	2,299	2,094
Dalinda Denise Falcon 2790 Pharmacy Rd Ste B	$24.18	1,242	988
Stella Leonora Winters 128 N Fm 3167	$32.83	1,095	1,025
Reanna Renee Reyna 1673 E San Benito St Ste D	$15.06	1,006	927
Patricia Laurel 208 N Britton Ave	$11.03	975	786
Omar Doria 201 E 2Nd St	$37.90	950	914
Cassandra May Cabrera 5326 E Us Highway 83 Ste A2	$37.48	833	783
Dorellda Estrada Moncada 1673 E San Benito St Ste D	$32.99	788	778
Brian M Wickwire 600 N Garza St Ste A	$34.05	635	582
Samuel Enyew 216 N. Fm 3167, Unit 3	$35.50	579	557
Mayra O Martinez 2768 Pharmacy Rd	$30.18	542	511
Stanislaus Nwafor Uzoigwe 201 E 2Nd St	$20.79	218	214
Antonio Falcon 2768 Pharmacy Rd	$0.00	218	118
Myrna Domansi Grajo 214 Chaparral Blvd	$25.31	187	174
Starr County Hospital District 128 N Fm 3167	$20.82	154	135
Gauri Kanhere Pllc 131 N Fm 3167 Ste C	$41.31	149	124
Matthew R Osborn 201 E 2Nd St	$0.00	140	138
Shanta Salinas 214 Chaparral Blvd	$27.59	139	138
Nuestra Clinica Del Valle Inc 600 N Garza St Ste A	$0.00	18	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 Rio Grande City, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rio Grande City, TX is $27.22 per claim, based on 216,639 claims from 33 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 Rio Grande City, TX?

There are 33 Medicaid providers offering Office Visit related services in Rio Grande City, TX according to public payment data.

What is the price range for Office Visit in Rio Grande City, TX?

Medicaid reimbursement for Office Visit in Rio Grande City, TX ranges from $0.00 to $41.31 per claim, with an average of $27.22. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Rio Grande City, TX: $27.22

Providers Offering Office Visit in Rio Grande City, TX

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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