Average Medicaid Office Visit Payments in Rockwall, TX: $44.51
Avg. Paid
$44.51
Range
$0.00 – $92.20
Total Claims
74,563
Providers
48
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 Rockwall, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Les T Sandknop
1005 W Ralph Hall Pkwy |
$65.83 | 12 | 12 |
|
Cheryl Maldanis
990 Williams St Ste A |
$33.21 | 12 | 12 |
|
Dorcas Lomo
750 E Interstate 30 Ste 175 |
$51.47 | 12 | 12 |
|
Theresa Thu Kieu
2004 N Goliad St |
$49.99 | 13 | 13 |
|
William Stephens
6800 Heritage Pkwy Ste 104 |
$16.69 | 13 | 12 |
|
Tibor Anthony Racz
810 E Ralph Hall Pkwy Ste 110 |
$0.00 | 13 | 13 |
|
Sara Hays Lewis
1301 Summer Lee Dr |
$24.81 | 15 | 14 |
|
Carl K Mckenney
2306 Ridge Rd |
$9.86 | 15 | 12 |
|
Catherine Olsen
3144 Horizon Rd Ste 220 |
$22.76 | 19 | 15 |
|
Brandon Mecham
1301 Summer Lee Dr |
$27.37 | 20 | 12 |
|
Tiffany Ann Tackett
6701 Heritage Pkwy Ste 165 |
$0.00 | 25 | 25 |
|
Ammar Nassri
3144 Horizon Rd Ste 210 |
$40.17 | 25 | 25 |
|
Michele Suter
2306 Ridge Rd |
$77.85 | 28 | 28 |
|
Mohamed Nizar N. Mahomed
6705 Heritage Pkwy Ste 202 |
$41.95 | 28 | 25 |
|
Amr Sayed Morsy
3013 Ridge Rd Ste 101 |
$0.00 | 30 | 28 |
|
Walter L Taylor
6701 Heritage Pkwy |
$10.25 | 39 | 39 |
|
Luam Mekonnen Tekle
401 W Rusk St Ste 100 |
$33.83 | 60 | 57 |
|
Nicole Laird
1005 W Ralph Hall Pkwy |
$39.96 | 63 | 51 |
|
Joann Gulley
406 N Goliad St |
$27.19 | 67 | 57 |
|
Maria Viqar-Syed
6705 Heritage Pkwy Ste 202 |
$41.54 | 105 | 92 |
|
Joel Philip Zarling
3136 Horizon Rd |
$40.26 | 111 | 99 |
|
Joben Samson Banan
2235 S Goliad St Ste 110 |
$5.14 | 121 | 116 |
|
Joshua Acree
3136 Horizon Rd Ste 100 |
$49.51 | 126 | 115 |
|
Helly K Shah
201 E I30 Ste 100 |
$15.08 | 141 | 133 |
|
Aaron Farberg
1005 W Ralph Hall Pkwy Ste 207 |
$31.56 | 213 | 199 |
|
Daniel J Weido
3136 Horizon Rd Ste 100 |
$50.88 | 219 | 197 |
|
Kenneth R Bernal
2265 N Lakeshore Dr Ste 101 |
$28.34 | 329 | 300 |
|
Wendy L Bridger
3140 Horizon Rd Ste 105 |
$56.21 | 378 | 365 |
|
Taylor May Merritt
1005 W Ralph Hall Pkwy Ste 217 |
$43.31 | 405 | 386 |
|
Leonard Q Gruppo
810 E Ralph Hall Pkwy Unit 100 |
$59.07 | 438 | 432 |
|
Holly M Bastian
1201 Arista Dr Ste 105 |
$74.74 | 453 | 435 |
|
Michael Wentworth
810 E Ralph Hall Pkwy |
$48.08 | 540 | 503 |
|
Dorothy Njideka Nwanne
2845 Clear Creek Dr |
$38.09 | 678 | 658 |
|
Amanda Suzanne Garza
102 S 1St St Ste B |
$31.43 | 734 | 682 |
|
Jane Pauline Njeri Njeru
1005 W Ralph Hall Pkwy Ste 107 |
$45.94 | 843 | 745 |
|
Stephanie Michele Mishaw
1005 W Ralph Hall Pkwy Ste 115 |
$45.74 | 1,070 | 883 |
|
Venkataramana P. Garikiparthy
1861 Sh 276 |
$42.58 | 1,085 | 1,035 |
|
Julia Pye
810 E. Ralph Hall Prkwy |
$51.97 | 1,294 | 1,243 |
|
Vitalina Adamchevska
1005 W Ralph Hall Pkwy Ste 137 |
$59.84 | 1,810 | 726 |
|
Parichart Vaikayee
2504 Ridge Rd |
$24.01 | 1,860 | 917 |
|
Michael Wiebel
3000 Horizon Rd |
$44.10 | 2,321 | 2,262 |
|
Hyang Lois Han
2504 Ridge Rd Ste 102 |
$92.20 | 2,595 | 2,483 |
|
Trevor Dylan Smith
862 W Rusk St |
$85.16 | 4,265 | 4,072 |
|
Roshni Patel
1861 Sh 276 |
$41.76 | 5,979 | 5,486 |
|
Anne Catherine Ewert
862 W Rusk St |
$40.48 | 6,168 | 5,263 |
|
Sabri H Sheikha
601 White Hills Dr Ste 100 |
$25.89 | 8,320 | 5,937 |
|
Luis Deleon Usuga
6800 Heritage Pkwy Ste 102 |
$40.21 | 9,572 | 7,037 |
|
Mohrokh A Hedayati
890 Rockwall Pkwy Ste 100 |
$42.36 | 21,881 | 19,883 |
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 Rockwall, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rockwall, TX is $44.51 per claim, based on 74,563 claims from 48 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 Rockwall, TX?
There are 48 Medicaid providers offering Office Visit related services in Rockwall, TX according to public payment data.
What is the price range for Office Visit in Rockwall, TX?
Medicaid reimbursement for Office Visit in Rockwall, TX ranges from $0.00 to $92.20 per claim, with an average of $44.51. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Rockwall, TX
Physical Therapy
Avg $11.53
109,181 claims
Dental Cleaning & Exam
Avg $45.69
89,066 claims
Home Health Visit
Avg $55.57
59,652 claims
Vaccines & Immunizations
Avg $6.14
41,233 claims
Psychiatric Evaluation
Avg $32.41
31,972 claims
Dental Filling
Avg $86.27
28,717 claims
Emergency Room Visit
Avg $115.31
28,480 claims
Speech Therapy
Avg $24.08
25,255 claims