Average Medicaid Office Visit Payments in Round Rock, TX: $42.02
Avg. Paid
$42.02
Range
$0.00 – $523.74
Total Claims
239,768
Providers
215
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 Round Rock, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Katelyn Elizabeth Heck
3950 N A W Grimes Blvd Ste N201 |
$55.74 | 16,719 | 15,045 |
|
Lone Star Circle Of Care
2120 N Mays St |
$11.82 | 14,724 | 12,611 |
|
Lone Star Circle Of Care
3950 N A W Grimes Blvd |
$7.22 | 14,138 | 12,709 |
|
Minuteclinic Diagnostic Of Texas Pllc
1855 Gattis School Rd |
$21.66 | 10,904 | 9,681 |
|
Lone Star Circle Of Care
2300 Round Rock Ave Ste 208 |
$6.92 | 10,828 | 7,095 |
|
Lee Bostick Elam
425 University Blvd |
$64.79 | 8,031 | 7,450 |
|
Manasa Enja
2120 N Mays St Ste 430 |
$56.84 | 7,558 | 5,475 |
|
Johelin F De Freitas Hernandez
425 University Blvd |
$57.28 | 7,308 | 6,938 |
|
Central Texas Community Health Centers
1201 S Interstate 35 Ste 303 |
$19.84 | 5,646 | 5,046 |
|
Andrea Lorena Cruz Araujo
505 E Palm Valley Blvd Ste 240 |
$13.22 | 4,626 | 4,514 |
|
Madison Ashley Pryor
7700 Cat Hollow Dr Ste 104 |
$36.04 | 4,126 | 3,791 |
|
Tiffany Nicole Rybak
3950 N A W Grimes Blvd Ste N201 |
$48.31 | 3,859 | 3,491 |
|
Alan B. White
940 Hester'S Crossing |
$40.00 | 3,501 | 3,305 |
|
Nihar Kiritkumar Patel
2410 Round Rock Ave Ste 250 |
$26.95 | 3,314 | 2,359 |
|
Bernadette M Brown
894 Summit St |
$56.58 | 3,271 | 2,537 |
|
Sarah Oliaee Caballero
302 University Blvd |
$23.78 | 3,056 | 2,581 |
|
Anthony Robert Henry
2000 N Mays St Ste 109 |
$58.07 | 2,865 | 2,777 |
|
Daniel Blumer
1001 Little Oak Way |
$102.59 | 2,797 | 2,732 |
|
Marcellus Malcolm Pearce
904 Brushy Creek Dr |
$24.44 | 2,766 | 2,055 |
|
Elizabeth Samuels
1009 N Georgetown St |
$44.03 | 2,582 | 2,474 |
|
Katrina Powell
425 University Blvd |
$45.81 | 2,535 | 2,289 |
|
Kymberly Tsai Colman
940 Hesters Crossing Rd |
$38.44 | 2,526 | 2,466 |
|
Erin Marshall
7200 Wyoming Spgs Ste 200 |
$37.94 | 2,355 | 2,063 |
|
Lauren Douglas
2120 N Mays St Ste 430 |
$53.62 | 2,265 | 2,193 |
|
Brittany Conley
425 University Blvd |
$59.59 | 2,263 | 2,109 |
|
Jenny Lehmann Jacomides
7700 Cat Hollow Dr |
$40.26 | 2,251 | 2,066 |
|
Jessica Carmen Reuben
1009 N Georgetown St |
$73.39 | 2,249 | 2,165 |
|
Alan K. Rashid
940 Hesters Crossing Rd |
$35.84 | 2,224 | 2,161 |
|
Bradley R. Berg
425 University Blvd |
$53.35 | 2,108 | 1,979 |
|
Rafael A De Haro
7200 Wyoming Spgs Ste 200 |
$37.59 | 2,088 | 1,911 |
|
Martha Beatriz Abreu-Macomber
425 University Blvd |
$47.33 | 1,997 | 1,853 |
|
Andre S. Chen
2000 S Mays St Ste 201 |
$36.25 | 1,895 | 1,729 |
|
Kristi K. Harvey
940 Hesters Crossing |
$39.68 | 1,851 | 1,797 |
|
Nancy E. Owens
940 Hester'S Crossing |
$39.36 | 1,848 | 1,773 |
|
Amy C. Tomkins
940 Hester'S Crossing |
$38.05 | 1,841 | 1,781 |
|
Gary Baldwin
3200 Greenlawn Blvd |
$43.28 | 1,788 | 1,453 |
|
Hanna Kodeih
300 University Blvd |
$22.49 | 1,767 | 937 |
|
Kevin Lynn Robinson
16000 Park Valley Dr Ste 120 |
$63.20 | 1,708 | 1,543 |
|
Zaw Win
505 E Palm Valley Blvd Ste 240 |
$38.97 | 1,687 | 1,399 |
|
Harinder Preet Kaur
1025 Sendero Springs Dr Ste 120 |
$76.96 | 1,602 | 1,132 |
|
Maria C Scranton
940 Hesters Crossing |
$39.10 | 1,484 | 1,437 |
|
Nargis Ali
1009 N Georgetown St |
$68.09 | 1,460 | 1,420 |
|
Kerri Ann Halfant
1009 N Georgetown St |
$57.46 | 1,460 | 1,427 |
|
Aditya Bhaskar Pulikal
7700 Cat Hollow Dr Ste 203 |
$23.74 | 1,448 | 1,234 |
|
Amy H Shah
940 Hesters Crossing Rd |
$36.07 | 1,446 | 1,423 |
|
Jose Gabriel C Millar
16010 Park Valley Dr |
$45.89 | 1,434 | 1,271 |
|
Josemaria Paterno
2000 S Mays St Ste 201 |
$30.07 | 1,434 | 1,389 |
|
Michael Lamar
300 University Blvd |
$347.33 | 1,315 | 1,135 |
|
Joshua Ende
302 University Blvd |
$47.30 | 1,314 | 1,286 |
|
Asha Mathew
7700 Cat Hollow Dr Ste 104 |
$38.77 | 1,266 | 1,082 |
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 Round Rock, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Round Rock, TX is $42.02 per claim, based on 239,768 claims from 215 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 Round Rock, TX?
There are 215 Medicaid providers offering Office Visit related services in Round Rock, TX according to public payment data.
What is the price range for Office Visit in Round Rock, TX?
Medicaid reimbursement for Office Visit in Round Rock, TX ranges from $0.00 to $523.74 per claim, with an average of $42.02. 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
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Round Rock, TX
Blood Work & Lab Tests
Avg $2.57
156,505 claims
Vaccines & Immunizations
Avg $6.61
138,331 claims
Emergency Room Visit
Avg $102.87
121,395 claims
Dental Cleaning & Exam
Avg $35.42
96,574 claims
Speech Therapy
Avg $87.96
36,902 claims
Urinalysis & Urine Tests
Avg $2.18
32,966 claims
Nursing Facility Care
Avg $12.50
31,894 claims
Physical Therapy
Avg $71.27
23,728 claims