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Based on public Medicaid payment data.

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

Other Procedures in Round Rock, TX