Average Medicaid Office Visit Payments in Rowlett, TX: $27.33
Avg. Paid
$27.33
Range
$0.86 – $93.36
Total Claims
8,109
Providers
20
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 Rowlett, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Deanna Quach
5404 Kenwood Dr Ste 200 |
$33.66 | 13 | 13 |
|
John Chester Siachitema
7905 Killarney Ln |
$6.40 | 13 | 12 |
|
Hammad Adnan Baig
7501 Lakeview Pkwy Ste 270 |
$27.32 | 15 | 13 |
|
Henrik Mike-Mayer
3310 Waterford Dr |
$29.85 | 16 | 14 |
|
Linda Ndhlovu Gwature
3105 Lafayette Dr |
$0.86 | 16 | 14 |
|
Lakesha Billington
7700 Lakeview Pkwy Suite 100B |
$27.44 | 17 | 13 |
|
Tiruwork Mekuria Hiruy
9909 Glenshee Dr |
$1.98 | 21 | 12 |
|
Heidi Pavone
7617 Lakeview Pkwy |
$54.59 | 23 | 23 |
|
John Keith Abbott
7501 Lakeview Pkwy |
$93.36 | 25 | 25 |
|
Ludwig David Orozco
7501 Lakeview Pkwy |
$26.31 | 26 | 24 |
|
Tariq Mahmood
7600 Lakeview Pkwy Ste 150 |
$57.20 | 28 | 28 |
|
Padmaja Doniparthi
9400 Lakeview Pkwy Ste 124 |
$29.32 | 28 | 25 |
|
Tamara Dianne Williams
7501 Lakeview Pkwy Ste 245 |
$40.35 | 103 | 89 |
|
Brent Alan Metts
7801 Lakeview Pkwy |
$22.91 | 165 | 159 |
|
Tobenna Igweonu Nwizu
7501 Lakeview Pkwy Ste 100 |
$42.83 | 175 | 139 |
|
Audrey Kim
7501 Lakeview Pkwy Ste 240 |
$2.24 | 204 | 67 |
|
Grace Dada
3430 Lakeview Pkwy |
$28.02 | 216 | 202 |
|
Catherine A Casteel
7501 Lakeview Pkwy Ste 230 |
$26.72 | 1,210 | 1,074 |
|
Gyounghee Kim
2101 Lakeview Pkwy Ste 300 |
$43.53 | 1,417 | 1,266 |
|
Kimberly Dawn Solorzano
7301 Euclid Dr |
$22.16 | 4,378 | 4,002 |
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 Rowlett, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rowlett, TX is $27.33 per claim, based on 8,109 claims from 20 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 Rowlett, TX?
There are 20 Medicaid providers offering Office Visit related services in Rowlett, TX according to public payment data.
What is the price range for Office Visit in Rowlett, TX?
Medicaid reimbursement for Office Visit in Rowlett, TX ranges from $0.86 to $93.36 per claim, with an average of $27.33. 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 Rowlett, TX
Physical Therapy
Avg $0.03
60,522 claims
Dental Cleaning & Exam
Avg $39.88
49,088 claims
Emergency Room Visit
Avg $98.89
41,117 claims
Blood Work & Lab Tests
Avg $6.45
31,816 claims
Dental Filling
Avg $93.48
18,522 claims
Nursing Facility Care
Avg $16.62
16,861 claims
Personal Care Services
Avg $56.71
16,087 claims
Urinalysis & Urine Tests
Avg $5.04
14,165 claims