Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in San Antonio, TX: $47.25

Avg. Paid

$47.25

Range

$0.00 – $719.00

Total Claims

4,471,070

Providers

2,424

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 San Antonio, TX

Provider	Avg. Paid	Claims	Patients
Victor Octavio Diaz De Leon 9002 Culebra Rd	$25.78	79,943	72,833
Maria Delrosario Aguirre Hernandez 2515 Castroville Rd	$35.43	71,774	60,428
Nimesh K Patel 19422 N Us Highway 281	$80.99	61,030	55,261
Naga Pranavi Ellanti 903 W Martin St	$0.81	60,010	34,039
Houmam Al-Hakeem 7430 Barlite Blvd	$41.69	54,330	34,058
Lindsey Marie Hawkins-Alprin 9139 Westover Hills Blvd Ste 101	$32.45	54,083	50,062
Ramon Victor Sanchez 700 S Zarzamora St Ste 207	$40.73	52,186	50,169
Aleli Casino Masajo 2148 Jackson Keller Rd	$40.38	39,572	33,820
Eduardo M Sanchez 102 Babcock Rd	$37.51	37,857	35,032
Andrea Joy Grant-Vermont 4647 Medical Dr	$63.53	31,429	29,607
Maged M George 4340 Thousand Oaks Dr	$37.85	29,583	27,808
Kristen Allison Plastino 8300 Floyd Curl Dr Fl 5	$46.65	28,698	24,195
Anna Legostaev 4130 S New Braunfels Ave Ste 110	$38.55	28,419	26,627
Melinda Baldwin Mcfarland 502 Madison Oak	$32.49	27,861	20,270
Gulam Hussain Musharaf 11019 Culebra Road	$100.63	25,717	23,997
Kimberly Stachniak 3066 E Commerce St	$59.76	25,660	24,709
Sunil Udebhan Bochare 903 W Martin St	$61.15	25,335	24,470
Endaline A Anunobi 919 Locke St	$56.25	25,004	24,117
Jalane Cecelia Pearce 3327 Research Plz Ste 307	$70.49	24,387	19,366
John Caleb Browning 3320 Oakwell Ct	$51.52	24,134	23,256
Hector Xavier Samaniego 4257 Nw Loop 410	$36.53	24,105	22,861
Kenneth Oshiokhayamhe Etokhana 6735 Fm 78 Ste 102	$40.70	23,103	21,454
Amy Cobb 919 Locke St	$56.75	21,672	20,395
Bexar County Hospital District 4502 Medical Dr	$59.27	20,827	18,568
Little Spurs Pediatric Urgent Care, Pllc 11398 Bandera Rd	$103.24	19,857	16,780
John Franka 5282 Medical Dr Ste 240	$50.79	19,754	17,752
Monica R. Pacheco 5282 Medical Dr Ste 240	$54.33	19,149	18,307
Mohan Babu Rayala 2415 E Evans Rd Ste 108	$41.10	18,838	17,395
Sergio Ramon 401 W Summit Ave	$37.88	18,780	17,053
Barrio Comprehensive Family Health Care Center, Inc. 1102 Barclay St	$0.06	18,775	15,382
Rene Perez 11212 St Hwy 151 #350	$41.72	18,497	13,885
El Centro Del Barrio, Inc. 6315 S Zarzamora St	$30.84	17,990	16,501
Beatriz Cornelius 2121 Sw 36Th St	$54.26	17,553	16,994
David M Castro 10407 State Highway 151	$35.01	17,175	16,203
Sarina Solorzano 2121 Sw 36Th St	$51.24	16,342	15,470
Marisol Rodriguez Mendez 302 W Rector St	$55.89	15,106	14,377
Alice T Blackmon 7323 Marbach Rd Ste 104	$45.10	14,777	13,833
Mario Italo Martinez 302 Dora St	$55.96	14,565	14,078
Luisa Fernanda Bonilla Hernandez 4503 S Zarzamora St	$54.94	14,427	13,663
James Manning Lackey 2235 Thousand Oaks Dr	$67.05	14,238	13,304
Nancy Bernal-Aguilera 5939 Babcock Rd Ste 108	$29.95	14,079	12,744
Robert Sanders 903 W Martin St	$55.53	13,430	12,920
Barakah Louise Regina Day 414 W Sunset Rd Ste 105	$29.69	13,376	12,720
Nkechi Ogogor 5534 Rogers Rd	$35.48	13,037	9,021
Leah Rose Garguena-Bacuta 7430 Barlite Blvd	$44.99	12,803	12,194
Hala R. El Maraghy 6750 Tezel Rd Ste 103	$39.00	12,779	11,392
Najmul H. Salman 11019 Culebra Rd Ste 155	$54.42	12,532	11,122
Ram Hari Sharma 11230 West Ave Ste 3201	$41.38	12,526	11,584
Rosa Linda Gonzalez 10807 Pern Betl Rd Ste 300	$40.41	11,980	11,551
Kenyatta Y Lee 903 W Martin St	$48.58	11,836	9,623

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 San Antonio, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Antonio, TX is $47.25 per claim, based on 4,471,070 claims from 2424 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 San Antonio, TX?

There are 2424 Medicaid providers offering Office Visit related services in San Antonio, TX according to public payment data.

What is the price range for Office Visit in San Antonio, TX?

Medicaid reimbursement for Office Visit in San Antonio, TX ranges from $0.00 to $719.00 per claim, with an average of $47.25. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in San Antonio, TX: $47.25

Providers Offering Office Visit in San Antonio, TX

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

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