Average Medicaid Office Visit Payments in San Benito, TX: $27.07
Avg. Paid
$27.07
Range
$0.00 – $38.86
Total Claims
114,932
Providers
19
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 Benito, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fernando Schroeder
1653 W Us Highway 77 |
$33.37 | 35,339 | 31,437 |
|
Anil K Batta
2569 Hwy Business 77 |
$33.32 | 19,535 | 15,943 |
|
Jamie Rocky Salinas
320 N Williams Rd |
$19.00 | 17,155 | 13,140 |
|
Jairo Rodriguez
893 S Sam Houston Blvd |
$15.08 | 15,109 | 13,957 |
|
Israel Vega
1795 W Us Highway 77 |
$23.58 | 6,108 | 4,694 |
|
Norma Schacherl
351 N Sam Houston Blvd |
$24.84 | 5,938 | 5,369 |
|
Rafael Lopez
351 N Sam Houston Blvd |
$26.55 | 5,162 | 4,677 |
|
Heather Smith
1401 W Expressway 83 |
$38.86 | 2,820 | 2,616 |
|
Joy Anne Faye Kroes
351 N Sam Houston Blvd |
$24.86 | 2,597 | 2,369 |
|
Rita Villarreal
351 N Sam Houston Blvd |
$32.73 | 1,737 | 1,589 |
|
Eduardo Uribe
401 S Helen Moore Rd |
$26.97 | 1,060 | 988 |
|
Bianca Acosta
320 N Williams Rd |
$10.18 | 780 | 679 |
|
Vicente Granado
351 N Sam Houston Blvd |
$13.75 | 768 | 717 |
|
Cristina Almanza Adams
351 N Sam Houston Blvd |
$30.19 | 331 | 309 |
|
Mireya Garcia
351 N Sam Houston Blvd |
$30.17 | 183 | 176 |
|
Perla Elizabeth Ramirez
351 N Sam Houston Blvd |
$21.76 | 182 | 171 |
|
Dr Jamie Rocky Salinas Md Pa
320 N Williams Rd |
$0.00 | 78 | 64 |
|
Kasandra Paredes
351 N Sam Houston Blvd |
$29.62 | 26 | 25 |
|
Gregory M Stirneman
850 W Us Highway 77 Ste C |
$3.23 | 24 | 24 |
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 Benito, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Benito, TX is $27.07 per claim, based on 114,932 claims from 19 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 Benito, TX?
There are 19 Medicaid providers offering Office Visit related services in San Benito, TX according to public payment data.
What is the price range for Office Visit in San Benito, TX?
Medicaid reimbursement for Office Visit in San Benito, TX ranges from $0.00 to $38.86 per claim, with an average of $27.07. 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 San Benito, TX
Home Health Visit
Avg $16.46
87,400 claims
Vaccines & Immunizations
Avg $6.00
51,442 claims
Speech Therapy
Avg $71.67
47,002 claims
Dental Cleaning & Exam
Avg $43.08
36,605 claims
Blood Work & Lab Tests
Avg $4.47
26,479 claims
Nursing Facility Care
Avg $10.81
17,290 claims
Physical Therapy
Avg $59.00
15,584 claims
Non-Emergency Medical Transportation
Avg $6.53
13,686 claims