Average Medicaid Office Visit Payments in San Juan, TX: $34.74
Avg. Paid
$34.74
Range
$0.00 – $103.65
Total Claims
168,145
Providers
27
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 Juan, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alberto D Duran
1211 N Raul Longoria |
$35.96 | 61,795 | 37,048 |
|
Maria Elena Rodriguez De Lima
806 W 3Rd St |
$28.70 | 23,179 | 15,810 |
|
Julio Enrique Arias Viaud
1110 S Stewart Rd Ste F |
$37.51 | 19,368 | 16,567 |
|
Roel E Cantu
411 W Fm 495 |
$42.35 | 15,446 | 13,292 |
|
Edgar Armando Rodriguez
1211 N Raul Longoria Rd |
$33.80 | 13,198 | 7,713 |
|
Dora Velazquez
1229 S Veterans Blvd |
$37.28 | 8,231 | 6,664 |
|
Graciela Morales
1205 N Raul Longoria Rd |
$37.01 | 4,899 | 4,551 |
|
Victor Romeo Villarreal
3006 N Raul Longoria Rd |
$23.09 | 3,994 | 3,487 |
|
Julio Cesar Morales
1200 E Business 83 Ste 1200 |
$33.70 | 3,749 | 3,640 |
|
Laura Hess
920 W Interstate 2 |
$63.50 | 2,632 | 2,236 |
|
Americo M Baca
722 S Nebraska Ave |
$21.33 | 2,326 | 2,013 |
|
Ventzislav D Vanguelov
806 W 3Rd St |
$18.42 | 2,044 | 1,242 |
|
Cinimol Teju
722 S Nebraska Ave |
$32.81 | 1,260 | 1,013 |
|
Esteban Palacios
1205 N Raul Longoria Rd |
$31.11 | 1,072 | 973 |
|
Nuestra Clinica Del Valle, Inc.
801 W 1St Street |
$0.00 | 870 | 812 |
|
David John Secord
801 W 1St St |
$30.50 | 834 | 787 |
|
Nelson A Mata
603 S Nebraska Ave |
$32.61 | 772 | 687 |
|
Luis Alberto Mata Gonzalez
509 Rio Red |
$7.03 | 662 | 490 |
|
Rowena Mirmohammadi
1229 S Veterans Blvd |
$24.60 | 552 | 532 |
|
Oscar Rene Vela
3006 N Raul Longoria Rd |
$15.41 | 466 | 415 |
|
Jesus Angel Garcia
409 W Fm 495 Ste A |
$14.40 | 350 | 284 |
|
Juan Miguel Villarreal
1229 S Veterans Blvd |
$26.68 | 169 | 124 |
|
Jessica Ledesma Saenz
3006 N Raul Longoria Rd |
$2.61 | 130 | 116 |
|
Benito Munoz
722 S Nebraska Ave |
$23.90 | 84 | 77 |
|
Estela Pompa Rios
417 W Fm 495 |
$43.47 | 36 | 31 |
|
Basiouni Basiouni
801 W 1St St |
$103.65 | 14 | 12 |
|
Patricia Zapata
2900 N Raul Longoria Rd |
$41.97 | 13 | 12 |
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 Juan, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Juan, TX is $34.74 per claim, based on 168,145 claims from 27 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 Juan, TX?
There are 27 Medicaid providers offering Office Visit related services in San Juan, TX according to public payment data.
What is the price range for Office Visit in San Juan, TX?
Medicaid reimbursement for Office Visit in San Juan, TX ranges from $0.00 to $103.65 per claim, with an average of $34.74. 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 Juan, TX
Urinalysis & Urine Tests
Avg $3.02
88,449 claims
Speech Therapy
Avg $86.21
85,688 claims
Blood Work & Lab Tests
Avg $5.90
27,986 claims
Vaccines & Immunizations
Avg $7.61
24,635 claims
Dental Cleaning & Exam
Avg $36.85
24,006 claims
Physical Therapy
Avg $77.27
23,037 claims
Ultrasound
Avg $83.25
21,705 claims
Pregnancy & Prenatal Care
Avg $389.96
7,911 claims