Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in San Marcos, TX: $46.10

Avg. Paid

$46.10

Range

$0.00 – $250.87

Total Claims

69,208

Providers

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 Marcos, TX

Provider	Avg. Paid	Claims	Patients
Patricia Helmick 1941 S Interstate 35	$37.14	6,758	5,868
Michael J Grady 601B Leah Ave	$41.95	4,728	4,458
Julie Michele Fisher 601 Leah Ave	$43.15	4,658	4,235
Angela Pilcher Black 601B Leah Ave	$44.32	4,548	4,300
Jeanne E. Flinn 601B Leah Ave	$46.23	4,522	4,228
Nicole Hannemann Hartman 601 Leah Ave	$43.40	4,490	4,173
Meghan Elissa Dupre 601 Leah Ave	$47.05	3,653	3,339
Aminatu Akande 1305 Wonder World Dr Ste 300	$52.02	3,646	3,001
Ouida Michelle Lacey 1305 Wonder World Dr Ste 300	$39.70	3,136	2,539
Ashley Ferguson 1228 N Highway 123	$30.38	2,502	2,084
Tushar M Desai 120 Bert Brown St	$73.88	2,247	2,218
Kristen Baranowski 1202 Clovis Barker Rd	$105.89	2,142	2,065
Sue Ann Harrison 601B Leah Ave	$42.70	1,952	1,832
Koteswara Rao Kunda 2001 Medical Pkwy	$30.23	1,812	849
Mariel Bagley 2430 S Ih 35 Ste 101	$30.88	1,596	1,543
Gregory L Colon 2108 Hunter Rd	$41.33	1,458	1,326
Michelle E Miller 601B Leah Ave	$44.22	1,361	1,297
Stephen Guess Richardson 401 Broadway St Ste A	$62.81	1,271	1,228
Dana R Bourke 1920 Corporate Dr Ste 101	$29.30	1,064	980
James Edward Jankowski 1320 Wonder World Dr Ste 101	$33.34	817	794
Robert D Parker 1305 Wonder World Dr.	$29.71	807	703
Barry Joseph Mills 151 Stagecoach Trl Ste 220	$250.87	802	763
Hassan M Alissa 1340 Wonder World Dr	$14.03	712	693
Allison Leigh Royal 1920 Corporate Dr Ste 208	$49.88	692	650
Hisham Khan 1320 Wonder World Dr Ste 106	$25.35	679	652
Nicole Howell 1920 Corporate Dr Ste 208	$49.71	625	595
Julie Dianne Kubena 1305 Wonder World Dr Ste 209	$16.63	589	464
Rhonda Deschner 601B Leah Ave	$45.90	547	524
Faisal Mohammed Syed 1300 Wonder World Dr	$9.04	546	523
Chad Benninghoff 1301 Wonder World Dr	$50.06	491	457
William Peter Abide 1330 Wonder World Dr	$11.91	387	353
Nikaley Anne Basham 1228 N State Highway 123	$15.31	378	322
Gilbert Saenz Rodriguez 1320 Wonder World Dr Ste 101	$41.78	368	363
Allison Marsh 1320 Wonder World Dr Ste 101	$38.02	367	323
Robbin Jean Koehler 1941 S Ih 35	$39.48	358	337
Melissa Smith 2430 S Ih 35 Ste 106	$23.60	293	292
Manuel Rene Galan 1509 N Interstate 35	$78.98	287	279
Curtis Scott Solomon 1330 Wonder World Dr	$29.46	280	259
Megan Kay Mulherin 1251 Sadler Dr Ste 2	$37.13	213	208
Henry Martinez 1340 Wonder World Dr Ste 4301	$34.30	163	155
Community Action, Inc. Of Hays, Caldwell, And Blanco Counties 611 W Martin Luther King Dr	$24.74	150	146
Frederick Earl Dixon 326 N Lbj Dr Ste 104	$114.17	138	129
Megan Alyse Juarez 1320 Wonder World Dr Ste 101	$28.84	118	109
Anthony Clark Gibbs 1320 Wonder World Dr Ste 101	$54.67	112	111
Billie Karen Martin 1330 Wonder World Dr	$13.37	107	67
Jessica Camille Sanders 1340 Wonder World Dr Ste 4301	$31.14	103	95
Jason Landon Smith 1308 Wonder World Dr	$25.74	103	101
Shawn Jeffrey Walker 1941 S Interstate 35 Ste 101	$2.79	54	52
Curtis Ryan Grote 1301 Wonder World Dr	$15.72	49	41
Shannon Michelle Jetton 1305 Wonder World Dr Ste 101	$18.32	46	26

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 Marcos, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Marcos, TX is $46.10 per claim, based on 69,208 claims from 62 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 Marcos, TX?

There are 62 Medicaid providers offering Office Visit related services in San Marcos, TX according to public payment data.

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

Medicaid reimbursement for Office Visit in San Marcos, TX ranges from $0.00 to $250.87 per claim, with an average of $46.10. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in San Marcos, TX: $46.10

Providers Offering Office Visit in San Marcos, TX

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Houston, TX

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Nursing Facility Care

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