Average Medicaid Office Visit Payments in Shenandoah, TX: $48.65
Avg. Paid
$48.65
Range
$0.00 – $139.88
Total Claims
139,643
Providers
110
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 Shenandoah, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Erin C. Roper
9301 Pinecroft Dr |
$45.44 | 13,850 | 13,522 |
|
Shaun Sam Varghese
920 Medical Plaza Dr |
$129.91 | 11,423 | 11,211 |
|
Amber Rachael Samuel
9180 Pinecroft Dr Ste 310 |
$31.13 | 7,842 | 5,797 |
|
Christopher Paul Visser
9250 Pinecroft Dr |
$77.87 | 7,183 | 6,427 |
|
Lisa Elizabeth Roach
1699 Research Forest Dr Ste 150 |
$44.39 | 5,923 | 5,715 |
|
Blake A. Berryhill
9180 Pinecroft Dr Ste 100 |
$36.62 | 5,459 | 3,746 |
|
Rachel Ivy Mcconnell
19221 I-45 S Ste 430 |
$40.15 | 5,182 | 4,750 |
|
Martina Toma Ayad
920 Medical Plaza Dr |
$45.03 | 5,104 | 3,866 |
|
Heather Lauren King
920 Medical Plaza Dr Ste 120 |
$37.25 | 4,816 | 4,239 |
|
Bryan K Behne
9180 Pinecroft Dr Ste 100 |
$23.65 | 4,596 | 3,052 |
|
Caleb Sung Choe
920 Medical Plaza Dr Ste 530 |
$6.23 | 4,052 | 2,517 |
|
Sharon Holness Lucas
19221 Interstate 45 S |
$41.47 | 3,849 | 3,546 |
|
Steven Sameh Dalati
9180 Pinecroft Dr Ste 100 |
$34.71 | 3,638 | 2,314 |
|
Francisco Labanca
1120 Medical Plaza Dr Ste 255 |
$43.60 | 3,588 | 2,455 |
|
Claudia Margaret Hong
9200 Pinecroft Dr Ste 465 |
$36.68 | 3,404 | 3,026 |
|
Linda Tiffany Pearson
17189 Interstate 45 S Ste 675 |
$21.81 | 3,185 | 2,559 |
|
Fernand Daniel Samson
9180 Pinecroft Dr Ste 300 |
$37.37 | 3,061 | 2,731 |
|
Steven Michael Kent
920 Medical Plaza Dr Ste 460 |
$42.72 | 2,991 | 2,663 |
|
Ruth St.Victor
9200 Pinecroft Dr Ste 350 |
$33.25 | 2,878 | 1,939 |
|
Christina Parmar
129 Vision Park Blvd Ste 310 |
$31.76 | 2,258 | 1,450 |
|
Sausan Lawal
9200 Pinecroft Dr Ste 350 |
$33.84 | 2,181 | 1,517 |
|
Marianne Bergquist Peck
17189 Interstate 45 S Ste 395 |
$41.90 | 1,991 | 1,547 |
|
Amanda T Schuck-Phan
920 Medical Plaza Dr Ste 140 |
$107.03 | 1,913 | 1,881 |
|
Olanrewaju Omobola Olurode
920 Medical Plaza Dr Ste 340 |
$21.17 | 1,724 | 1,036 |
|
Alfred John Martinez
9250 Pinecroft Dr |
$136.31 | 1,673 | 1,644 |
|
Monique Sutherland
9180 Pinecroft Dr Ste 300 |
$41.78 | 1,513 | 1,355 |
|
Douglas James Stanley
9200 Pinecroft Dr Ste 425 |
$76.00 | 1,507 | 1,453 |
|
Tametra Lynette Garnier
9200 Pinecroft Dr |
$38.74 | 1,470 | 1,089 |
|
Chloe Ann Rushing
920 Medical Plaza Dr Ste 460 |
$43.38 | 1,443 | 1,196 |
|
Lynn Marie Murphy
9250 Pinecroft Dr |
$66.74 | 1,188 | 882 |
|
Deidra Dehaven Howard
123 Vision Park Blvd |
$0.87 | 1,179 | 806 |
|
Marco A Giannotti
9180 Pinecroft Dr Ste 100 |
$36.41 | 1,172 | 696 |
|
Chanthy Gutierrez
19221 I 45 S Ste 430 |
$12.62 | 1,169 | 798 |
|
Rodrigo De La Cotera Jule
129 Vision Park Blvd Ste 200 |
$9.50 | 1,151 | 968 |
|
Leena Chacko
129 Vision Park Blvd Ste 105 |
$32.71 | 1,029 | 864 |
|
Gerald Merritt
1120 Medical Plaza Dr Ste 180 |
$46.13 | 766 | 733 |
|
Stephen Moore
9201 Pinecroft Dr |
$21.22 | 704 | 446 |
|
Cassandra Kuchta Schakett
17189 Interstate 45 S Ste 395 |
$12.31 | 671 | 280 |
|
Shazia Billal
920 Medical Plaza Dr |
$19.10 | 617 | 496 |
|
Barton Chase Garcia
9191 Pinecroft Dr Ste 100 |
$43.75 | 535 | 482 |
|
Srikanth Katragadda
106 Vision Park Blvd |
$29.83 | 530 | 490 |
|
Edward John Sanchez
17189 I-45, Mob Ii, Ste 305 |
$51.18 | 486 | 473 |
|
Krishna Chaitanya Sajja
134 Vision Park Blvd Ste 280 |
$58.05 | 470 | 395 |
|
Ahmed R Abdelkarim
17201 Interstate 45 S |
$2.09 | 451 | 298 |
|
Jessica Nicole Ferrell
9200 Pinecroft Dr Ste 350 |
$37.78 | 410 | 360 |
|
Kalpita Hatti
129 Vision Park Blvd Ste 206 |
$39.91 | 398 | 389 |
|
Lindsay Ann Ross
920 Medical Plaza Dr Ste 520 |
$41.57 | 388 | 359 |
|
Prasun Pushkarray Shah
9180 Pinecroft Dr Ste 401 |
$30.72 | 342 | 324 |
|
Keith Stephen Flak
920 Medical Plaza Dr Ste 260 |
$50.23 | 317 | 272 |
|
Sachin Chandra Senan
129 Vision Park Blvd Ste 205 |
$10.45 | 303 | 250 |
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 Shenandoah, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shenandoah, TX is $48.65 per claim, based on 139,643 claims from 110 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 Shenandoah, TX?
There are 110 Medicaid providers offering Office Visit related services in Shenandoah, TX according to public payment data.
What is the price range for Office Visit in Shenandoah, TX?
Medicaid reimbursement for Office Visit in Shenandoah, TX ranges from $0.00 to $139.88 per claim, with an average of $48.65. 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 Shenandoah, TX
Ultrasound
Avg $73.66
68,500 claims
Emergency Room Visit
Avg $170.07
43,201 claims
Vaccines & Immunizations
Avg $5.73
34,439 claims
Urinalysis & Urine Tests
Avg $6.77
28,082 claims
Blood Work & Lab Tests
Avg $23.46
17,567 claims
Eye Exam
Avg $45.50
13,117 claims
Nursing Facility Care
Avg $5.51
12,369 claims
EKG / ECG (Electrocardiogram)
Avg $13.60
11,569 claims