Average Medicaid Office Visit Payments in Sherman, TX: $55.89
Avg. Paid
$55.89
Range
$0.00 – $612.35
Total Claims
211,049
Providers
99
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 Sherman, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tonya T Goolsby
220 E Evergreen St |
$40.74 | 44,233 | 38,505 |
|
Mohamad S Al-Rifai
321 N Highland Ave |
$101.65 | 17,665 | 17,369 |
|
Jawad Riaz
121 West Lamberth |
$61.68 | 10,935 | 9,209 |
|
Kenneth E Anderson
500 E Peyton St |
$31.37 | 8,980 | 8,570 |
|
Rosalind Lopez
300 N Highland Ave Ste 542 |
$60.96 | 7,186 | 6,744 |
|
Mehnaz A. Khan
425 N Highland Ave Ste 260 |
$67.37 | 7,076 | 5,658 |
|
Mcdonald S Arnot
204 Medical Dr Ste 200 |
$62.16 | 6,810 | 6,328 |
|
Michael Neil Talkington
4028 N Us Hwy 75 |
$76.80 | 6,132 | 5,980 |
|
Ashley M. Brumm
300 N Highland Ave Ste 545 |
$37.34 | 5,494 | 3,714 |
|
Matthew Scott Richardson
315 W Mclain Dr |
$45.50 | 5,303 | 4,711 |
|
Oluyemi Aina
1601 N Travis St |
$39.00 | 5,080 | 4,695 |
|
Barbara Anne Graham
425 N Highland Ave Ste 260 |
$55.56 | 4,697 | 4,265 |
|
Malgorzata T Gajda
3305 N Calais Dr Ste 300 |
$39.37 | 4,334 | 3,938 |
|
Kaylene Sue Dunn Griffin
300 N. Highland Ave. Suite 500 |
$37.63 | 4,085 | 3,871 |
|
Peter Selz
204 Medical Dr Ste 200 |
$42.62 | 3,939 | 3,703 |
|
Sreenadha Reddy Vattam
1001 Sara Swamy Dr Ste 220 |
$37.75 | 3,928 | 3,683 |
|
Easwar M Sundaram
321 N Highland Ave |
$44.95 | 3,845 | 3,734 |
|
Anthony Clark Abrantes
300 N Highland Ave Ste 445 |
$35.52 | 3,183 | 2,062 |
|
Aniwelyn Tan
425 N Highland Ave |
$55.18 | 3,128 | 2,001 |
|
Divya Raju Dhoot
230 E Sycamore St Ste 100 |
$40.71 | 2,988 | 2,797 |
|
Paul Alan Mabry
809 Gallagher Dr Ste D |
$39.96 | 2,931 | 2,672 |
|
Bharathy E Sundaram
321 N Highland Ave |
$30.19 | 2,916 | 2,726 |
|
Michelle Marie Talkington
809 Gallagher Dr Ste D |
$72.83 | 2,883 | 2,608 |
|
Diane Ruth Elbers Keahey
3415 N Heritage Parkway |
$20.46 | 2,769 | 2,087 |
|
Cedana Carroll Lanig
3305 N Calais Dr Ste 200 |
$224.37 | 2,744 | 2,559 |
|
Syed Mansoor Hussaini
321 N Highland Ave |
$39.09 | 2,031 | 1,941 |
|
Jerome E Lopez
321 N Highland Ave |
$37.60 | 1,905 | 1,757 |
|
Jennifer Laing
500 N Highland Ave |
$38.35 | 1,862 | 1,671 |
|
Alex A Ehsan
2800 Highway 75 North |
$12.42 | 1,804 | 1,738 |
|
George Allen Fritts
809 Gallagher Dr Ste D |
$38.52 | 1,779 | 1,677 |
|
Heather Danielle Crews
1800 Teague Dr Ste 219 |
$25.44 | 1,671 | 1,559 |
|
Indurashmi Mayakrishnan
321 N Highland |
$35.57 | 1,623 | 1,569 |
|
Muqdad A Zuriqat
300 N Highland Ave |
$14.17 | 1,609 | 1,438 |
|
Charles Hunter Richmond
204 Medical Dr Ste 200 |
$35.63 | 1,421 | 1,350 |
|
Sumbul Islam
600 E Taylor St Ste 3011 |
$18.37 | 1,274 | 1,124 |
|
Nikhil Shashikant Joshi
2800 N Highway 75 |
$9.24 | 1,206 | 1,077 |
|
Mohamed S Rahman
425 N Highland Ave Ste 200 |
$28.37 | 1,041 | 964 |
|
Rebecca R Rue
300 N Highland Ave Ste 530 |
$42.67 | 1,039 | 907 |
|
Andres G Morales
321 N Highland Ave Ste 200 |
$43.54 | 1,000 | 961 |
|
Teresa A Rockhill
500 N Highland Ave |
$33.81 | 958 | 606 |
|
Bethany Boatner
3401 N Calais Dr |
$26.10 | 958 | 672 |
|
Jose A Matus
321 N Highland Ave |
$27.18 | 930 | 920 |
|
Jill E Breeze
300 N Highland Ave Ste 550 |
$35.45 | 817 | 703 |
|
Rebecca Diane Long
315 W Mclain Dr |
$49.48 | 817 | 774 |
|
Cody Starnes
2627 N Masters Dr |
$45.39 | 795 | 746 |
|
Aditi Swami
2600 N Us Highway 75 |
$14.40 | 758 | 647 |
|
Ada Joanne Canaday
2801 N Loy Lake Rd |
$409.89 | 695 | 601 |
|
Todd Dean Cutler
2901 Overland Trl Ste 100 |
$27.01 | 670 | 499 |
|
Shiwei Li
809 Gallagher Dr Ste D |
$33.05 | 640 | 611 |
|
Sarah S King
600 N Highland Ste 104 |
$612.35 | 596 | 536 |
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 Sherman, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sherman, TX is $55.89 per claim, based on 211,049 claims from 99 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 Sherman, TX?
There are 99 Medicaid providers offering Office Visit related services in Sherman, TX according to public payment data.
What is the price range for Office Visit in Sherman, TX?
Medicaid reimbursement for Office Visit in Sherman, TX ranges from $0.00 to $612.35 per claim, with an average of $55.89. 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 Sherman, TX
Dental Cleaning & Exam
Avg $35.04
130,739 claims
Vaccines & Immunizations
Avg $6.42
84,130 claims
Speech Therapy
Avg $90.71
69,435 claims
Physical Therapy
Avg $62.23
69,171 claims
Blood Work & Lab Tests
Avg $8.25
36,333 claims
Dental Filling
Avg $78.18
26,071 claims
Emergency Room Visit
Avg $74.86
22,620 claims
Psychiatric Evaluation
Avg $75.46
20,147 claims