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Based on public Medicaid payment data.

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
Michael E Hilz

600 E Taylor St Ste 3008

$0.46 12 12
David Chaar

321 N Highland Ave Ste 200

$43.77 12 12
Praneetha Arge

321 N Highland Ave Ste 200

$22.94 12 12
Douglas Tsang

2600 N Sam Rayburn Fwy Ste 100

$100.97 12 12
Irfanullah Yusufzai

300 N Highland Ave

$0.00 13 12
Shawna O'Donley

500 N Highland Ave

$455.00 13 13
Amy Nicole Green

300 N Highland Ave

$27.00 13 12
Kavita Sandeep Sambharam

809 Gallagher Dr Ste D

$94.32 13 13
Linda Susan Trowbridge

120 S Crockett St

$46.66 14 12
Juanita Lynn Mueller

3305 N. Calais

$0.00 14 12
Mohammad A Khalil

321 N Highland Ave Ste 105

$0.00 15 12
Dalton Tidwell

1906 W Us Highway 82

$59.03 16 16
Caleb B Cline

600 North Highland

$30.99 25 25
Nicole Diane Williams

1605 Timberline Ln

$605.55 26 26
Emmanuel Kpwe Nji

425 N Highland Ave Ste 260

$164.25 27 27
Stacy Goodin

1810 W Us Highway 82

$6.50 28 27
Paul Robert Millmann

1700 Gallagher Dr

$15.39 34 24
Tammy Elizabeth Roque

2800 S Highway 75

$33.10 41 38
Tyler Michael Ockwig

1906 W Us Highway 82

$34.15 47 47
Tejinder Kaur Gill

321 N Highland Ave

$22.83 52 42
David F. Davis

425 N Highland Ave

$2.08 57 56
Abbi Christine Bergman

220 E Evergreen St

$32.40 60 58
Alysia Shannon Horbaczewski

230 E Sycamore St Ste 100

$37.24 72 69
Amina Anjum

300 N Highland Ave Ste 330

$32.20 84 82
Alain Zareh Tocatjian

425 N Highland Ave Ste 260

$0.00 93 78
Jermaine Garnette Clarke

204 Medical Dr Ste 240

$31.77 102 100
Joseph K Kim

204 Medical Dr Ste 240

$24.30 102 95
Ednah Silmon

913 Cottonwood Dr

$35.73 140 129
Maria Alejandra Vallejo-Nieto

2907 Overland Trl Ste 200

$30.75 140 109
Miranda L Laxton

1521 Baker Rd

$61.36 149 135
Steve W Hayes

2616 Loy Lake Rd

$9.62 164 133
Grant Arnold Craig

2525 Canyon Creek Dr

$28.40 191 183
Jeremy Urbanczyk

300 N Highland Ave

$24.99 212 194
Ngozi Edith Okam

315 W Mclain Drive

$11.16 219 219
Lloyd Ray Hatton

121 W Lamberth Rd Ste A

$37.22 231 179
Waqas Israr Gilani

321 N Highland Ave Ste 200

$58.00 239 227
Michael Chad Friedle

3305 N Calais Dr Ste 100

$46.19 264 257
Andrew Lamont Wade

2100 Monte Cristo Dr

$62.92 264 249
Brittany Rose Reineke

204 Medical Dr Ste 240

$44.20 277 265
Rabia Awan Khan

321 N Highland Ave Ste 200

$47.53 301 298
Karissa Leigh Cryer

230 E Sycamore St Ste 200

$35.79 304 216
Anjaneya Madhav Bandatmakur

321 N Highland Ave Ste 200

$93.87 323 302
Andrea Hughes

3401 N Calais Dr Ste A

$33.18 372 336
Ishaq Ali

321 N Highland Ave

$107.78 422 394
Nancy Jo Thompson

315 N Travis St Ste B2

$31.27 478 440
Bonnie Turner

1111 Gallagher Dr

$407.17 518 473
Katie Green

230 E Sycamore St Ste 200

$54.89 524 458
Pratap Reddy Tummala

1107 Sara Swamy Dr

$284.49 554 536
Ahmed Sheikh

809 Gallagher Dr Ste D

$33.11 591 562
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

Other Procedures in Sherman, TX