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
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