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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
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
Rebecca Diane Long

315 W Mclain Dr

$49.48 817 774
Jill E Breeze

300 N Highland Ave Ste 550

$35.45 817 703
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

Other Procedures in Sherman, TX