Average Medicaid Office Visit Payments in Stephenville, TX: $34.54
Avg. Paid
$34.54
Range
$12.75 – $84.04
Total Claims
23,363
Providers
27
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 Stephenville, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kimberly Lefevre Chaplin
351 E Tarleton St |
$34.97 | 18 | 14 |
|
Jaime Grothouse
725 N Graham St Ste 4 |
$33.52 | 22 | 17 |
|
Whitney Ryon Garland
135 River North Blvd |
$12.75 | 36 | 22 |
|
Marc Aaron Saldivar
2275 W South Loop Ste 100 |
$29.54 | 43 | 41 |
|
Miranda Nash
150 River North Blvd |
$25.54 | 106 | 96 |
|
Ruth Reeves
135 River North Blvd |
$59.60 | 119 | 118 |
|
Brent Cody Makijarvi Fowler
150 River North Blvd |
$45.76 | 138 | 111 |
|
Nadine Terrazas Rose
205 E Frey St Unit 101 |
$54.68 | 154 | 141 |
|
William R Evans
561 N Graham St Ste 101 |
$27.63 | 221 | 199 |
|
Delbert C Rudy
150 River North Blvd |
$37.58 | 257 | 176 |
|
Cortney Fanning
150 River North Blvd |
$25.80 | 370 | 316 |
|
Sara Holzbauer De Castellanos
725 N Graham St Ste 4 |
$35.10 | 498 | 348 |
|
Kelly Miller
103 E Frey St Ste 101 |
$46.00 | 510 | 459 |
|
David Boucher
150 River North Blvd |
$23.29 | 514 | 482 |
|
Melissa Lynne Blue
2857 W Washington St |
$84.04 | 550 | 511 |
|
Lester Ong
150 River North Blvd |
$18.00 | 637 | 593 |
|
Linda Loar Heflin
950 Bluebonnet Dr |
$50.18 | 725 | 679 |
|
Kevin Marinus Vanden Berge
351 E Tarleton St |
$31.89 | 893 | 781 |
|
Haley Starkey Banks
150 River North Blvd |
$39.07 | 938 | 827 |
|
Peter Corta
150 River North Blvd |
$29.68 | 1,129 | 1,093 |
|
Benjamin Austin Marcum
150 River North Blvd |
$32.09 | 1,149 | 1,010 |
|
Virginia A Lovell
1053 Glen Rose Rd |
$49.91 | 1,574 | 1,524 |
|
Clayton K Roberts
150 River North Blvd |
$32.25 | 1,756 | 1,608 |
|
Helen Ong
150 River North Blvd |
$33.12 | 2,205 | 2,002 |
|
Laranda Renee Feemster
103 E Frey St |
$27.34 | 2,551 | 1,920 |
|
Omar Cabrera
725 N Graham St Ste 4 |
$31.73 | 2,597 | 1,560 |
|
Joshua Lee Carswell
150 River North Blvd |
$30.41 | 3,653 | 3,329 |
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 Stephenville, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Stephenville, TX is $34.54 per claim, based on 23,363 claims from 27 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 Stephenville, TX?
There are 27 Medicaid providers offering Office Visit related services in Stephenville, TX according to public payment data.
What is the price range for Office Visit in Stephenville, TX?
Medicaid reimbursement for Office Visit in Stephenville, TX ranges from $12.75 to $84.04 per claim, with an average of $34.54. 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 Stephenville, TX
Dental Cleaning & Exam
Avg $43.94
64,574 claims
Speech Therapy
Avg $39.14
30,425 claims
Home Health Visit
Avg $33.06
28,464 claims
Physical Therapy
Avg $70.35
14,143 claims
Psychiatric Evaluation
Avg $71.59
12,043 claims
Dental Filling
Avg $82.20
11,312 claims
Non-Emergency Medical Transportation
Avg $5.56
10,951 claims
Emergency Room Visit
Avg $115.22
10,828 claims