Average Medicaid Office Visit Payments in Sugar Land, TX: $54.52
Avg. Paid
$54.52
Range
$0.00 – $318.75
Total Claims
456,215
Providers
304
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 Sugar Land, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rajiv Goswami
17510 W Grand Pkwy S |
$31.88 | 12 | 12 |
|
Nadir Mulla
1201 Brooks St Ste 215 |
$14.13 | 12 | 12 |
|
Laith Mansour Numan
17520 W Grand Pkwy S Ste 350 |
$34.50 | 12 | 12 |
|
John Zhihao Zhao
17500 W Grand Pkwy S |
$116.67 | 12 | 12 |
|
Tiji Mary Vinoy
3531 Town Center Blvd S |
$0.00 | 13 | 13 |
|
Giselle Espinosa
19900 Hwy 59 |
$34.38 | 13 | 13 |
|
Gregory Scott Pepper
6921 Brisbane Ct Ste 220 |
$37.12 | 13 | 13 |
|
Samuel Shek
14023 Southwest Fwy |
$140.38 | 13 | 13 |
|
Vincent C Phan
16811 Southwest Fwy |
$0.00 | 13 | 12 |
|
Subroto Gangopadhyay
17510 W Grand Pkwy S |
$4.26 | 14 | 13 |
|
Wayne O. Alani
4660 Sweetwater Blvd Ste 190 |
$58.18 | 15 | 13 |
|
Rebecca Divers Berens
1111 Highway 6 Ste 122 |
$18.92 | 15 | 14 |
|
Antoine Antonios Makhlouf
1429 Highway 6 South |
$4.37 | 16 | 14 |
|
Matthew Doan
11555 University Blvd |
$21.25 | 16 | 16 |
|
Rashid Khan
134 Eldridge Rd Ste D |
$57.89 | 16 | 16 |
|
Hang Dang
126 Eldridge Rd Ste D |
$37.22 | 19 | 13 |
|
Olayemi Oluwakemi Ajepe
3806 Broken Pine Ct |
$318.75 | 21 | 19 |
|
Kelli Valencia Burroughs
17510 W. Grand Pkwy S |
$33.24 | 24 | 15 |
|
Michelle Chout-Win Shen
17510 W Grand Pkwy S Ste 190 |
$30.16 | 24 | 24 |
|
Memorial Hermann Urgent Care Pllc
1227 Museum Square Dr Ste A |
$77.33 | 25 | 25 |
|
Jalaja Joseph
11555 University Blvd |
$70.93 | 25 | 25 |
|
Kenneth Ese Otah
138 Eldridge Rd |
$37.63 | 25 | 25 |
|
Heather Raymond Hamilton
14023 Southwest Fwy |
$36.93 | 26 | 24 |
|
Jean Asonye
225 Matlage Way #2821 |
$35.52 | 26 | 24 |
|
Shayla Sharmin
4911 Sandhill Dr |
$39.15 | 27 | 24 |
|
Sarah Moid Zaidi
1229 Creek Way Dr |
$19.18 | 28 | 26 |
|
Renu Tamirisa
3519 Town Center Blvd S |
$26.53 | 28 | 26 |
|
David W Bauer
14023 Southwest Fwy |
$32.93 | 29 | 27 |
|
Kathryn Anne Martinez
1211 Highway 6 |
$117.24 | 29 | 29 |
|
Vivien Onyekwere
20403 University Blvd Ste 400 |
$1.52 | 29 | 29 |
|
Suneesh Gopalan Nair
16659 Southwest Fwy Ste 421 |
$11.59 | 30 | 27 |
|
Shantae Johnson
17520 W Grand Pkwy S |
$14.75 | 30 | 28 |
|
Felicia Ayoade
19875 Southwest Fwy |
$78.40 | 30 | 29 |
|
Pamela Elizabeth Chung
14023 Southwest Fwy |
$27.23 | 30 | 26 |
|
Imran Shafi
1227 Museum Square Dr Ste A |
$81.44 | 33 | 31 |
|
John C Hairston
16659 Southwest Fwy |
$13.89 | 34 | 31 |
|
Jenny Trinh Luu
16550 Southwest Fwy Ste B |
$47.76 | 35 | 29 |
|
Itunu Oluwa Arojo
17520 W Grand Pkwy S Ste 350 |
$25.22 | 38 | 32 |
|
Vishal Michael Shah
15035 Southwest Freeway |
$60.13 | 39 | 38 |
|
Shreya Parikh
17520 W Grand Pkwy S Ste 110 |
$1.83 | 40 | 38 |
|
Glover O.L. Johnson
138 Eldridge Rd |
$3.70 | 40 | 38 |
|
Ranna Ghannam Al-Dossari
14023 Southwest Fwy |
$34.36 | 41 | 38 |
|
Bhagwat P Patel
1250 Creek Way Dr |
$67.30 | 41 | 40 |
|
Night-Light After Hours Pediatrics Pllc
15551 Southwest Fwy |
$143.09 | 41 | 39 |
|
Salimah Sadruddin Panjwani
14 Honor Crest Run |
$0.00 | 42 | 39 |
|
Bonnie Patricia Gregory
17520 W Grand Pkwy S Ste 200 |
$59.04 | 43 | 39 |
|
Edith Fatima Akintokunbo
146 Eldridge Rd Ste B |
$8.32 | 43 | 26 |
|
Jennifer Sabin
16811 Southwest Fwy |
$72.52 | 43 | 43 |
|
Shaheryar Ahmed Siddiqui
17520 W Grand Pkwy S Ste 350 |
$20.66 | 45 | 42 |
|
Oliver Yonzen Chin
16545 Southwest Fwy Ste 100 |
$78.72 | 46 | 37 |
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 Sugar Land, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sugar Land, TX is $54.52 per claim, based on 456,215 claims from 304 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 Sugar Land, TX?
There are 304 Medicaid providers offering Office Visit related services in Sugar Land, TX according to public payment data.
What is the price range for Office Visit in Sugar Land, TX?
Medicaid reimbursement for Office Visit in Sugar Land, TX ranges from $0.00 to $318.75 per claim, with an average of $54.52. 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 Sugar Land, TX
Home Health Visit
Avg $20.80
208,363 claims
Dental Cleaning & Exam
Avg $39.27
176,664 claims
Personal Care Services
Avg $92.32
166,354 claims
Vaccines & Immunizations
Avg $6.54
154,486 claims
Non-Emergency Medical Transportation
Avg $6.60
90,925 claims
Nursing Facility Care
Avg $9.10
84,608 claims
Emergency Room Visit
Avg $148.39
82,564 claims
Blood Work & Lab Tests
Avg $6.33
73,984 claims