Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sulphur Springs, TX: $35.85

Avg. Paid

$35.85

Range

$0.00 – $510.62

Total Claims

118,614

Providers

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 Sulphur Springs, TX

Provider	Avg. Paid	Claims	Patients
Sherri Stone Barclay 1317 N. Hillcrest	$32.47	78,862	67,045
Rose Marie Campbell 105 Medical Plz	$36.32	5,929	5,215
Courtney R Tennent 1317 N Hillcrest	$0.00	5,519	5,185
Travis J Wies 1339 S Broadway St	$38.83	3,606	3,468
Deborah Logan 113 Airport Rd	$38.35	2,855	1,886
Jay A Yates 101 Medical Plz	$74.04	2,158	2,088
James E Gulde 105 Medical Plz	$42.66	1,690	1,599
Christus Hopkins Health Alliance 115 Airport Rd	$60.48	1,577	1,422
Tiffany Nicole Crenshaw 1339 S Broadway St	$31.69	1,573	1,497
Kelly L Newsome 105 Medical Plz	$35.29	1,308	1,170
Tod S Conner 105 Medical Plz	$38.78	1,276	1,150
Lanhuong Thi Pham 119 Medical Cir	$19.78	1,092	992
Malini Ganesh 1228 Church St Ste C	$65.26	894	843
Imtiaz Ismail 113 Airport Rd Ste 301	$39.48	858	794
Christopher Peter Meltsakos 103B Medical Cir	$33.50	843	745
Tiffany Sims Gebel 422 S Hillcrest Dr	$41.55	775	565
Rodney Smiley 115 Airport Rd	$26.42	770	501
Curtis W. Cutrell 105 Medical Plz	$26.77	751	667
Abigail Martin 115 Airport Rd	$510.62	679	613
Kalee Kirk 105 Medical Plz	$25.29	564	554
Angela Doddy 105 Medical Plz	$27.44	539	484
David Weigand Sargent 101 Medical Plaza	$37.12	498	477
Ann Igoe 1228 Church St Ste C	$59.44	462	426
Blake Cross 105 Medical Plz	$42.27	437	414
Laura K. Kosub 107 Medical Cir	$36.91	434	419
Nikki Collins 105 Medical Plz	$29.38	399	372
Bridgette Denise Coker 111 Medical Cir	$38.96	344	324
Katrina L Riley Lone Start Surgery	$12.61	342	219
Rachel L. Cowley 1317 N Hillcrest Dr	$36.83	298	272
Matthew Michael Johnson 113 Medical Cir	$31.83	295	234
Christian Douthit 113 Medical Cir	$55.23	275	264
Lara Jennifer Beverly 1339 S Broadway St	$16.82	244	234
Greg Barrett 105 Medical Plz	$25.59	165	148
Mena Milad 1216 Church St	$43.09	107	107
Jordan Potts 111 Medical Cir	$30.87	85	82
Emily Ann Noble 1317 N Hillcrest Dr	$35.68	39	32
Madison Orwosky 105 Medical Plz	$20.44	31	31
Craig A Hawkins 113 Airport Rd Ste 300	$10.33	27	25
Richard Marshall Graves 113 Medical Cir	$7.25	14	14

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 Sulphur Springs, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sulphur Springs, TX is $35.85 per claim, based on 118,614 claims from 39 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 Sulphur Springs, TX?

There are 39 Medicaid providers offering Office Visit related services in Sulphur Springs, TX according to public payment data.

What is the price range for Office Visit in Sulphur Springs, TX?

Medicaid reimbursement for Office Visit in Sulphur Springs, TX ranges from $0.00 to $510.62 per claim, with an average of $35.85. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sulphur Springs, TX: $35.85

Providers Offering Office Visit in Sulphur Springs, TX

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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