Average Medicaid Office Visit Payments in Sunnyvale, TX: $32.89
Avg. Paid
$32.89
Range
$0.00 – $84.87
Total Claims
67,814
Providers
24
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 Sunnyvale, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ankoor N Kambhampaty
341 Wheatfield Dr Ste 100 |
$34.93 | 14,345 | 13,856 |
|
Alison Angela Airall-Ryan
2820 N Belt Line Rd |
$21.68 | 8,448 | 8,107 |
|
Betzi Teran Soto
2820 N Belt Line Rd Ste 100 |
$27.42 | 8,054 | 7,014 |
|
Michael C. Yang
341 Wheatfield Drive |
$36.59 | 7,503 | 5,000 |
|
Martin Gomez
2820 N Belt Line Rd Ste 100 |
$20.80 | 7,042 | 6,767 |
|
Laura Burgos
2820 N Belt Line Rd Ste 100 |
$37.55 | 5,670 | 4,825 |
|
Anu F. Ogunlari
341 Wheatfield Dr |
$33.79 | 4,850 | 3,449 |
|
Rodolfo Guajardo
2820 N Belt Line Rd Ste 100 |
$84.87 | 3,559 | 3,446 |
|
Patricia L Peterson Fontenot
341 Wheatfield Dr Ste 190 |
$21.94 | 2,625 | 2,239 |
|
Prasad V Maddukuri
341 Wheatfield Dr |
$24.61 | 1,394 | 1,225 |
|
Ryan Timothy Randles
231 S Collins Rd |
$48.82 | 1,306 | 1,239 |
|
John M Hibbitts
341 Wheatfield Dr Ste 290 |
$33.16 | 930 | 840 |
|
J Teig Port
2822 N Belt Line Rd Ste 200 |
$7.30 | 579 | 525 |
|
Zekeya V Lofton
490 Us Highway 80 E Ste 200 |
$35.28 | 445 | 385 |
|
Mahmood Ali
3615 N Belt Line Rd Ste 300 |
$6.10 | 351 | 302 |
|
Lizy Mammoottil
300 Old Mill Rd |
$17.55 | 204 | 200 |
|
Vanya Elizabeth Lyday
272 S Collins Rd Ste 200 |
$36.15 | 203 | 191 |
|
Kimberly R Neely
231 S Collins Rd |
$10.54 | 88 | 42 |
|
Billy A De Los Santos
341 Wheatfield Dr Ste 100 |
$41.52 | 60 | 59 |
|
Lindsay A Yarbrough
341 Wheatfield Dr Ste 100 |
$37.51 | 39 | 36 |
|
Michelle Ann Newton
412 E Tripp Rd # 250 |
$0.00 | 33 | 27 |
|
Sarah Kimberly Moore
341 Wheatfield Dr Ste 100 |
$2.14 | 30 | 27 |
|
Janett Lynn Galvin
341 Wheatfield Dr Ste 210 |
$30.71 | 29 | 27 |
|
Jeff Xinda Zhao
222 S Collins Rd |
$0.00 | 27 | 26 |
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 Sunnyvale, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sunnyvale, TX is $32.89 per claim, based on 67,814 claims from 24 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 Sunnyvale, TX?
There are 24 Medicaid providers offering Office Visit related services in Sunnyvale, TX according to public payment data.
What is the price range for Office Visit in Sunnyvale, TX?
Medicaid reimbursement for Office Visit in Sunnyvale, TX ranges from $0.00 to $84.87 per claim, with an average of $32.89. 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 Sunnyvale, TX
Vaccines & Immunizations
Avg $4.29
66,317 claims
Emergency Room Visit
Avg $86.18
56,389 claims
Dental Cleaning & Exam
Avg $37.87
29,526 claims
Blood Work & Lab Tests
Avg $10.77
23,485 claims
Urinalysis & Urine Tests
Avg $3.08
22,199 claims
Personal Care Services
Avg $62.31
17,314 claims
Dental Filling
Avg $79.19
7,787 claims
EKG / ECG (Electrocardiogram)
Avg $12.64
6,672 claims