Average Medicaid Office Visit Payments in The Woodlands, TX: $58.86
Avg. Paid
$58.86
Range
$0.00 – $213.53
Total Claims
279,301
Providers
168
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 The Woodlands, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Irene Tintin Tung
17580 Interstate 45 S |
$37.82 | 11,821 | 11,407 |
|
Anh-Van Hong Mai
17198 St Lukes Way |
$36.32 | 10,430 | 8,309 |
|
Debbie Raucci Robbins
17600 Interstate 45 S |
$99.04 | 9,422 | 9,050 |
|
Joseph Patrick Edralin
4800 W Panther Creek Dr |
$52.07 | 8,077 | 7,134 |
|
Katherine Kennedy
4545 Research Forest Dr |
$40.84 | 7,925 | 7,738 |
|
Kirsten Schneider
17580 Interstate 45 S |
$56.93 | 7,780 | 7,321 |
|
Pediatric Urgent Care Pa
1640 Lake Woodlands Dr |
$75.30 | 7,415 | 7,143 |
|
Yuvraj Singh Heir
17189 Interstate 45 South |
$69.76 | 5,953 | 5,314 |
|
Karen Thursday Samson Tuano
17580 Interstate 45 S |
$70.96 | 5,942 | 5,840 |
|
James Bennett
17600 Interstate 45 S |
$64.21 | 5,842 | 5,513 |
|
Neha Seth
17580 I-45 South |
$76.00 | 5,712 | 5,637 |
|
Bernadette Haggerty
1011 Medical Plaza Dr |
$65.34 | 5,709 | 5,261 |
|
Javier Chinen
17500 I-45 |
$74.92 | 5,703 | 5,620 |
|
John Harold Williams
17198 St Lukes Way |
$24.32 | 5,683 | 3,075 |
|
Jill D'Souza
17580 I-45 South |
$74.73 | 5,658 | 5,278 |
|
Raul Antonio Rojas
920 Medical Plaza Drive |
$35.09 | 5,650 | 3,209 |
|
Carmen G Gonzalez
9301 Pinecroft Dr Ste 100 |
$130.48 | 5,538 | 5,410 |
|
Phuong Que Luu
1640 Lake Woodlands Dr |
$81.89 | 5,475 | 5,218 |
|
Latoia Monneque Marks
17198 St. Luke'S Way |
$25.23 | 5,146 | 3,151 |
|
Swati Pande
1011 Medical Plaza Dr Ste 220 |
$66.01 | 5,079 | 4,760 |
|
Patrick Joseph Fox
17580 Interstate 45 S |
$65.13 | 4,853 | 4,588 |
|
Krystal I Wilson
4800 W Panther Creek Dr |
$65.68 | 4,725 | 4,454 |
|
Ferenc Markos
17198 St. Luke'S Way |
$23.74 | 4,513 | 2,374 |
|
Megan N. Severson
17600 Interstate 45 S |
$55.38 | 4,463 | 4,156 |
|
Nihal U Siddiqui
9004 Forest Crossing Dr. |
$33.42 | 4,199 | 3,660 |
|
Mouhamed Hazem El Zufari
9000 Forest Xing |
$37.91 | 4,146 | 3,655 |
|
Richard Vadala
1011 Medical Plaza Dr |
$62.20 | 4,088 | 3,797 |
|
Rose Lapis
4545 Research Forest Dr |
$125.84 | 4,031 | 3,923 |
|
Allison Sumbera
17580 Interstate 45 S |
$43.95 | 3,947 | 3,853 |
|
Sridevi N Vemulapalli
119 N Hunters Crossing Cir |
$49.59 | 3,875 | 3,779 |
|
Jocelyn B Mckey
17580 Interstate 45 S |
$29.13 | 3,656 | 3,550 |
|
Kemmerley Kuoni
17580 Interstate 45 S |
$102.16 | 3,629 | 3,556 |
|
Cruz Arturo Munoz
17580 Interstate 45 S Bldg 6Th |
$44.89 | 3,527 | 3,479 |
|
Zachary Vasquez Zuniga
17580 Interstate 45 S |
$68.08 | 3,416 | 3,350 |
|
Sarine Trochakerian
17200 St Lukes Way |
$40.91 | 3,391 | 2,434 |
|
Shannen Humphrey
17580 I-45 |
$36.18 | 3,167 | 2,906 |
|
Michelle Angeline Suhendra
17189 I 45 S |
$39.82 | 3,078 | 2,807 |
|
Staci D King
17350 St Lukes Way |
$86.13 | 2,973 | 2,947 |
|
Samreen Khan Farooq
1011 Medical Plaza Dr |
$60.21 | 2,906 | 2,678 |
|
Frances Ivelisse Bernardo Mercado
100 Fellowship Dr |
$57.89 | 2,855 | 2,820 |
|
Arshad Ahmed
17200 St Lukes Way |
$29.18 | 2,494 | 2,069 |
|
Amanda Jessica Fernando
17600 Interstate 45 S |
$135.22 | 2,333 | 2,281 |
|
Swati Arun Karmarkar
17580 I-45 South |
$88.51 | 2,147 | 2,071 |
|
David Scott Jones
17580 Interstate 45 S # 560 |
$49.75 | 2,107 | 2,034 |
|
Janice Mercilliott
6707 Sterling Ridge Dr Ste A |
$90.34 | 2,080 | 2,009 |
|
Michael Charles White
17580 I-45 S |
$28.32 | 2,034 | 1,968 |
|
Brennan Patrick Roper
9305 Pinecroft Dr Ste 400 |
$68.22 | 1,626 | 1,453 |
|
Kaylee Nemeth
9305 Pinecroft Dr Ste 400 |
$51.66 | 1,561 | 1,459 |
|
Allyson Nelms Wyatt
17580 Interstate 45 |
$59.73 | 1,554 | 1,507 |
|
Melissa G. Kress
17600 Interstate 45 S |
$87.16 | 1,534 | 1,416 |
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 The Woodlands, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in The Woodlands, TX is $58.86 per claim, based on 279,301 claims from 168 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 The Woodlands, TX?
There are 168 Medicaid providers offering Office Visit related services in The Woodlands, TX according to public payment data.
What is the price range for Office Visit in The Woodlands, TX?
Medicaid reimbursement for Office Visit in The Woodlands, TX ranges from $0.00 to $213.53 per claim, with an average of $58.86. 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 The Woodlands, TX
Emergency Room Visit
Avg $137.28
104,621 claims
Vaccines & Immunizations
Avg $7.55
68,872 claims
Blood Work & Lab Tests
Avg $9.72
56,197 claims
X-Ray
Avg $15.74
41,895 claims
Physical Therapy
Avg $87.16
30,030 claims
Urinalysis & Urine Tests
Avg $3.59
23,577 claims
Speech Therapy
Avg $75.30
16,424 claims
Dental Cleaning & Exam
Avg $42.49
15,493 claims