Average Medicaid Office Visit Payments in Tyler, TX: $44.43
Avg. Paid
$44.43
Range
$0.00 – $329.03
Total Claims
469,139
Providers
418
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 Tyler, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Louis Wasson
649 S Broadway Ave Ste 2 |
$42.04 | 23,771 | 17,308 |
|
Justin Hillary Timmons
800 E Dawson St |
$32.36 | 14,673 | 12,998 |
|
Jennifer Daigle Hanby
1136 E Grande Blvd |
$56.56 | 14,242 | 12,875 |
|
Donald Ray Fulsom
306 E Houston St |
$33.30 | 11,113 | 10,023 |
|
Jennifer A Steeger
305 W Rusk St |
$42.06 | 10,090 | 9,053 |
|
Mother Frances Hospital Regional Health Care Center
800 E Dawson St |
$108.56 | 7,751 | 6,936 |
|
Michael Anthony Sorto
3593 E Grande Blvd |
$47.23 | 7,515 | 6,579 |
|
Richard David Greczanik
3593 E Grande Blvd |
$48.77 | 7,280 | 7,123 |
|
Mary Katherine Hawkins
305 W Rusk St |
$39.53 | 7,062 | 6,499 |
|
Shana Kay Caldwell
305 W Rusk St |
$34.72 | 6,453 | 5,842 |
|
David Danly
2323 W Front St |
$57.13 | 6,183 | 5,803 |
|
Zachary G. Cannon
1000 E 5Th St |
$59.59 | 6,084 | 5,606 |
|
Matthew Steven Rich
2323 W Front St |
$31.17 | 5,706 | 5,145 |
|
Kristina Orey Mitchell
1000 E 5Th St Ste 100 |
$60.84 | 5,649 | 5,187 |
|
Holly Akin Blanco
8288 S Broadway Ave |
$40.77 | 5,539 | 4,995 |
|
Danny L Price
1350 E Richards St |
$38.10 | 5,461 | 4,707 |
|
Adrian Lee Butler
700 Olympic Plaza Cir Ste 600 |
$42.72 | 5,357 | 5,164 |
|
Ricardo Vega
800 E Dawson St |
$53.43 | 5,336 | 5,223 |
|
James B Hill
620 S Fleishel Ave |
$36.46 | 5,252 | 4,453 |
|
Joseph Pistone
5414 S Broadway Ave |
$40.49 | 5,083 | 4,546 |
|
Courtney Elizabeth Clifton
910 E Houston St |
$37.41 | 5,082 | 4,751 |
|
Catherine Zilinskas Giordano
8288 S Broadway Ave |
$37.62 | 5,007 | 4,672 |
|
Cheryl C Remigio
1000 E 5Th St |
$60.81 | 4,927 | 4,548 |
|
Aleia Graham
1000 E 5Th St |
$49.48 | 4,798 | 4,311 |
|
Tiffany Hill
1000 E 5Th St Ste 100 |
$58.70 | 4,791 | 4,200 |
|
Mark M Barret
8288 S Broadway Ave |
$40.28 | 4,787 | 4,436 |
|
Yasser F Zeid
1212 Clinic Dr |
$30.70 | 4,658 | 3,640 |
|
Eduardo Torres
928 N Glenwood Blvd |
$56.30 | 4,514 | 3,653 |
|
Adelina G. Meadows
706 Turtle Creek Dr |
$64.55 | 4,495 | 4,174 |
|
Margaret Anne Warren
620 S Fleishel Ave |
$45.30 | 4,426 | 3,559 |
|
Andrea M Glaser
3593 E Grande Blvd |
$82.58 | 4,399 | 4,279 |
|
Mojirayo A. Sarumi
620 S Fleishel Ave |
$46.61 | 4,356 | 3,655 |
|
Holly Walker Patterson
706 Turtle Creek Dr |
$42.79 | 4,257 | 3,966 |
|
Jeffrey Harbold
1720 S Beckham Ave Ste 102 |
$30.44 | 4,196 | 3,592 |
|
Michael David Austin
1000 E 5Th St |
$54.62 | 4,163 | 3,812 |
|
Ana Victoria Gutierrez Alvarez
706 Turle Creek |
$78.16 | 4,049 | 3,919 |
|
David Huston
1814 Roseland Blvd |
$28.22 | 3,991 | 3,662 |
|
Allison M Tobola
1327 Troup Hwy |
$41.31 | 3,783 | 3,568 |
|
Krystal Castle
305 W Rusk St |
$42.99 | 3,708 | 3,431 |
|
Misty A Houston
11937 Us Highway 271 |
$34.25 | 3,684 | 3,600 |
|
Ray G Scardina
11937 Us Highway 271 |
$51.09 | 3,599 | 3,381 |
|
Howard Keith Scott
5414 S Broadway Ave |
$30.42 | 3,419 | 3,343 |
|
Deborah Jean Crowley
520 Douglas Blvd |
$44.23 | 3,369 | 3,059 |
|
Nancy Caroline Mcrae-Vogler
6210 S Broadway Ave |
$61.00 | 3,214 | 2,983 |
|
Alexandra Dionne Kittrell
825 Medical Dr Ste A |
$26.68 | 3,208 | 1,918 |
|
Vaughn A Harris
11937 Us Highway 271 |
$58.40 | 3,164 | 2,925 |
|
Noel Susan Baker
910 E Houston St Ste 330 |
$54.21 | 3,141 | 3,079 |
|
Marinel M Munda
1000 E 5Th St |
$61.10 | 3,073 | 2,843 |
|
Brian Reilly Langford
1136 E Grande Blvd |
$53.40 | 3,011 | 2,827 |
|
Melinda Hill
5414 S Broadway Ave |
$37.86 | 2,938 | 2,875 |
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 Tyler, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tyler, TX is $44.43 per claim, based on 469,139 claims from 418 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 Tyler, TX?
There are 418 Medicaid providers offering Office Visit related services in Tyler, TX according to public payment data.
What is the price range for Office Visit in Tyler, TX?
Medicaid reimbursement for Office Visit in Tyler, TX ranges from $0.00 to $329.03 per claim, with an average of $44.43. 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 Tyler, TX
Emergency Room Visit
Avg $103.85
379,823 claims
Blood Work & Lab Tests
Avg $5.27
313,965 claims
Dental Cleaning & Exam
Avg $39.99
266,952 claims
X-Ray
Avg $7.49
188,695 claims
Vaccines & Immunizations
Avg $6.68
122,404 claims
Urinalysis & Urine Tests
Avg $2.44
97,259 claims
Ultrasound
Avg $64.23
94,613 claims
Physical Therapy
Avg $17.39
74,314 claims