Based on public Medicaid payment data.

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
Gerald L Brown 11937 Us Highway 271	$0.00	12	12
Preston E Harrison 1301 Doctors Dr	$25.58	12	12
James R Cotton 1133 Medical Dr	$44.46	12	12
Kent Matthew Davis 8288 S Broadway Ave	$9.37	12	12
Amy J Hosch 520 East Douglas Blvd	$44.08	12	12
Donald Anthony Richards 501 Saunders Ave Ste 200	$30.51	12	12
Tiffiney Mcmakin 501 Saunders Ave	$23.77	12	12
Ramon Kumar 703 S Fleishel Ave	$30.50	12	12
Lee Matthew Jones 3414 Golden Rd	$21.22	12	12
Thomas B Volatile 1327 Troup Hwy	$61.67	12	12
Marcus A. Byrd 1000 S Beckham Ave	$39.88	12	12
Julia D Hwang 520 Douglas Blvd	$35.49	13	13
Aaron Calodney 2737 S Broadway Ave	$1.50	13	13
Sarah Mills 910 E Houston St Ste 600	$22.97	13	13
Ashley Lyn Tomlin 8591 S Broadway Ave	$95.90	13	13
Lane Dudo 910 E Houston St Ste 100	$40.98	13	12
Hugh P Babineau 1100 E Lake St	$27.03	13	12
Jill Ann Campbell 3593 E Grande Blvd	$50.12	13	13
Madeline Jimenez-Torres 1133 Medical Dr	$11.71	13	13
Jena Decanter 11980 State Highway 64 E Ste G	$28.16	13	12
Douglas Ross Lehman 733 S Fleishel Ave	$85.54	13	12
Chase Gordon Culver 1000 S Beckham Ave	$19.04	13	12
Richard William Lowry 1783 Troup Hwy	$33.98	13	13
Heidi E. Schneider 1327 Troup Hwy	$29.23	13	13
Finette Julmeus Alvarez 1000 S Beckham Ave	$44.48	14	14
Jonathan Brice King 721 Clinic Dr # A	$42.30	14	14
Dennis Scott Devinney 700 Olympic Plaza Cir	$15.70	14	12
Anthony James Lee 3593 E Grande Blvd	$37.87	14	13
Thomas C Bright 700 Olympic Plaza Cir	$24.73	14	14
Osiyemi O Osinowo 1133 Medical Dr	$0.00	14	14
Doug Hodde 3593 E Grande Blvd	$39.50	14	14
Toby C Silvertooth 703 S Fleishel Ave	$26.26	15	15
Amar Patel 1201 W Grande Blvd	$15.98	15	12
Shari Renea Howard 1910 Roseland Blvd	$86.33	15	15
Katherine Root 1000 E 5Th St	$100.74	15	12
Tara Leigh Taylor 618 S Broadway Ave	$59.00	16	15
Amy A Bundy 1720 S Beckham Ave Ste 104	$28.07	16	13
Thomas M Buzbee 1910 Roseland Blvd	$0.00	16	14
Andrew K Kirkpatrick 910 E Houston St	$29.64	16	15
Stephanie Adams Mowery 1910 Roseland Blvd	$42.35	16	14
Kyle Andrew Webster 6210 S Broadway Ave	$80.66	17	17
Russell Forest Stanley 1100 E Lake St Ste 260	$79.73	17	12
Kimberley Brooke Bryant 520 E. Douglas Blvd	$19.33	17	15
Lori Ann Fried 4519 Troup Hwy	$2.49	20	19
Amy Roberts Huff 6210 S Broadway Ave	$33.36	21	20
John Gregory Pogue 4101 University Blvd	$58.11	25	25
Tammye Willis 2210 Three Lakes Pkwy Ste 100	$0.00	25	25
University Of Texas Health Science Center At Tyler 11937 Us Highway 271	$26.30	26	25
Joseph M Martellotto 910 E Houston St Ste 230	$51.63	26	26
Sherif S Iskander 1783 Troup Hwy	$47.97	26	25

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.

Average Medicaid Office Visit Payments in Tyler, TX: $44.43

Providers Offering Office Visit in Tyler, TX

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Tyler, TX

Emergency Room Visit

Blood Work & Lab Tests

Dental Cleaning & Exam

X-Ray

Vaccines & Immunizations

Urinalysis & Urine Tests

Ultrasound

Physical Therapy