Average Medicaid Office Visit Payments in Vernon, TX: $31.01
Avg. Paid
$31.01
Range
$4.69 – $119.13
Total Claims
10,477
Providers
16
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 Vernon, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chad E Brownlow
1015 Hillcrest Dr |
$30.84 | 3,152 | 2,705 |
|
Adanna Juliet Amechi Obigwe
1015 Hillcrest Dr Ste A |
$34.14 | 1,661 | 1,488 |
|
Mary Hazel Brantley
4301 College Dr Rm 400 |
$30.68 | 1,429 | 1,195 |
|
Veronika Jo Bryant
1716 Main St |
$14.85 | 949 | 672 |
|
Nita L Patterson
4730 College Dr |
$40.97 | 928 | 922 |
|
Lindsay Rae Streit
4103 Wilbarger St |
$31.21 | 565 | 489 |
|
North Central Texas Community Health Care Center Inc
4301 College Dr Rm 600 |
$47.94 | 420 | 391 |
|
Ayodele A Abraham
4730 College Dr |
$28.06 | 282 | 117 |
|
Lourdes Erica Cardenas
1015 Hillcrest Dr |
$20.43 | 279 | 238 |
|
Mary Margaret Thompson
4301 College Dr Rm 700 |
$18.98 | 244 | 190 |
|
Kumud Joshi
4730 College Dr |
$36.34 | 241 | 234 |
|
Ann Louise Gilot
4301 College Dr Rm 800 |
$4.69 | 144 | 137 |
|
Travis Edward Lehman
4301 College Dr |
$17.17 | 77 | 69 |
|
Owen Osagie
4730 College Dr |
$112.89 | 53 | 44 |
|
Randall L. Schaffner
4301 College Dr |
$20.85 | 41 | 25 |
|
Robert Edward Brown
920 Hillcrest Dr |
$119.13 | 12 | 12 |
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 Vernon, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Vernon, TX is $31.01 per claim, based on 10,477 claims from 16 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 Vernon, TX?
There are 16 Medicaid providers offering Office Visit related services in Vernon, TX according to public payment data.
What is the price range for Office Visit in Vernon, TX?
Medicaid reimbursement for Office Visit in Vernon, TX ranges from $4.69 to $119.13 per claim, with an average of $31.01. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Vernon, TX
Personal Care Services
Avg $36.73
37,326 claims
Dental Cleaning & Exam
Avg $41.77
8,075 claims
Blood Work & Lab Tests
Avg $0.36
7,516 claims
Home Health Visit
Avg $18.52
3,180 claims
Emergency Room Visit
Avg $54.24
2,965 claims
Dental Filling
Avg $86.16
2,611 claims
Speech Therapy
Avg $7.89
2,596 claims
Behavioral & Mental Health Therapy
Avg $215.28
2,021 claims