Average Medicaid Office Visit Payments in Waco, TX: $45.75
Avg. Paid
$45.75
Range
$0.00 – $522.89
Total Claims
476,451
Providers
315
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 Waco, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Heart Of Texas Community Health Center, Inc
1800 Gurley Ln |
$40.25 | 37,689 | 32,346 |
|
Heart Of Texas Community Health Center, Inc
1600 Providence Dr |
$38.68 | 24,385 | 22,026 |
|
Heart Of Texas Community Health Center, Inc
120 Hillcrest Medical Blvd |
$33.02 | 17,054 | 11,450 |
|
Priyadarshini Srinivasan
120 Hillcrest Medical Blvd Ste 200 |
$45.05 | 15,475 | 14,582 |
|
Heart Of Texas Community Health Center, Inc.
1911 N Martin Luther King Jr Blvd |
$38.76 | 12,636 | 11,158 |
|
Jayne Sanson-Jaraczewski
120 Hillcrest Medical Blvd Ste 200 |
$44.80 | 10,722 | 10,116 |
|
Abel Castro-Amador
120 Hillcrest Medical Blvd |
$37.47 | 10,384 | 9,237 |
|
Sudhir Madisetty
1607 Lake Success Dr |
$59.14 | 9,860 | 8,140 |
|
Van Kim Nguyen
1600 Providence Dr. |
$48.34 | 9,519 | 8,890 |
|
Cessley Marsellus
120 Hillcrest Medical Blvd |
$46.35 | 8,964 | 8,554 |
|
Catherine Paige Price
120 Hillcrest Medical Blvd Ste 101 |
$45.49 | 8,950 | 8,361 |
|
Stephen Chakmakjian
601 W State Highway 6 |
$42.02 | 8,782 | 8,026 |
|
Samuel David Clark
120 Hillcrest Medical Blvd |
$46.86 | 8,285 | 7,849 |
|
Devon Nye
120 Hillcrest Medical Blvd Ste 200 |
$42.99 | 7,978 | 7,517 |
|
Martha Alcantar
120 Hillcrest Medical Blvd Ste 200 |
$45.48 | 7,360 | 6,788 |
|
Heart Of Texas Community Health Center, Inc.
609 Elm St |
$42.31 | 6,592 | 5,895 |
|
Hector Barrezueta
6101 Woodway Dr |
$37.56 | 6,450 | 5,867 |
|
Dean B Harvie
7125 New Sanger Ave Ste A |
$39.60 | 6,203 | 5,803 |
|
Ephraim Isaac Thaller
333 Londonderry Dr |
$51.28 | 5,758 | 5,503 |
|
Heart Of Texas Community Health Center, Inc
600 W State Highway 6 |
$41.21 | 5,583 | 5,110 |
|
Michelle Marie Law
5400 Crosslake Pkwy |
$40.83 | 5,326 | 5,021 |
|
Allison L Hulme
1600 Providence Dr |
$94.12 | 5,306 | 5,088 |
|
Ronald Coleman
405 Londonderry Dr |
$42.20 | 4,791 | 4,426 |
|
Heart Of Texas Community Health Center, Inc
911 S 20Th St |
$38.97 | 4,539 | 3,990 |
|
Heart Of Texas Community Health Center, Inc
1226 Washington Ave |
$44.06 | 4,354 | 3,842 |
|
Heart Of Texas Community Health Center, Inc.
4601 N 19Th St |
$36.43 | 4,063 | 3,530 |
|
Mark K Moore
601 W Hwy 6 |
$29.23 | 3,927 | 2,724 |
|
James Huddleston
120 Hillcrest Medical Blvd Ste 201-2 |
$50.56 | 3,830 | 2,448 |
|
William R Nesmith
1000 W State Highway 6 Ste 500 |
$35.61 | 3,753 | 3,402 |
|
Shannon Garitty
205 Woodhew Dr Ste 220 |
$34.89 | 3,646 | 3,511 |
|
Carl Anthony Dunn
7700 Fish Pond Rd |
$47.77 | 3,645 | 2,315 |
|
Neil Kanth Amar
333 Londonderry Dr |
$50.73 | 3,462 | 3,273 |
|
Gregory A Newman
2304 Marketplace Dr |
$58.73 | 3,432 | 3,224 |
|
Jean M Herzog
7104 New Sanger Rd |
$35.32 | 3,336 | 2,857 |
|
Baochong B Chang
3420 Pine Ave |
$33.86 | 3,326 | 2,868 |
|
Catherine Sue Conner
601 W Hwy 6 |
$45.27 | 3,094 | 2,836 |
|
Donald Eugene Hicks
4205 Franklin Ave |
$48.58 | 3,090 | 2,868 |
|
Oluwarotimi Oluwakemi Adesina
7125 New Sanger Ave Ste 516 |
$53.69 | 3,089 | 2,798 |
|
Heather Ann Garrison
2304 Marketplace Dr |
$75.06 | 3,062 | 2,958 |
|
Morgan J Estes
601 W State Highway 6 Ste 101 |
$28.15 | 3,058 | 2,385 |
|
Claudia G. Bachofen
120 Hillcrest Medical Blvd Ste 201-2 |
$51.24 | 3,025 | 2,031 |
|
Christina A Armijo
611 W Hwy 6 Ste 101 |
$51.20 | 2,985 | 2,859 |
|
Jeff D. Chancellor
7700 Fish Pond Rd |
$29.60 | 2,948 | 1,997 |
|
Rex Harris
1600 Providence Dr |
$35.28 | 2,936 | 2,618 |
|
Samuel Lindquist
1600 Providence Dr |
$102.40 | 2,892 | 2,075 |
|
Heart Of Texas Community Health Center, Inc
1600 Providence Dr |
$27.78 | 2,837 | 2,539 |
|
Pramila K. Daftary
221 Jewell Dr |
$56.85 | 2,832 | 2,707 |
|
David Martincheck
1000 W State Highway 6 Ste 220 |
$16.90 | 2,782 | 2,536 |
|
Zachery Pettis
601 W State Highway 6 Ste 101 |
$27.05 | 2,682 | 1,653 |
|
Andrew Paul Brochu
50 Hillcrest Medical Blvd |
$87.16 | 2,667 | 2,490 |
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 Waco, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waco, TX is $45.75 per claim, based on 476,451 claims from 315 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 Waco, TX?
There are 315 Medicaid providers offering Office Visit related services in Waco, TX according to public payment data.
What is the price range for Office Visit in Waco, TX?
Medicaid reimbursement for Office Visit in Waco, TX ranges from $0.00 to $522.89 per claim, with an average of $45.75. 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 Waco, TX
Dental Cleaning & Exam
Avg $31.85
223,056 claims
Vaccines & Immunizations
Avg $2.89
200,017 claims
Physical Therapy
Avg $32.60
188,402 claims
Blood Work & Lab Tests
Avg $5.74
115,573 claims
Emergency Room Visit
Avg $111.38
109,207 claims
Speech Therapy
Avg $98.50
83,337 claims
X-Ray
Avg $7.33
60,826 claims
Dental Filling
Avg $74.36
45,729 claims