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 |
|---|---|---|---|
|
Halima Archer-Idodo
7700 Fish Pond Rd |
$27.69 | 12 | 12 |
|
Mark Stuart Klepper
318 Richland West Cir |
$8.95 | 12 | 12 |
|
Miriam Grace Blasingame
150 Hillcrest Medical Blvd |
$35.31 | 12 | 12 |
|
Meryl Lee Burchardt
7125 New Sanger Ave Ste A |
$25.96 | 12 | 12 |
|
Robert W Wilcox
6614 Sanger Ave |
$28.08 | 12 | 12 |
|
Keeli L Stumbo
1201 Hewitt Dr Ste 105B |
$31.33 | 12 | 12 |
|
Kaitlyn Jo Massingill
50 Hillcrest Medical Blvd Ste 201A |
$34.64 | 12 | 12 |
|
Jonathan Gordon Wash
5100 Franklin Ave |
$47.09 | 12 | 12 |
|
Suzanne Jacob
2201 Macarthur Dr Ste 103 |
$18.64 | 12 | 12 |
|
Leslie P Smith
1800 Gurley Lane |
$16.11 | 12 | 12 |
|
Robert Joseph Go
2329 N 39Th St |
$72.59 | 12 | 12 |
|
Michelle Lynn Robinson
1600 Providence Dr |
$10.65 | 12 | 12 |
|
William M Chop
1600 Providence Dr |
$30.36 | 12 | 12 |
|
Rachel Ramsey
6520 Horizon Cir |
$23.47 | 13 | 12 |
|
Denese A Wilson
150 Hillcrest Medical Blvd |
$27.03 | 13 | 12 |
|
Ashleigh Grace Malone
1600 Providence Dr |
$35.93 | 13 | 13 |
|
Haley Fuller
2304 Marketplace Dr |
$27.70 | 13 | 13 |
|
Amy Kieutran Luu
1600 Providence Dr |
$88.49 | 13 | 13 |
|
Harvey Robert Chen
7125 New Sanger Ave Ste A |
$25.04 | 13 | 13 |
|
Carl G Chakmakjian
1700 W Highway 6 |
$47.10 | 13 | 13 |
|
Tara Tomlin Barnett
150 Hillcrest Medical Blvd |
$39.14 | 13 | 13 |
|
Courtney Blair Parker-Hudson
1600 Providence Dr |
$26.46 | 13 | 13 |
|
Nathalie Boulos
301 Londonderry Dr |
$38.70 | 14 | 12 |
|
Zachary Sartor
1600 Providence Dr |
$45.37 | 14 | 14 |
|
Andrew B. Popejoy
100 Hillcrest Medical Blvd |
$0.00 | 14 | 14 |
|
Doffou Choho
1101 Wooded Acres Dr |
$12.90 | 14 | 14 |
|
Katie A Carranza
1800 Gurley Street |
$2.12 | 14 | 14 |
|
Ivan G Castillo-Salazar
7030 New Sanger Rd Ste 102 |
$0.00 | 14 | 13 |
|
Liliana Gamino
100 Hillcrest Medical Blvd |
$27.52 | 15 | 14 |
|
Lucy K Villarreal
405 Londonderry |
$59.58 | 15 | 12 |
|
Heart Of Texas Region Mhmr Center
110 S 12Th St |
$0.00 | 16 | 14 |
|
James Thomas Graham
1001 Hewitt Dr |
$46.15 | 17 | 15 |
|
David Stephen Myers
7702 Central Park Dr |
$15.78 | 17 | 12 |
|
Thomas J Harris
1700 W. Highway 6 |
$21.79 | 18 | 14 |
|
Alexandra Marie Jones Adesina
6101 Woodway Dr Ste 200 |
$23.46 | 18 | 12 |
|
Ligia Liana Tofanel
333 Londonderry Dr Ste 200 |
$23.70 | 19 | 17 |
|
Abdulazeez Seriki
1001 W Highway 6 |
$0.00 | 19 | 18 |
|
Mark Damon Montelongo
6901 Medical Parkway |
$13.62 | 19 | 14 |
|
Nilesh J Goswami
50 Hillcrest Medical Blvd Ste 102 |
$24.91 | 20 | 13 |
|
Edward F Verner
7030 New Sanger Ave |
$7.93 | 20 | 12 |
|
Stephanie Bui Catuogno
6609 Sanger Ave |
$7.40 | 23 | 18 |
|
Brittany Morgan Zipperlen
5400 Crosslake Pkwy |
$17.68 | 26 | 26 |
|
Mark Glynn Davies
6600 Fish Pond Rd Ste 101 |
$52.76 | 26 | 25 |
|
Brian D Battles
7700 Fish Pond Rd |
$12.88 | 27 | 27 |
|
Katharine Lorraine Vogelaar
221 Jewell Dr |
$54.23 | 28 | 28 |
|
Hitesh Singh
150 Hillcrest Medical Blvd |
$30.85 | 28 | 25 |
|
Meera Amar
333 Londonderry Drive Suite # 200 |
$12.72 | 28 | 28 |
|
Kristen Lee Northern
1001 Hewitt Dr |
$46.00 | 29 | 24 |
|
Marcos Perez
851 N Loop 340 |
$30.78 | 30 | 29 |
|
Laurie Wagnon Lazott
50 Hillcrest Medical Blvd Ste 201B |
$40.23 | 32 | 26 |
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