Average Medicaid Office Visit Payments in Wharton, TX: $27.47
Avg. Paid
$27.47
Range
$0.00 – $54.12
Total Claims
33,562
Providers
20
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 Wharton, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joyce Ego Eziashi Egbe
2100 Regional Medical Dr |
$41.33 | 14,459 | 12,419 |
|
Tayyab Pasha
2112 Regional Medical Dr Ste 1315 |
$1.18 | 4,023 | 3,263 |
|
Marc Alan Sangalli
2112 Regional Medical Dr Ste 1319 |
$54.12 | 3,784 | 2,669 |
|
Susan A. Winchell
2112 Regional Medical Dr Ste 1313 |
$0.89 | 3,103 | 2,611 |
|
Henri Ann Nortman
2112 Regional Medical Dr Ste 1315 |
$1.31 | 1,961 | 1,602 |
|
Esther Saugar Velasco Vesely
2112 Regional Medical Dr Ste 1319 |
$40.39 | 1,533 | 1,309 |
|
Olubukola Omobolaji Ayeni
2112 Regional Medical Dr Ste 1317 |
$0.35 | 1,301 | 841 |
|
Claire Leslie Friedman
3007 N Richmond Rd |
$0.33 | 594 | 573 |
|
El Campo Memorial Hospital
1403 Valhalla Dr |
$9.85 | 427 | 314 |
|
Bahadur Sarkari
3007 North Richmond Rd |
$35.41 | 412 | 405 |
|
Nathan Phuckhac Nguyen
1403 Valhalla Dr |
$19.46 | 336 | 264 |
|
Matagorda Episcopal Health Outreach Program
10119 Us 59 Hwy |
$1.12 | 295 | 268 |
|
Laura Aronson
2100 Regional Medical Dr |
$22.24 | 267 | 255 |
|
Nadim Syed Jafri
2100 Regional Medical Dr |
$30.06 | 254 | 239 |
|
Thomas Payton Winston
2100 Regional Medical Dr |
$14.80 | 195 | 187 |
|
Andrea Elease Myers-Griffin
6818 W Fm 1161 Rd |
$7.72 | 165 | 126 |
|
Carlos D. Zorrilla
2100 Regional Medical Dr |
$13.42 | 140 | 129 |
|
Seby Joseph
2022 Regional Medical Dr Ste 1315 |
$0.07 | 126 | 116 |
|
Alberto Ortiz
2100 Regional Medical Dr |
$16.06 | 113 | 106 |
|
Matagorda Episcopal Health Outreach Program
2112 Regional Medical Dr Ste 1313 |
$0.00 | 74 | 64 |
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 Wharton, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wharton, TX is $27.47 per claim, based on 33,562 claims from 20 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 Wharton, TX?
There are 20 Medicaid providers offering Office Visit related services in Wharton, TX according to public payment data.
What is the price range for Office Visit in Wharton, TX?
Medicaid reimbursement for Office Visit in Wharton, TX ranges from $0.00 to $54.12 per claim, with an average of $27.47. 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 Wharton, TX
Vaccines & Immunizations
Avg $5.68
28,104 claims
Dental Cleaning & Exam
Avg $42.80
10,817 claims
Hearing Test (Audiometry)
Avg $2.72
7,680 claims
Nursing Facility Care
Avg $9.39
7,388 claims
Home Health Visit
Avg $0.00
2,948 claims
Dental Filling
Avg $87.66
2,183 claims
Ultrasound
Avg $187.78
900 claims
Speech Therapy
Avg $82.23
387 claims