How Much Does Texas Medicaid Pay for Doctor Visits?
Office and outpatient evaluation and management visits covered by Medicaid.
Service Doctor Visits Codes 9
In 2024, Texas Medicaid paid an average of $47.31 per doctor visits claim, across 11,273,553 total claims and 9 procedure codes. That's up 180% from $16.91 in 2018.
This data comes from official HHS Medicaid claims records. See how Texas compares to other states →
2024 Summary
Average Payment
$47.31
Total Claims
11,273,553
Total Paid
$533,404,228.27
Codes Reporting
9
Average Payment Trend
| Year | Avg / Claim |
|---|---|
| 2018 | $16.91 |
| 2019 | $18.98 |
| 2020 | $34.31 |
| 2021 | $40.15 |
| 2022 | $44.00 |
| 2023 | $47.10 |
| 2024 | $47.31 |
Year-over-Year Rates
| Year | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| 2018 | $16.91 | 1,120,240 | $18,942,772.66 | 9 |
| 2019 | $18.98 | 1,059,164 | $20,106,672.50 | 9 |
| 2020 | $34.31 | 3,760,172 | $129,013,382.11 | 9 |
| 2021 | $40.15 | 15,167,073 | $608,884,623.93 | 9 |
| 2022 | $44.00 | 16,692,330 | $734,532,236.10 | 9 |
| 2023 | $47.10 | 15,556,669 | $732,761,972.84 | 9 |
| 2024 | $47.31 | 11,273,553 | $533,404,228.27 | 9 |