Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or in Texas
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Texas
| Provider | Medicare | Services |
|---|---|---|
| Izor, Robert MD | $25.51 | 2.9K |
| Hyder, Shahab MD | $25.19 | 2.3K |
| Ibrahim, Ali M.D. | $24.25 | 1.6K |
| Schefler, Amy M.D. | $25.96 | 967 |
| Hood, Robert M.D.,F.R.C.P.C. | $23.38 | 671 |
| Burrows, Guy M.D. | $25.01 | 561 |
| Kong, Soe-Ni M.D. | $24.09 | 498 |
| Ortiz, Jose M.D.,F.A.C.E. | $23.93 | 496 |
| Craig, William MD | $23.54 | 356 |
| Sardinas, Alfredo M.D. | $24.80 | 348 |
| Lopez, Gabriel M.D. | $24.69 | 334 |
| Drake, Richard MD | $23.67 | 311 |
| Ramirez Castaneda, Juan M.D. | $25.16 | 283 |
| Soileau, Michael MD | $23.66 | 177 |
| Malik, Salman MD | $23.79 | 160 |
| Kew, Yvonne MD, PHD | $26.34 | 154 |
| Laine, Aaron M.D., PH.D | $24.64 | 146 |
| Grewal, Ranjit M.D. | $26.50 | 142 |
| Sackler, Marian M.D. | $24.82 | 117 |
| Schultz, Dean M.D. | $25.05 | 109 |
| Guevara, Alex D.O. | $21.63 | 106 |
Texas Pricing in Context
In Texas, CPT code G2212 (Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or) carries an average Medicare payment of $24.05 — 0% below the national benchmark of $24.10. 2.1K providers across the state submitted claims for this procedure in 2023, performing 41.9K total services. Individual payments in TX ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in Texas is $82.43, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Texas sits below the national Medicare average, commercial rates in the state may also run lower than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Texas lands near $70.68, with self-pay cash prices typically around $45.72. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or cost in Texas?
The average Medicare payment for Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or in Texas is $24.05, which is 0% below the national average of $24.10. Providers in TX typically bill $82.43 for this procedure.
What does Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or cost with insurance in Texas?
With commercial insurance in Texas, Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or costs an estimated $70.68. Without insurance, the estimated cash price is $45.72. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or in Texas?
2.1K providers in Texas billed Medicare for Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or in 2023, performing 41.9K total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or cheaper in Texas than the national average?
Yes — Prolonged Office Or Other Outpatient Evaluation And Management Service(s) Beyond The Maximum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time On The Date Of The Primary Service; Each Additional 15 Minutes By The Physician Or costs 0% below the national average in Texas. The state average Medicare payment is $24.05 compared to $24.10 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.