Average Medicaid Office Visit Payments in Arlington, TN: $46.53
Avg. Paid
$46.53
Range
$15.42 – $63.98
Total Claims
19,110
Providers
13
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 Arlington, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Andrenette M Fleming
9005 Highway 64 |
$46.65 | 8,485 | 6,868 |
|
Lisa Dawn Powell
11870 Cranston Dr Ste 104 |
$43.70 | 6,747 | 5,369 |
|
Patrice Michelle Cynthia Enyong
5270 Airline Rd |
$43.29 | 1,104 | 866 |
|
Amanda Sharon Sanders
5847 Airline Rd Ste 105 |
$63.98 | 1,005 | 892 |
|
Viktoria Stone
11570 Us-70 |
$54.30 | 733 | 717 |
|
Johnice Hicks
5270 Airline Rd |
$43.68 | 352 | 301 |
|
Heather Dawn Vandiver
11870 Cranston Dr Ste 104 |
$53.53 | 299 | 261 |
|
Melanie Hankins Laws
6050 Airline Rd |
$54.88 | 146 | 117 |
|
Rebecca Campbell
6220 Greenlee St Ste 6 |
$29.85 | 110 | 80 |
|
Lashelle Renee Melton
2890 Bekemeyer Dr |
$31.88 | 58 | 47 |
|
Victoria Taylor Milligan
9025 Highway 64 |
$31.79 | 37 | 34 |
|
Sue A Piller
7244 Collierville Arlington Rd |
$36.57 | 19 | 16 |
|
Sarah Ann Varnadoe Pulliam
9025 Highway 64 |
$15.42 | 15 | 12 |
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 Arlington, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Arlington, TN is $46.53 per claim, based on 19,110 claims from 13 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 Arlington, TN?
There are 13 Medicaid providers offering Office Visit related services in Arlington, TN according to public payment data.
What is the price range for Office Visit in Arlington, TN?
Medicaid reimbursement for Office Visit in Arlington, TN ranges from $15.42 to $63.98 per claim, with an average of $46.53. 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 Arlington, TN
Home Health Visit
Avg $82.38
30,316 claims
Non-Emergency Medical Transportation
Avg $2.71
30,281 claims
Physical Therapy
Avg $39.22
24,630 claims
Personal Care Services
Avg $159.50
15,967 claims
Blood Work & Lab Tests
Avg $4.26
12,059 claims
Vaccines & Immunizations
Avg $11.91
10,907 claims
Nursing Facility Care
Avg $8.18
9,951 claims
Eye Exam
Avg $57.25
9,606 claims