Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Athens, TN: $40.12

Avg. Paid

$40.12

Range

$1.29 – $80.94

Total Claims

350,808

Providers

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 Athens, TN

Provider	Avg. Paid	Claims	Patients
Saji K Gopinathan 119 Epperson St	$45.41	75,304	64,467
Michelle L Davis 401 W Washington Ave	$31.04	32,381	25,668
Kristen Rogers Harris 119 Epperson St	$42.03	14,788	12,376
Patricia Sheppard Asbury 111 Epperson St	$53.48	14,568	12,671
Eteri Bibileishvili 711 Cook Dr Ste 210	$32.50	13,576	12,559
Melanie Long 111 Epperson St	$52.11	12,532	10,832
Charles Boggess Cox 503 W Madison Ave	$23.40	11,591	8,797
Kimberly Thompson Breeden 421 Old Riceville Rd Ste 2	$43.25	11,111	8,908
Katherine R Hall 711 Cook Dr	$29.41	9,821	7,390
Angela Colleen Stokes 1805 Ingleside Dr	$28.88	8,928	7,601
Susan Kimberly Moore Rucker 500 Decatur Pike	$47.93	8,615	7,539
Davida Yvonne Asbury 817 Cook Dr	$43.26	7,717	6,961
Carla Anne Dahm 1805 Ingleside Ave	$39.74	7,672	6,407
Mia Bettina Feliciano Matias 111 Epperson St	$41.80	6,162	5,164
Kala Grant 711 Cook Dr	$45.94	6,059	5,485
Ryan G. Mcnabb 1114 W Madison Ave	$47.11	5,733	4,626
Kathryn G Pesce 1805 Ingleside Ave	$35.92	5,534	4,778
Mandi Slaton-Saffles 2037 Congress Pkwy S	$34.88	4,795	4,063
Jennifer H Light 111 Epperson St	$80.94	4,596	4,299
Deborah D Pease 711 Cook Dr	$25.90	4,538	3,623
Tiffany Sliger 135 N Meadows Dr	$45.67	4,511	3,514
Molly Pritchett 1874 Decatur Pike	$50.74	4,294	3,761
Gabriella Gisela Lozeau 119 Epperson St	$43.46	4,288	3,869
Kelsey Keeler 119 Epperson St	$44.46	3,555	3,155
Nicholas Alexander Hall 1019 Decatur Pike	$41.79	3,458	3,054
Elizabeth A Cruttenden 421 Old Riceville Rd Ste 2	$39.83	3,310	2,989
Robert E Bledsoe 817 Cook Dr	$43.79	3,267	2,897
Shelby Jean Davis 1019 Decatur Pike	$52.95	3,245	2,861
Benjamin Scott Coffey 500 Decatur Pike	$32.07	3,220	2,318
Thomas S Layman 719 Cook Dr	$22.26	3,219	2,449
David L Byrd 711 Cook Dr	$19.51	3,076	2,551
Clair L. Bello 705 Cook Dr. Suite 200	$23.20	2,838	2,249
Anthony Gordon 711 Cook Dr	$46.80	2,746	2,531
Simon Bessette 421 Old Riceville Rd Ste 2	$40.52	2,657	2,312
Robert Kevin Chin 711 Cook Dr Ste 100	$26.10	2,556	2,045
Trent Wesley Mcdaniel 2037 Congress Pkwy S	$43.89	2,499	2,185
Henry Paul Mcculley 740 Tell St	$19.69	2,440	1,980
Regena Shelton 421 Old Riceville Rd Ste 2	$45.10	2,404	2,190
Michael Wayne Hahn 135 N Meadows Drive	$28.63	2,232	1,741
Karlee B. Stamey 2336 Congress Pkwy S	$47.15	2,099	1,452
Alicia Dumont Durham 135 N Meadows Dr	$23.97	1,897	1,704
Joseph C Lauterbach 817 Cook Dr	$37.61	1,885	1,657
Hari Mahefa Ratsimbason 421 Old Riceville Rd Ste 2	$52.22	1,841	1,497
Savannah Hope Coe 503 W Madison Ave	$17.88	1,836	1,316
Vickie A Turnbough 711 Cook Dr	$10.11	1,708	1,285
Ashley Y Davis 909 Congress Pkwy N	$44.96	1,671	1,359
Johnna Varner 119 Epperson St	$46.47	1,605	1,458
Joshua Kenton Newman 401 W Washington Ave	$35.52	1,528	1,059
Elizabeth Thompson 119 Epperson St	$42.21	1,466	1,310
Brittany Rountree 135 N Meadows Dr	$26.07	1,376	1,178

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 Athens, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Athens, TN is $40.12 per claim, based on 350,808 claims from 67 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 Athens, TN?

There are 67 Medicaid providers offering Office Visit related services in Athens, TN according to public payment data.

What is the price range for Office Visit in Athens, TN?

Medicaid reimbursement for Office Visit in Athens, TN ranges from $1.29 to $80.94 per claim, with an average of $40.12. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Athens, TN: $40.12

Providers Offering Office Visit in Athens, TN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Behavioral & Mental Health Therapy

Substance Abuse Treatment

Blood Work & Lab Tests

Emergency Room Visit

Urinalysis & Urine Tests