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
Christopher L Maynard 1031 W Madison Ave	$7.47	17	12
Matthew Douglas Marstin 1005 W Madison Ave	$22.13	17	14
Rebecca Voda 1031 W Madison Ave	$28.37	29	27
Maurice Aaron Alston 711 Cook Dr Ste 220	$24.24	47	41
Heather Woods 1114 W Madison Ave	$29.45	60	45
Sara Michelle Connaughton 17 W Madison Ave	$11.82	63	27
Sydney Mondshine 17 W Madison Ave	$1.29	69	40
William David Sullins 517 N Jackson St	$21.39	118	105
Michael P Sumida 719 Cook Dr	$34.23	153	131
Olga L Uribe 817 Cook Dr	$43.40	251	232
Jenny M Byrd 711 Cook Dr	$30.22	326	282
Nicholas Ballay 719 Cook Dr	$29.79	440	358
Cheryl Ann Roberts 1204 Frye St	$45.09	660	635
Stuart Sullins 517 N Jackson St	$24.86	798	718
Johnnie C. Carter 135 North Meadow Drive	$22.07	983	890
Jitendra G Gandhi 705 Cook Dr Ste 203	$20.68	994	721
Martha Jean Pascarella 719 Cook Dr	$45.68	1,035	926
Brittany Rountree 135 N Meadows Dr	$26.07	1,376	1,178
Elizabeth Thompson 119 Epperson St	$42.21	1,466	1,310
Joshua Kenton Newman 401 W Washington Ave	$35.52	1,528	1,059
Johnna Varner 119 Epperson St	$46.47	1,605	1,458
Ashley Y Davis 909 Congress Pkwy N	$44.96	1,671	1,359
Vickie A Turnbough 711 Cook Dr	$10.11	1,708	1,285
Savannah Hope Coe 503 W Madison Ave	$17.88	1,836	1,316
Hari Mahefa Ratsimbason 421 Old Riceville Rd Ste 2	$52.22	1,841	1,497
Joseph C Lauterbach 817 Cook Dr	$37.61	1,885	1,657
Alicia Dumont Durham 135 N Meadows Dr	$23.97	1,897	1,704
Karlee B. Stamey 2336 Congress Pkwy S	$47.15	2,099	1,452
Michael Wayne Hahn 135 N Meadows Drive	$28.63	2,232	1,741
Regena Shelton 421 Old Riceville Rd Ste 2	$45.10	2,404	2,190
Henry Paul Mcculley 740 Tell St	$19.69	2,440	1,980
Trent Wesley Mcdaniel 2037 Congress Pkwy S	$43.89	2,499	2,185
Robert Kevin Chin 711 Cook Dr Ste 100	$26.10	2,556	2,045
Simon Bessette 421 Old Riceville Rd Ste 2	$40.52	2,657	2,312
Anthony Gordon 711 Cook Dr	$46.80	2,746	2,531
Clair L. Bello 705 Cook Dr. Suite 200	$23.20	2,838	2,249
David L Byrd 711 Cook Dr	$19.51	3,076	2,551
Thomas S Layman 719 Cook Dr	$22.26	3,219	2,449
Benjamin Scott Coffey 500 Decatur Pike	$32.07	3,220	2,318
Shelby Jean Davis 1019 Decatur Pike	$52.95	3,245	2,861
Robert E Bledsoe 817 Cook Dr	$43.79	3,267	2,897
Elizabeth A Cruttenden 421 Old Riceville Rd Ste 2	$39.83	3,310	2,989
Nicholas Alexander Hall 1019 Decatur Pike	$41.79	3,458	3,054
Kelsey Keeler 119 Epperson St	$44.46	3,555	3,155
Gabriella Gisela Lozeau 119 Epperson St	$43.46	4,288	3,869
Molly Pritchett 1874 Decatur Pike	$50.74	4,294	3,761
Tiffany Sliger 135 N Meadows Dr	$45.67	4,511	3,514
Deborah D Pease 711 Cook Dr	$25.90	4,538	3,623
Jennifer H Light 111 Epperson St	$80.94	4,596	4,299
Mandi Slaton-Saffles 2037 Congress Pkwy S	$34.88	4,795	4,063

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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Emergency Room Visit

Urinalysis & Urine Tests