Average Medicaid Office Visit Payments in Bristol, TN: $43.50
Avg. Paid
$43.50
Range
$3.33 – $146.13
Total Claims
445,419
Providers
206
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 Bristol, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicholas Harman
208 Medical Park Blvd |
$58.01 | 35,999 | 32,380 |
|
Thomas E Mitoraj
109 Meadow View Rd |
$51.67 | 25,103 | 20,648 |
|
Dorothy Sue Chapman
1145 Volunteer Pkwy |
$50.52 | 16,532 | 11,751 |
|
Thomas Duncan Makres
320 Steeles Rd |
$39.35 | 14,665 | 11,403 |
|
John Richard Hovious
109 Meadow View Road |
$51.29 | 14,157 | 11,533 |
|
Cassie Brooks Hudson
320 Steeles Rd |
$44.51 | 14,136 | 11,227 |
|
Felecia Gail Abdelfattah
1145 Volunteer Pkwy |
$28.24 | 12,759 | 10,361 |
|
William Andrew Mccormick
240 Medical Park Blvd Ste 3000 |
$43.66 | 11,016 | 9,301 |
|
Jonathan Dale Blankenship
240 Medical Park Blvd Ste 3000 |
$44.75 | 10,704 | 9,000 |
|
Jessica D Hommel
320 Steeles Rd |
$45.60 | 8,544 | 6,631 |
|
Jennifer Stacy
350 Blountville Hwy Ste 105 |
$20.65 | 8,141 | 6,579 |
|
John S Culp
208 Medical Park Blvd |
$36.19 | 8,000 | 6,945 |
|
Kenneth Jared Hess
320 Steeles Rd |
$32.64 | 7,794 | 6,384 |
|
Polly Olinger Billips
240 Medical Park Blvd |
$51.47 | 7,733 | 7,052 |
|
David Gwaltney
1 Medical Park Blvd |
$9.13 | 7,177 | 2,940 |
|
Cathy M Gowan
26 Midway St |
$30.02 | 7,009 | 5,916 |
|
Charles Bolick
240 Medical Park Blvd |
$41.49 | 6,898 | 6,078 |
|
Daphane Miller
739 Bluff City Hwy Ste 3 |
$50.06 | 6,286 | 3,798 |
|
Janett M Pate
109 Meadow View Rd |
$46.01 | 6,251 | 5,115 |
|
Gregory E Clarity
208 Medical Park Blvd |
$37.35 | 5,743 | 4,995 |
|
Andrea Lynne Hopkins
208 Medical Park Blvd |
$41.32 | 5,480 | 4,713 |
|
Safia M Sabri
One Medical Park Blve. |
$38.33 | 5,273 | 3,974 |
|
Emily O. Campbell
240 Medical Park Blvd |
$36.45 | 5,171 | 4,270 |
|
Christopher Garner
208 Medical Park Blvd |
$39.76 | 5,105 | 4,379 |
|
Erin Elizabeth Labert
2686 W State St |
$57.94 | 5,023 | 4,705 |
|
Ryan Christopher Kennedy
240 Medical Park Blvd |
$44.52 | 4,915 | 4,371 |
|
Samuel Milton Plucker
240 Medical Park Blvd |
$30.60 | 4,893 | 3,923 |
|
Michelle L Painter
3183 W State St |
$38.97 | 4,774 | 4,059 |
|
Geoff S Szabo
1 Medical Park Blvd Ste 205E |
$28.77 | 4,073 | 3,314 |
|
Rick Whiles
240 Medical Park Blvd |
$45.90 | 3,810 | 3,347 |
|
Hang Lei
26 Midway St |
$44.27 | 3,802 | 2,727 |
|
Elyse Suzanne Mann
350 Blountville Hwy Ste 105 |
$18.28 | 3,645 | 3,036 |
|
John Christopher Allen
2765 W State St |
$24.21 | 3,573 | 2,819 |
|
Eugene C Mcclintic
1 Medical Park Blvd |
$19.54 | 3,453 | 1,920 |
|
Karl E Lawrence
1 Medical Park Blvd |
$36.79 | 3,273 | 2,357 |
|
Jason B. Moore
208 Medical Park Blvd |
$34.48 | 3,176 | 2,750 |
|
Stephen Burke
240 Medical Park Blvd |
$37.78 | 3,114 | 2,714 |
|
Geoffrey Grattan Correll
109 Meadowview Rd |
$36.29 | 3,078 | 2,525 |
|
Gabriel J Hommel
1 Medical Park Blvd Ste 300E |
$47.27 | 3,012 | 2,675 |
|
Jonathan Clark
1 Medical Park Blvd Ste 300E |
$41.70 | 3,007 | 2,641 |
|
Brett C Odum
240 Medical Park Blvd |
$39.99 | 2,881 | 2,526 |
|
Jim Carroll Brasfield
320 Bristol Blvd W |
$52.50 | 2,807 | 2,203 |
|
Claudia F Corradino
3183 W State St |
$46.06 | 2,799 | 2,433 |
|
Andrew Brockmyre
240 Medical Park Blvd |
$36.92 | 2,743 | 2,424 |
|
Kelsey Lee Lloyd
208 Medical Park Blvd |
$43.53 | 2,648 | 2,296 |
|
Amanda Stoltz
208 Medical Park Blvd |
$37.36 | 2,639 | 2,345 |
|
Robin Malinda Butler
1 Medical Park Blvd |
$67.50 | 2,613 | 2,373 |
|
Frederick W Terry
320 Bristol West Blvd |
$19.16 | 2,487 | 1,792 |
|
Jared Todd Gremillion
240 Medical Park Blvd Ste 1500 |
$35.97 | 2,403 | 2,122 |
|
Douglas Paul Williams
3183 W State St |
$61.67 | 2,363 | 2,114 |
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 Bristol, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bristol, TN is $43.50 per claim, based on 445,419 claims from 206 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 Bristol, TN?
There are 206 Medicaid providers offering Office Visit related services in Bristol, TN according to public payment data.
What is the price range for Office Visit in Bristol, TN?
Medicaid reimbursement for Office Visit in Bristol, TN ranges from $3.33 to $146.13 per claim, with an average of $43.50. 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 Bristol, TN
Blood Work & Lab Tests
Avg $3.93
177,679 claims
X-Ray
Avg $6.72
157,014 claims
Emergency Room Visit
Avg $115.41
155,283 claims
Dental Cleaning & Exam
Avg $26.30
129,685 claims
Psychiatric Evaluation
Avg $57.71
106,590 claims
Ambulance Transport
Avg $22.30
99,733 claims
CT Scan (Computed Tomography)
Avg $62.17
70,288 claims
Vaccines & Immunizations
Avg $15.13
54,578 claims