Average Medicaid Office Visit Payments in Byrdstown, TN: $34.65
Avg. Paid
$34.65
Range
$20.42 – $54.57
Total Claims
35,857
Providers
8
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 Byrdstown, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jori Lynne Shaffer
8401 Highway 111 |
$38.51 | 23,489 | 18,612 |
|
James Paul Tompkins
601 W Main St |
$26.34 | 8,180 | 5,862 |
|
Larry Michael Mason
8401 Highway 111 |
$20.42 | 1,624 | 1,270 |
|
Brooke Ann Dowdy
8401 Hwy 111 |
$38.16 | 1,327 | 1,188 |
|
Amanda Collier
129 Hillcrest Dr |
$34.74 | 656 | 479 |
|
Clearwater Investments Inc Byrdstown Medical
8401 Hwy 111 |
$24.60 | 493 | 443 |
|
Danielle Goolsby
8401 Hwy 111 |
$34.83 | 58 | 52 |
|
Jeffrey Chase Young
8401 Hwy 111 |
$54.57 | 30 | 26 |
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 Byrdstown, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Byrdstown, TN is $34.65 per claim, based on 35,857 claims from 8 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 Byrdstown, TN?
There are 8 Medicaid providers offering Office Visit related services in Byrdstown, TN according to public payment data.
What is the price range for Office Visit in Byrdstown, TN?
Medicaid reimbursement for Office Visit in Byrdstown, TN ranges from $20.42 to $54.57 per claim, with an average of $34.65. 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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Byrdstown, TN
Blood Work & Lab Tests
Avg $2.61
17,155 claims
Vaccines & Immunizations
Avg $14.29
9,570 claims
Emergency Room Visit
Avg $71.90
9,446 claims
Nursing Facility Care
Avg $7.27
6,381 claims
Ambulance Transport
Avg $47.70
5,324 claims
Physical Therapy
Avg $9.38
2,443 claims
Urinalysis & Urine Tests
Avg $1.56
2,018 claims
X-Ray
Avg $9.03
1,344 claims