Average Medicaid Office Visit Payments in Centerville, TN: $34.65
Avg. Paid
$34.65
Range
$0.00 – $51.46
Total Claims
38,904
Providers
14
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 Centerville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dawn A Glenn
150 E Swan St |
$33.34 | 7,043 | 5,018 |
|
Muhammad Mirza
150 E Swan St |
$30.85 | 6,412 | 4,779 |
|
Danielle Smith
1518 Hwy 100 |
$25.00 | 5,870 | 4,552 |
|
Samantha Lea Claud
150 E Swan St |
$31.64 | 4,009 | 2,912 |
|
Sydney Brents
1140 Highway 100 |
$51.46 | 3,263 | 2,880 |
|
Dona Maria Biggs
150 E Swan St |
$39.10 | 2,473 | 1,906 |
|
Loretta Pentlicki
150 E Swan St |
$33.37 | 2,251 | 1,750 |
|
Jennifer H Coates
1140 Highway 100 |
$44.97 | 2,212 | 1,961 |
|
Robert Carl Reeves
601 Beech St |
$49.07 | 2,155 | 1,919 |
|
Rebecca Schmid
1518 Hwy 100 |
$29.49 | 1,861 | 1,391 |
|
Yvonne Dantzler-Randolph
150 E Swan St |
$24.92 | 680 | 479 |
|
Mark Hartsfield
150 E Swan St |
$43.98 | 448 | 328 |
|
Zachary Mcvey Hutchens
150 E Swan St |
$26.06 | 206 | 147 |
|
Saint Thomas Hickman Hospital
150 E Swan Street |
$0.00 | 21 | 13 |
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 Centerville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Centerville, TN is $34.65 per claim, based on 38,904 claims from 14 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 Centerville, TN?
There are 14 Medicaid providers offering Office Visit related services in Centerville, TN according to public payment data.
What is the price range for Office Visit in Centerville, TN?
Medicaid reimbursement for Office Visit in Centerville, TN ranges from $0.00 to $51.46 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
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 Centerville, TN
Ambulance Transport
Avg $53.22
15,970 claims
Emergency Room Visit
Avg $99.79
13,848 claims
Blood Work & Lab Tests
Avg $3.90
13,564 claims
EKG / ECG (Electrocardiogram)
Avg $11.03
3,200 claims
Nursing Facility Care
Avg $24.30
1,622 claims
Psychiatric Evaluation
Avg $15.50
1,363 claims
Prescription Medications
Avg $2.14
815 claims
Dental Cleaning & Exam
Avg $34.40
594 claims