Average Medicaid Office Visit Payments in Cleveland, TN: $35.43
Avg. Paid
$35.43
Range
$0.00 – $75.26
Total Claims
771,865
Providers
204
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 Cleveland, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paul E Pinson
3917 Georgetown Rd Nw |
$19.11 | 67,647 | 54,116 |
|
Dennis C. Ford
862 Callen Ln Nw Ste 110 |
$15.60 | 33,970 | 29,192 |
|
Lisa Condra Swafford
4021 Keith St Nw |
$53.56 | 22,877 | 20,713 |
|
Jennifer Dawn Mchenry
1940 Westland Dr Sw |
$54.56 | 22,644 | 20,388 |
|
Subroto Kundu
3555 Keith St Nw |
$41.25 | 21,138 | 17,888 |
|
Gary J Voytik
3913 Georgetown Rd Nw |
$55.33 | 21,090 | 17,303 |
|
Diedre Fay Suits
2650 Executive Park Nw |
$57.38 | 20,036 | 18,068 |
|
Mitzie D Perry
435 25Th Street Nw |
$58.86 | 19,126 | 17,253 |
|
Debra Wittmaier
764 Old Chattanooga Pike Sw |
$8.52 | 17,433 | 10,424 |
|
Charles Rudolph
170 Mouse Creek Rd Nw |
$45.78 | 16,319 | 14,497 |
|
Tyler Russell Archer
102 Dunhill Pl Nw |
$35.10 | 15,608 | 13,295 |
|
Niansen Liu
3555 Keith St Nw |
$22.44 | 15,390 | 13,995 |
|
Angela Marie Coates
2650 Executive Park Nw |
$43.41 | 15,012 | 13,370 |
|
Lindsay Ellis Conger
4160 Ocoee St N |
$75.26 | 13,342 | 9,021 |
|
Azhar Sheikh
1060 William Way Nw |
$35.96 | 11,892 | 9,659 |
|
Gerard K Mazza
2725 Keith St Nw |
$34.47 | 11,583 | 8,334 |
|
James Bowen
2544 Dalton Pike Se |
$22.64 | 11,339 | 9,506 |
|
Nalini K Damshala
2825 Westside Dr Nw Ste C |
$45.64 | 11,116 | 9,463 |
|
Ajitkumar Kemkar
2625 Executive Park Nw |
$27.17 | 11,068 | 8,063 |
|
Jessica L Clifford
435 25Th St Nw |
$57.76 | 10,626 | 10,078 |
|
Brenda L Gilbert
3740 Ocoee Place Nw |
$33.24 | 10,424 | 7,946 |
|
Jonathan Bruce Geach
2305 Chambliss Ave Nw |
$26.96 | 10,158 | 7,336 |
|
Felicito E Fernando
435 25Th St Nw |
$53.17 | 10,098 | 9,653 |
|
Susan Ermer
435 25Th St Nw |
$55.13 | 9,558 | 9,052 |
|
Ahmad Machhour Ibrahimbacha
110 Dunhill Pl Nw |
$19.58 | 9,399 | 7,849 |
|
Katrina Stewart
435 25Th St Nw |
$52.37 | 9,398 | 8,863 |
|
Anna Kathleen Carden
2650 Executive Park Nw |
$43.61 | 9,321 | 8,331 |
|
Christina Lea Graham
2626 Peerless Rd Nw |
$46.71 | 8,818 | 7,894 |
|
Albert Anthony Clairmont
2700 Westside Dr Nw |
$49.20 | 8,546 | 8,093 |
|
Chelsea Danielle Massey
2700 Executive Park Nw |
$23.54 | 8,438 | 7,495 |
|
Jateum Mauree Blackburn
2253 Chambliss Ave Nw Ste 400 |
$54.86 | 8,166 | 6,951 |
|
Ramona Thompson
2825 Westside Dr Nw Ste C |
$40.57 | 7,821 | 7,067 |
|
Jerry Glynn Newman
2150 N Ocoee St |
$18.05 | 6,704 | 5,852 |
|
Jessi Marri Steve
170 Mouse Creek Rd Nw |
$47.47 | 6,423 | 5,687 |
|
Courtney Renee Harris
102 Dunhill Pl Nw |
$33.77 | 6,336 | 5,639 |
|
Barry Schulman
52 Mouse Creek Rd Nw |
$27.10 | 5,954 | 4,559 |
|
Brenda A Snowman
2550 Business Park Dr Ne |
$52.87 | 5,685 | 4,905 |
|
Rickey Ladon Hutcheson
2350 North Ocoee Street |
$21.96 | 5,621 | 4,583 |
|
Jennifer Miller
2544 Dalton Pike Se |
$14.91 | 5,411 | 4,779 |
|
Matthew Smith
940 S Ocoee St |
$39.73 | 5,336 | 4,906 |
|
Mary Frances Mcdaniel
862 Callen Ln Nw |
$44.19 | 5,008 | 4,086 |
|
Kevin Maurice Dansby
1060 Peerless Xing Nw |
$26.38 | 4,837 | 3,797 |
|
Piper Shaye Hill
102 Dunhill Pl Nw |
$30.91 | 4,720 | 4,166 |
|
Donna Robinson
645 Paul Huff Pkwy Nw Ste 105 |
$43.78 | 4,629 | 4,117 |
|
Samir Rahbe
2825 Westside Dr Nw |
$18.01 | 4,596 | 3,626 |
|
Tina Carney Johnson
2175 Chambliss Ave Nw |
$11.39 | 4,483 | 3,329 |
|
Michael David Calfee
4472 Ellis Cir Nw |
$22.82 | 4,220 | 3,081 |
|
Aditya Kumar Bhartia
915 Clingan Ridge Dr Nw |
$13.60 | 4,219 | 2,882 |
|
Michele Olsen
216 Goodwill Rd Se |
$14.68 | 4,212 | 429 |
|
Tammy Wingo-Salmond
1970 Jordan Ave Nw |
$41.32 | 4,123 | 3,330 |
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 Cleveland, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cleveland, TN is $35.43 per claim, based on 771,865 claims from 204 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 Cleveland, TN?
There are 204 Medicaid providers offering Office Visit related services in Cleveland, TN according to public payment data.
What is the price range for Office Visit in Cleveland, TN?
Medicaid reimbursement for Office Visit in Cleveland, TN ranges from $0.00 to $75.26 per claim, with an average of $35.43. 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 Cleveland, TN
Psychiatric Evaluation
Avg $57.27
405,200 claims
Blood Work & Lab Tests
Avg $4.36
280,543 claims
Vaccines & Immunizations
Avg $14.22
161,949 claims
Non-Emergency Medical Transportation
Avg $2.46
139,729 claims
Emergency Room Visit
Avg $88.19
134,309 claims
Home Health Visit
Avg $53.34
131,514 claims
Physical Therapy
Avg $25.59
118,232 claims
Ambulance Transport
Avg $39.82
117,052 claims