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 |
|---|---|---|---|
|
Amber Anderson
2253 Chambliss Ave Nw Ste 400 |
$16.29 | 14 | 12 |
|
Balram L Chhajwani
915 Clingan Ridge Dr Nw |
$6.43 | 15 | 13 |
|
Stephanie A Hull
2305 Chambliss Ave Nw |
$21.68 | 18 | 15 |
|
Edward M Mcintire
400 Berywood Trl Nw |
$25.34 | 19 | 14 |
|
George A. Samuel
110 Dunhill Pl Nw |
$0.00 | 26 | 26 |
|
Jennifer Ann Lipps
2550 Business Park Dr Ne |
$34.42 | 28 | 28 |
|
Eston K. Wenger
2253 Chambliss Ave Nw Ste 100 |
$56.23 | 29 | 25 |
|
Anthony Michael Whitney
3780 Ocoee Pl Nw |
$16.34 | 39 | 36 |
|
Susanne Clark
3740 Ocoee Pl Nw Ste 101 |
$51.05 | 41 | 39 |
|
Erin Maria Stinnett
130 English Oaks Cir Ne |
$14.90 | 54 | 47 |
|
James Kent Hulvey
2253 Chambliss Ave Nw |
$24.54 | 54 | 46 |
|
Robert J Mills
400 Berywood Trl Nw |
$12.67 | 54 | 52 |
|
Jason Dunn
2253 Chambliss Ave Nw Ste 100 |
$25.40 | 55 | 49 |
|
Brenda Waters
915 Clingan Ridge Dr Nw |
$8.51 | 57 | 34 |
|
Lee Ann Stabler
286 Lamar Lawson Rd Ne |
$45.78 | 60 | 52 |
|
Kristina Marie Adkins
463 1St St Nw |
$9.04 | 61 | 46 |
|
Roxana Edith Araujo
3917 Georgetown Rd Nw |
$9.02 | 75 | 55 |
|
Daniel Box
400 Berywood Trl Nw Ste B |
$2.00 | 78 | 63 |
|
Eugene D. Eddlemon
2253 Chambliss Ave. |
$14.77 | 80 | 78 |
|
Christopher C Thacker
400 Berywood Trl Nw |
$4.24 | 88 | 64 |
|
Holly M Endo
905 Clingan Ridge Dr Nw |
$8.80 | 88 | 67 |
|
Cecil Dewayne Knight
2003 Parker Street Mckenzie Athletic Facility |
$57.42 | 103 | 81 |
|
Samuel Harvey Horner
40 2Nd St Nw |
$26.37 | 109 | 93 |
|
Joshua Worthington
2175 Chambliss Ave Nw Ste D |
$19.80 | 115 | 89 |
|
Sharon Gail Huggins-Felix
2650 Executive Park Nw |
$2.81 | 115 | 99 |
|
Rachel Elizabeth Masterson
4645 N Lee Hwy |
$18.40 | 116 | 69 |
|
Carolyn Rose Cline
1060 William Way Nw |
$21.96 | 122 | 117 |
|
Shannon Beierle
2175 Chambliss Ave Nw Ste D |
$47.46 | 128 | 106 |
|
Kerri Hopkins
3913 Georgetown Rd Nw |
$29.71 | 139 | 97 |
|
Elite Pain Consultants, Pllc
102 Dunhill Pl Nw |
$0.00 | 142 | 141 |
|
Amanda Rose Joliet
101 Keith St Sw |
$35.61 | 148 | 111 |
|
Casey Renee Kepner
4021 Keith St Nw |
$49.80 | 159 | 147 |
|
Cynthia Marie Work
55 25Th St Nw # 1 |
$47.75 | 178 | 176 |
|
Daniel B Vance
1060 Peerless Crossing Dr |
$6.59 | 178 | 134 |
|
Tatyana Mary Jacqui Joab
915 Clingan Ridge Dr Nw |
$16.80 | 179 | 132 |
|
Timothy Allen Viser
2414 Chambliss Avenue |
$41.57 | 189 | 173 |
|
Alex George Romaniuk
1060 William Way Nw |
$24.89 | 195 | 165 |
|
John Norman Gernert
105 Keith St Nw |
$14.21 | 213 | 178 |
|
Barton L Nakdimen
2415 Chambliss Ave Nw |
$37.63 | 237 | 214 |
|
Mary Michelle Youngblood
2085 Brentwood Trl Sw |
$36.94 | 242 | 187 |
|
Cynthia M. Niendorff
102 Dunhill Pl Nw |
$24.05 | 260 | 245 |
|
Michael L Noble
700 Paul Huff Pkwy Nw |
$25.31 | 265 | 210 |
|
Elizabeth W Goodwin
2415 Chambliss Ave Nw |
$57.38 | 275 | 246 |
|
Avan Jaff
1060 Peerless Xing Nw Ste 200 |
$22.61 | 294 | 202 |
|
Jennifer P Fontenot
2440 Julian Dr Ne |
$40.44 | 309 | 244 |
|
Daniel Barker
2700 Westside Dr Nw Ste 201 |
$72.30 | 327 | 292 |
|
James M Osborn
102 Dunhill Pl Nw |
$23.74 | 334 | 286 |
|
Jonathan Freese
2390 N Ocoee St |
$35.36 | 351 | 305 |
|
Jason Ronald Spangler
2400 N Ocoee St |
$14.52 | 356 | 268 |
|
Gregory Vanfossen
862 Callen Ln Nw |
$10.24 | 356 | 199 |
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