Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Covington, TN: $37.38

Avg. Paid

$37.38

Range

$2.11 – $62.58

Total Claims

136,947

Providers

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 Covington, TN

Provider	Avg. Paid	Claims	Patients
Saint Francis Physician Network, Llc 4501 Mueller Brass Rd	$45.72	21	16
Samuel Lee Broffitt 1995 Highway 51 S	$2.11	26	25
James William Martin 1995 Highway 51 S	$23.12	32	29
Abbas Mirza 1995 Highway 51 S	$13.23	90	37
Savanna Leigh Freeman 1618 Highway 51 S Ste G	$20.55	222	146
Liova E Rivera-Garcia 1999 Highway 51 S	$34.49	256	239
Professional Care Services Of West Tn, Inc. 1997 Highway 51 S	$37.93	289	264
Kayla Tiara Mcmorise 1995 Highway 51 S	$62.58	367	307
Debra Lee Delones 1618 Highway 51 S Ste G	$28.60	415	352
Sarah Lynn Green 1999 Highway 51 South	$49.43	417	357
Stephanie Castro Tims 1995 Highway 51 S	$32.71	513	463
Richard P. Guerrant 1995 Highway 51 S	$13.67	551	414
Karen Louise Martin 1995 Highway 51 S	$26.50	794	645
Jennifer Leigh Easley 1618 Highway 51 S	$31.44	977	828
Ethel B. Spivey 1997 Highway 51 S	$38.58	1,108	893
Baptist Memorial Hospital-Tipton 1995 Highway 51 S	$7.77	1,532	841
Nicole Renee Mclemore 1997 U.S. 51 S	$45.93	2,207	1,612
Jeremy Ray Hubbard 728 W Sherrod Ave	$28.93	2,990	2,439
Christen Carter 1997 Highway 51 S	$45.01	3,372	2,394
Sandra Dennis 1999 Highway 51 S	$38.50	4,133	3,733
Tammy B Billings 4049 Mt Carmel Rd	$50.07	4,190	3,544
Robyn Y. Vanderford 899 Highway 51 S	$35.70	4,666	3,487
Sarah Dietrich 1997 Highway 51 S	$39.11	5,536	4,724
Joseph Andrew Freeman 1995 Highway 51 S Ste 204	$30.82	5,882	4,385
Karen Ann Armour 728 W Sherrod Ave	$32.78	8,171	6,267
John Richard Janovich 1995 Highway 51 S	$29.69	8,438	5,380
Madison Wallace 1995 Highway 51 S Ste 204	$51.35	8,759	7,179
Lusia Cristina Filetti 1995 Highway 51 South	$42.49	9,760	7,748
Connie A Reaves 899 Highway 51 S	$34.73	10,004	8,350
Alam Sharifi 1997 Highway 51 S	$39.32	10,718	9,034
Christy Taylor Goforth 1997 Highway 51 S	$48.87	11,408	9,066
Anne Marie Griffin 1997 Highway 51 South	$38.02	12,084	10,213
Modeanna Leigh Wade 899 Highway 51 S	$27.23	17,019	12,043

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 Covington, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Covington, TN is $37.38 per claim, based on 136,947 claims from 33 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 Covington, TN?

There are 33 Medicaid providers offering Office Visit related services in Covington, TN according to public payment data.

What is the price range for Office Visit in Covington, TN?

Medicaid reimbursement for Office Visit in Covington, TN ranges from $2.11 to $62.58 per claim, with an average of $37.38. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Covington, TN: $37.38

Providers Offering Office Visit in Covington, TN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Covington, TN

Case Management Services

Home Health Visit

Non-Emergency Medical Transportation

Personal Care Services

Blood Work & Lab Tests

Emergency Room Visit

Psychiatric Evaluation

Ambulance Transport