Average Medicaid Office Visit Payments in Crossville, TN: $35.12
Avg. Paid
$35.12
Range
$0.00 – $165.96
Total Claims
447,797
Providers
122
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 Crossville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mary Christina Carter
49 Cleveland St Ste 210 |
$11.21 | 40,721 | 4,002 |
|
Paige Pernell
42 Dooley St |
$37.26 | 31,246 | 23,651 |
|
Mohammad Hassan Koucheki
40 Elmo Dr |
$43.70 | 27,235 | 19,190 |
|
Robert J Berman
3234 Miller Avenue |
$42.24 | 17,018 | 15,008 |
|
William Flowers
665 N Main St |
$25.52 | 15,916 | 13,583 |
|
Kristel L Hassler
3234 Miller Avenue |
$47.51 | 15,741 | 13,558 |
|
Kristin L Steele
3234 Miller Ave |
$47.27 | 14,961 | 12,945 |
|
Christine Reed
3234 Miller Ave |
$45.83 | 13,344 | 11,742 |
|
Lauren Elizabeth Fox-Bergvin
3234 Miller Ave |
$48.25 | 12,988 | 10,978 |
|
Amanda Derise-Jewell
4325 Highway 127 N |
$44.40 | 12,336 | 8,496 |
|
Callie H Duncan
3234 Miller Ave |
$45.26 | 11,494 | 10,551 |
|
Kelly Borden
100 Lantana Rd Ste 202 |
$30.98 | 10,266 | 8,095 |
|
Sheila R Blalock
4147 Highway 127 N Ste 102 |
$46.76 | 10,176 | 8,653 |
|
Douglas Ray Carpenter
100 Lantana Road |
$42.29 | 9,656 | 7,280 |
|
Sivalingam Kanagasegar
49 Cleveland St |
$16.35 | 8,380 | 6,487 |
|
Kendra Norris
1503 S Main St |
$50.70 | 7,687 | 6,258 |
|
Elias Abou-Zeid
49 Cleveland St Ste 210 |
$42.90 | 7,472 | 5,863 |
|
Dirk C Davidson
33 W Adams St |
$15.70 | 7,429 | 6,322 |
|
Charles Olsen
63 Taylor Ave |
$31.00 | 7,372 | 6,462 |
|
Kerri M Powell
3234 Miller Ave |
$43.81 | 7,353 | 6,562 |
|
Jonathan William Hafner
49 Cleveland St Ste 220 |
$54.58 | 7,209 | 6,345 |
|
William Edward Smith
2995 Miller Ave |
$26.57 | 7,033 | 5,912 |
|
Rebecca Trangco-Evans
49 Cleveland St Ste 230 |
$30.28 | 6,496 | 5,406 |
|
James S Johnson
4147 Highway 127 N Ste 102 |
$35.68 | 5,966 | 5,205 |
|
Brooke K Wright
3234 Miller Ave |
$43.45 | 5,782 | 4,868 |
|
Dustin J Moss
229 Interstate Dr |
$52.77 | 5,302 | 4,823 |
|
Kimberly M Johnson
49 Cleveland St |
$27.57 | 5,075 | 4,343 |
|
Yolanda Hohimer
4147 Highway 127 N Ste 102 |
$35.89 | 4,999 | 4,430 |
|
Hannah Megan Sherrod
665 N Main St |
$57.22 | 4,234 | 3,738 |
|
Casey Dillon
29 Taylor Ave |
$26.50 | 4,070 | 3,016 |
|
Wanda Jean Price
229 Interstate Dr |
$37.46 | 3,919 | 3,578 |
|
Richard Matthew Buurman
1645 S Main St |
$17.24 | 3,852 | 3,288 |
|
Rebecca L Swafford
4147 Highway 127 N Ste 102 |
$49.34 | 3,749 | 3,089 |
|
Linnea Desiree Marchand
13 Bob Tollett Loop |
$44.73 | 3,723 | 3,032 |
|
Jerry Pernell
42 Dooley St |
$31.40 | 3,640 | 2,570 |
|
Robbie R. Smith
100 Lantana Rd Ste 202 |
$28.27 | 3,540 | 2,670 |
|
Garland A Wilson
100 Lantana Rd |
$43.30 | 3,392 | 3,144 |
|
Chad Alan Conatser
131 S Webb Ave |
$13.90 | 3,165 | 2,491 |
|
Ashley D Hinds
60 Crossville Medical Dr |
$42.69 | 3,022 | 2,803 |
|
Tiffany D Yeargan
3234 Miller Ave |
$44.26 | 2,920 | 2,610 |
|
Darren E Barton
118 Brown Ave Ste 103 |
$40.79 | 2,808 | 2,165 |
|
Michael David Patterson
15 Iris Ln |
$13.04 | 2,660 | 2,172 |
|
Dale Cuva
58 W First St |
$21.28 | 2,648 | 1,938 |
|
Lia C Boyanton
100 Lantana Rd Ste 202 |
$30.47 | 2,637 | 1,919 |
|
Mark Neal Hendrixson
707 S Main St |
$18.93 | 2,571 | 2,313 |
|
Tyler G Gunderson
118 Brown Ave Ste 103 |
$29.34 | 2,397 | 1,772 |
|
Adaya Alexandra Bayless
3234 Miller Ave |
$41.05 | 2,342 | 1,932 |
|
Wendy Stout Henderson
49 Cleveland St Ste 200 |
$34.16 | 2,337 | 2,008 |
|
Julie Fossett
100 Lantana Rd Ste 202 |
$26.48 | 2,206 | 1,513 |
|
Patricia Mae Roysden
665 N Main St |
$53.05 | 2,149 | 1,906 |
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 Crossville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Crossville, TN is $35.12 per claim, based on 447,797 claims from 122 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 Crossville, TN?
There are 122 Medicaid providers offering Office Visit related services in Crossville, TN according to public payment data.
What is the price range for Office Visit in Crossville, TN?
Medicaid reimbursement for Office Visit in Crossville, TN ranges from $0.00 to $165.96 per claim, with an average of $35.12. 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 Crossville, TN
Vaccines & Immunizations
Avg $13.98
145,037 claims
Blood Work & Lab Tests
Avg $3.58
92,781 claims
Physical Therapy
Avg $25.78
73,753 claims
Ambulance Transport
Avg $45.05
70,645 claims
Dental Cleaning & Exam
Avg $31.93
66,718 claims
Durable Medical Equipment (DME)
Avg $19.09
51,703 claims
Eye Exam
Avg $29.66
46,170 claims
Emergency Room Visit
Avg $92.29
29,238 claims