Based on public Medicaid payment data.

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
Ahsen Raza Chaudhry 49 Cleveland St Ste 340	$37.33	14	12
Kenneth R Lister 49 Cleveland St Ste 230	$3.69	14	14
Steven Pribanich 57 W Adams St	$35.11	15	14
Ronald Brunk 820 N Main St	$8.55	15	14
Kailey Thomas Boynton 15 Iris Ln	$19.27	15	12
Alasondra Diana Freeborn 33 W Adams St	$15.30	29	24
Patrick William Stull 1364 Interstate Dr	$18.99	33	15
Adrian Vinas 35 Taylor Ave	$29.32	37	33
Paul Edward Henson 49 Cleveland St Ste 350	$6.27	38	28
Christine K. Pham 2995 Miller Ave	$30.32	40	30
Elena Cravens 100 Lantana Rd Ste 202	$47.86	42	27
Justin Cody Bell 29 Taylor Ave	$1.27	46	39
Emily Michele Watson 40 Elmo Dr	$35.71	46	42
Jana Brielle Lack 118 Brown Ave Ste 103	$15.50	55	39
Gary Allan Wikert 29 Taylor Ave	$15.76	58	58
David E Haverly 3106 Miller Ave Ste 102	$8.89	63	53
Katherine Stone Charnley 1645 S Main St Ste 101	$43.82	73	63
Cory J. Bosanko 39 Lantana Rd	$24.89	75	68
State Of Tennessee 1503 South Main Street	$42.44	79	67
Jill Wallner 58 W First St	$7.77	99	75
Suzanne K Berman 3234 Miller Ave	$43.63	124	111
Abigail Sells 100 Lantana Rd Ste 202	$4.46	136	118
Stacey B Carlton 229 Interstate Dr Ste 105	$19.68	139	104
Megan E Huddleston 1264 Dayton Ave Ste 1	$25.30	140	126
Courtney Freels 229 Interstate Dr Ste 103	$57.30	164	159
Justin Kindrick 42 Dooley Street	$2.57	166	154
Sean Edward Smithey 106 Henry Ave	$16.24	181	167
Amanda Marie Kelly 1846 S Main St	$1.02	183	126
Kimberly Ann Boring 194 Cleveland St	$0.00	192	175
Michael Dale Perrigan 73 Old West Adams St	$22.99	211	166
Thomas E Clayton 1645 S Main St	$10.79	216	206
William M. Young 49 Cleveland St Ste 350	$11.18	246	208
William Harelson 42 Dooley St	$60.74	268	233
Celeste Hope Stone 132 Stonehenge Dr	$10.75	285	155
Luisa T Manestar 1645 S Main St	$3.07	317	303
Allison Marie Simms 1645 S Main St Ste 101	$58.49	322	260
William P Dutton 124 Hayes St	$10.88	415	328
Gary Nelson Morris 100 Lantana Rd	$27.73	479	408
Paul Clifford Black 100 Lantana Rd Ste 202	$165.96	531	362
Karen Marion Thrasher 100 Lantana Rd Ste 202	$39.89	563	430
Randall Jay Crawford 1364 Interstate Dr	$48.88	630	476
Vincent B Longobardo 19 Miracle Ln	$19.09	669	470
Beverly Joan Gardner 131 S Webb Ave	$14.91	701	570
Larry E. Patterson 15 Iris Ln	$9.75	702	611
Kimberly S Peaslee 1645 S Main St	$6.05	708	651
Brad Leath 2995 Miller Ave	$28.71	784	642
Christopher M Bell 124 Hayes St	$10.95	793	632
Brooklyn Lowe 665 N Main St	$45.68	798	714
Carissa Beth Cooper 100 Lantana Rd Ste 202	$28.93	803	595
Ashley Renee Reagan 118 Brown Ave	$32.08	867	621

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.

Average Medicaid Office Visit Payments in Crossville, TN: $35.12

Providers Offering Office Visit in Crossville, TN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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