Average Medicaid Office Visit Payments in Dandridge, TN: $33.57
Avg. Paid
$33.57
Range
$13.33 – $313.84
Total Claims
44,223
Providers
19
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 Dandridge, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nancy Luongo Witherspoon
150 W Price Rd |
$23.91 | 8,369 | 6,556 |
|
Drew R. Moncrief
150 W Price Rd |
$24.59 | 6,531 | 4,915 |
|
Ashley Ann Greene
150 W Price Rd |
$47.85 | 5,600 | 4,782 |
|
David P Mcnabney
150 W Price Rd |
$18.51 | 4,147 | 3,163 |
|
Paul Michael Rice
150 W Price Rd |
$40.73 | 3,236 | 2,840 |
|
Kristin Leann Belcher
127 W Meeting St |
$52.24 | 3,180 | 2,493 |
|
Jessica W Duncan
3222 Chestnut Hill School Rd |
$43.44 | 2,936 | 2,626 |
|
Amanda Jeanette Thore
150 W Price Rd |
$44.30 | 2,316 | 1,970 |
|
Rual Swanson
150 W Price Rd |
$13.33 | 2,135 | 1,572 |
|
Kendal Wells Holbrook
150 W Price Rd |
$42.34 | 1,346 | 1,193 |
|
Denise S Abel
150 W Price Rd |
$38.22 | 1,153 | 1,018 |
|
Donna R Dillard
150 W Price Rd |
$14.65 | 1,014 | 760 |
|
Isaac Delano Blair
150 W Price Rd |
$39.96 | 817 | 700 |
|
Victoria Mckenzie Hale
150 W Price Rd |
$32.74 | 612 | 455 |
|
Barbara Acker Brock
931 Industrial Park Rd |
$52.90 | 352 | 329 |
|
Laura Purdom
150 W Price Rd |
$19.40 | 194 | 141 |
|
Dewayne Paschall Darby
150 W Price Rd |
$27.66 | 171 | 144 |
|
Teresa Beverly Griffin
314 E Meeting St |
$313.84 | 83 | 82 |
|
Taylor Nicole England-Wells
334 Highway 92 S Ste 7 |
$25.89 | 31 | 29 |
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 Dandridge, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dandridge, TN is $33.57 per claim, based on 44,223 claims from 19 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 Dandridge, TN?
There are 19 Medicaid providers offering Office Visit related services in Dandridge, TN according to public payment data.
What is the price range for Office Visit in Dandridge, TN?
Medicaid reimbursement for Office Visit in Dandridge, TN ranges from $13.33 to $313.84 per claim, with an average of $33.57. 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 Dandridge, TN
Ambulance Transport
Avg $31.42
71,383 claims
Nursing Facility Care
Avg $18.06
39,557 claims
Non-Emergency Medical Transportation
Avg $9.12
27,678 claims
Blood Work & Lab Tests
Avg $2.04
18,738 claims
Eye Exam
Avg $34.00
10,055 claims
Speech Therapy
Avg $24.55
7,312 claims
Physical Therapy
Avg $40.45
7,040 claims
Emergency Room Visit
Avg $105.76
3,662 claims