Average Medicaid Office Visit Payments in Dayton, TN: $37.30
Avg. Paid
$37.30
Range
$0.23 – $545.37
Total Claims
161,778
Providers
40
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 Dayton, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Timothy J Henry
7274 Rhea County Hwy |
$19.70 | 14 | 13 |
|
Ashley Engel
9400 Rhea County Hwy |
$54.84 | 14 | 13 |
|
Jeffery Alan Jones
9400 Rhea County Hwy |
$15.01 | 122 | 106 |
|
Lee Daniel Logan
8845 Rhea County Hwy |
$5.23 | 211 | 196 |
|
Diana Novakovic Kessler
195 White Oak Rd Ste 100 |
$29.06 | 245 | 174 |
|
Benjamin Edward Kellogg
301 White Oak Rd |
$61.35 | 255 | 231 |
|
Eve Raburn Wadzinski
149 Walnut Grove Church Rd |
$50.29 | 328 | 284 |
|
Roshney Thomas Puthankalam
7200 Rhea County Hwy |
$55.90 | 426 | 413 |
|
Craig Steven Swafford
9390 Rhea County Highway |
$67.53 | 440 | 376 |
|
Thomas P. Bovine
7794 Rhea County Hwy |
$8.26 | 538 | 340 |
|
Kathryn Orten
188 16Th Ave Ste 107 |
$31.83 | 830 | 692 |
|
Sharon G Anderson
455 Chickamauga Dr |
$36.17 | 1,066 | 804 |
|
James Morgan Freuler
149 Walnut Grove Church Road |
$545.37 | 1,095 | 841 |
|
Hailey K Liew
7794 Rhea County Hwy Ste 101 |
$38.94 | 1,241 | 1,007 |
|
Christopher Reynolds Horton
7693 Rhea County Hwy |
$22.01 | 1,246 | 978 |
|
Brooke Guthrie
9400 Rhea County Hwy # Er |
$32.27 | 1,267 | 952 |
|
Bill Nhung Q Vuong
260 16Th Ave |
$0.23 | 1,421 | 1,328 |
|
Lindsey Justice Pelfrey
149 Walnut Grove Church Rd |
$46.83 | 1,445 | 1,298 |
|
Katie Marie Swafford-Hartman
7693 Rhea County Hwy |
$32.25 | 1,465 | 1,188 |
|
Alexandra Hayden Bowman
188 16Th Ave Ste 107 |
$33.23 | 1,586 | 1,140 |
|
Amanda Staton White
500 Walnut Grove Rd |
$49.70 | 1,800 | 1,539 |
|
Julie Ann Walker
475 Tommy Dr |
$55.95 | 1,928 | 1,644 |
|
Jennifer Leigh Shaver
7794 Rhea County Hwy |
$34.00 | 2,231 | 1,789 |
|
Denise Williams
4589 Rhea County Hwy |
$27.24 | 2,468 | 1,555 |
|
Torben Svendsen
195 White Oak Road |
$32.42 | 2,643 | 2,246 |
|
Kindall Billingsley
3405 Rhea County Hwy |
$54.92 | 2,941 | 2,603 |
|
Claire Williams Higginbotham
3405 Rhea County Hwy |
$47.08 | 3,025 | 2,384 |
|
Christina Lequan
260 16Th Ave |
$16.89 | 3,410 | 2,742 |
|
Jacqueline Heather Edleblute
9400 Rhea County Hwy |
$40.53 | 3,416 | 3,003 |
|
Ian Luke Andrews
7693 Rhea County Hwy |
$44.53 | 3,866 | 3,373 |
|
Nina Michelle Cavitt
8845 Rhea County Hwy |
$36.48 | 5,117 | 3,649 |
|
Olusina Adewale
7693 Rhea County Hwy |
$41.75 | 5,448 | 4,764 |
|
Katie Lauren Cardwell
7693 Rhea County Hwy Ste 1 |
$48.40 | 5,489 | 4,764 |
|
Stephanie Lynne Mueller
7693 Rhea County Hwy Ste 1 |
$45.69 | 5,847 | 4,947 |
|
Sarah Parker
4589 Rhea County Hwy |
$7.00 | 6,220 | 2,314 |
|
Hak Sok Seo
188 16Th Ave |
$23.48 | 15,031 | 11,039 |
|
Lacy C. Kinney
149 Walnut Grove Church Rd |
$44.56 | 15,517 | 13,641 |
|
Olivia Susan Wilkinson
7200 Rhea County Hwy |
$43.87 | 15,964 | 12,484 |
|
Gary Chase Black
9400 Rhea County Hwy |
$17.09 | 21,761 | 19,406 |
|
James D Nelson
149 Walnut Grove Church Rd |
$34.86 | 22,401 | 18,856 |
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 Dayton, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dayton, TN is $37.30 per claim, based on 161,778 claims from 40 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 Dayton, TN?
There are 40 Medicaid providers offering Office Visit related services in Dayton, TN according to public payment data.
What is the price range for Office Visit in Dayton, TN?
Medicaid reimbursement for Office Visit in Dayton, TN ranges from $0.23 to $545.37 per claim, with an average of $37.30. 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 Dayton, TN
Emergency Room Visit
Avg $93.75
77,072 claims
Blood Work & Lab Tests
Avg $3.46
75,334 claims
Vaccines & Immunizations
Avg $13.55
45,902 claims
Physical Therapy
Avg $15.19
23,093 claims
Ambulance Transport
Avg $64.50
21,692 claims
Urinalysis & Urine Tests
Avg $1.69
20,960 claims
EKG / ECG (Electrocardiogram)
Avg $3.29
12,670 claims
Psychiatric Evaluation
Avg $25.87
12,531 claims