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Based on public Medicaid payment data.

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

Other Procedures in Dayton, TN