Average Medicaid Office Visit Payments in Dunlap, TN: $40.36
Avg. Paid
$40.36
Range
$2.58 – $82.32
Total Claims
24,923
Providers
16
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 Dunlap, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mitzi Serena Carrea
74 Wheeler Ridge Rd |
$25.32 | 26 | 12 |
|
Brian Post
15449 Rankin Ave |
$46.79 | 27 | 24 |
|
Karen Shepherd
170 Cherry St |
$12.45 | 32 | 29 |
|
Monty Cornell Long
86 Frontage Rd. |
$2.58 | 73 | 50 |
|
Ashley Shay Eaton
360 Dell Trl |
$44.20 | 100 | 95 |
|
Dana Dianne Lawson
15367 Rankin Ave |
$32.39 | 101 | 73 |
|
Caleb M May
29 Crestview Drive |
$14.81 | 130 | 69 |
|
Rochelle Kathleen Parks
15247 Rankin Ave. |
$47.98 | 136 | 123 |
|
Rupelin Pichot
67 Cates St |
$82.32 | 1,216 | 1,054 |
|
Kasey Leann Mills
7449 State Route 28 |
$41.81 | 1,409 | 1,249 |
|
Brett Aaron Cagle
65 Bluegrass Ln |
$42.21 | 2,011 | 1,473 |
|
Debora C Daniel
Po Box 1389 |
$27.10 | 2,540 | 1,993 |
|
James Andrew Layman
16931 Rankin Ave Ste B-100 |
$29.51 | 2,586 | 2,098 |
|
Mary E Baldwin
15115 Rankin Ave |
$39.29 | 3,924 | 3,365 |
|
Courtney R Robertson
7449 State Route 28 |
$41.56 | 4,803 | 4,191 |
|
George N. Graves
67 Cates Street |
$42.06 | 5,809 | 3,963 |
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 Dunlap, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dunlap, TN is $40.36 per claim, based on 24,923 claims from 16 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 Dunlap, TN?
There are 16 Medicaid providers offering Office Visit related services in Dunlap, TN according to public payment data.
What is the price range for Office Visit in Dunlap, TN?
Medicaid reimbursement for Office Visit in Dunlap, TN ranges from $2.58 to $82.32 per claim, with an average of $40.36. 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 Dunlap, TN
Non-Emergency Medical Transportation
Avg $4.35
173,372 claims
Ambulance Transport
Avg $13.00
94,596 claims
Personal Care Services
Avg $101.69
43,587 claims
Home Health Visit
Avg $66.40
27,469 claims
Physical Therapy
Avg $18.33
11,663 claims
Emergency Room Visit
Avg $75.07
8,941 claims
Eye Exam
Avg $41.95
8,783 claims
Blood Work & Lab Tests
Avg $3.55
7,467 claims