Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Elizabethton, TN: $38.02

Avg. Paid

$38.02

Range

$6.03 – $75.25

Total Claims

215,629

Providers

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 Elizabethton, TN

Provider	Avg. Paid	Claims	Patients
Scott O Caudle 1503 W Elk Ave	$22.40	12,980	6,985
Susan Lyasko Klugewicz 1500 W Elk Ave	$49.85	10,777	9,895
Leah R Higginbotham 1503 W Elk Ave Ste 12	$47.22	9,551	8,376
Kenneth M Hopland 1500 W Elk Ave	$31.83	8,680	7,701
Bobby Dean Reynolds 1503 W Elk Ave	$33.23	8,447	6,797
Jill Lyn Newton 426 E G St	$36.84	8,221	6,302
Tammy L Kitchens 1503 W Elk Ave	$45.98	8,021	6,913
Laurie E Trosin 1503 W Elk Ave Ste 12	$43.95	7,657	6,575
Aly A. Bassal 1000 W G St	$30.32	7,324	5,641
Trever Weaver 1500 W Elk Ave	$39.33	6,621	6,041
Jessica D Lane 1500 W Elk Ave	$49.15	6,434	5,894
Julieanne Davis 1500 W Elk Ave	$57.41	6,273	5,494
James M Shipley 1497 W Elk Ave	$42.74	5,941	5,147
Ryan Andrew Hackett 1505 W Elk Ave	$28.54	5,795	4,562
Christina K Hammonds 1497 W Elk Ave Ste 11	$52.32	5,352	4,690
Diane Lynn Roche 1500 W Elk Ave	$37.39	5,308	4,826
William Allan Garrett 1500 W Elk Ave	$39.73	4,747	4,080
Buddy J Clayton 1497 W Elk Ave	$34.53	4,013	3,389
Craig D Schmalzried 1505 W Elk Ave Ste 2	$24.34	3,908	2,987
Audrey Laney 1500 W Elk Ave	$35.45	3,788	3,451
John David Green 1505 W Elk Ave	$32.87	3,582	2,885
Emily Morefield 209 Constitution Ave	$42.40	3,543	3,261
Alainya Hare 2216 W G St	$8.86	3,540	3,166
Sukhvir Singh 1505 W Elk Ave Ste 1	$48.32	3,411	2,911
Kimberly Annette Nielsen 314 Rogosin Dr	$33.70	3,136	2,736
Brenda Jane Crowder 1500 W Elk Ave	$37.59	2,941	2,465
Megan D Johnson 1497 W Elk Ave	$22.73	2,816	2,199
Kristie Gail Smith 1500 W Elk Ave	$42.74	2,785	2,478
Prabha Jaishwal Long 1505 W Elk Ave Ste 2	$24.37	2,775	2,200
Rebecca Lynn Walker 1503 W Elk Ave Ste 12	$45.49	2,730	2,091
Celesta V Kirk 1497 W Elk Ave	$47.06	2,484	2,187
Thomas Isaac Young 1500 W Elk Ave	$51.93	2,381	2,197
Tara Drinnon 1500 W Elk Ave	$47.04	2,245	1,991
Blue Ridge Medical Management Corporation 1497 W Elk Ave	$59.33	2,102	1,908
Sudha Raj Kumar 1500 W Elk Ave	$42.98	2,065	1,862
Tammy M Wilhoit 314 Rogosin Dr	$35.46	2,009	1,749
Alison Grace Cronin 1505 W Elk Ave Ste 1	$36.75	2,008	1,683
Rachel M Hecht 2606 Beechwood Dr	$42.71	1,981	1,704
Andrew Stephen May 1200 Spruce Ln	$15.30	1,930	1,729
Amanda R Lingerfelt 106 Rogosin Dr Ste 4	$40.24	1,839	1,503
Timothy Brad Wood 1505 W Elk Ave Ste 1	$41.22	1,756	1,444
Katrina D Edwards 1501 W Elk Ave	$26.31	1,742	1,313
Whitney Deeanne Hollifield 1503 W Elk Ave Ste 12	$23.73	1,638	1,382
Rebekah Livingston Swink 1505 W Elk Ave	$27.80	1,597	1,207
Michelle Lee Davenport 306 Pine Hill Rd	$31.63	1,381	1,171
Sheila M Shepherd 404 Bemberg Rd	$54.10	1,331	1,259
Rebecca R Powers 117 E F St	$26.62	1,082	929
Sabaina Arshad 1505 W Elk Ave Ste 2	$51.88	963	760
Rebecca P Wilkins 1505 W Elk Ave	$29.11	925	806
Donald Frederick Thompson 314 Rogosin Dr	$51.80	908	805

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 Elizabethton, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elizabethton, TN is $38.02 per claim, based on 215,629 claims from 80 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 Elizabethton, TN?

There are 80 Medicaid providers offering Office Visit related services in Elizabethton, TN according to public payment data.

What is the price range for Office Visit in Elizabethton, TN?

Medicaid reimbursement for Office Visit in Elizabethton, TN ranges from $6.03 to $75.25 per claim, with an average of $38.02. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Elizabethton, TN: $38.02

Providers Offering Office Visit in Elizabethton, TN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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