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
Sydney Johnson 1500 W Elk Ave	$19.99	15	13
David S Saunders 1497 West Elk Ave	$75.25	41	40
Kimberly Owens 1500 W Elk Ave	$34.08	42	32
Vivian M Clark 1503 W Elk Ave	$6.03	47	43
Arnold O Hopland 1500 W Elk Ave	$40.02	69	65
Jonathan Scott Bremer 1503 W Elk Ave	$6.16	77	69
Tammy Holsclaw-Jones Od Pllc 210 Rogosin Dr	$25.97	80	66
Medical Care Pllc 1500 W Elk Ave	$21.05	80	65
Warren L Stevens 414 Northeast St	$52.01	81	65
James Lee Davenport 306 Pine Hill Rd	$32.10	108	96
Kansas Jessee Krabbe 1501 W Elk Ave	$41.42	117	105
Lauren Dotson 414 Northeast St	$54.57	120	117
Rebecca Morris 1500 W Elk Ave	$32.58	130	128
Grace Reddick Gerlock Boerma 1500 W Elk Ave	$32.69	156	145
Millicent Danielle Combs 1500 W Elk Ave	$44.59	159	140
Teresa L Payne 1500 W Elk Ave	$31.27	161	120
Robert Edmund Walter 1505 W Elk Ave	$8.79	207	164
Rebekah J Cote 1500 W Elk Ave	$34.65	312	259
John R Testerman 1500 W Elk Ave	$20.54	328	271
Sheryl D Pack 1497 W Elk Ave	$19.13	441	361
John Paul Blakley 1500 W Elk Ave	$42.01	493	336
Michael Sean Luedeman 1505 W Elk Ave Ste 2	$20.55	561	418
Jessica Nichole Jones 1505 W Elk Ave Ste 1	$44.42	653	595
Derek Charles Rhoton 1500 W Elk Ave Ste 102	$24.52	699	601
Abigail Gass 1503 W Elk Ave Ste 5	$13.53	709	531
Christine Marie Sager 1505 W Elk Ave Ste 1	$41.78	714	592
Scott E May 923 W G St	$33.84	870	834
Katie M Skiera 426 E G St	$40.89	891	540
Brooke Nicole Jones-Cannon 210 Rogosin Dr	$17.45	901	581
Emily B. Hill 1500 W Elk Ave	$47.65	903	803
Donald Frederick Thompson 314 Rogosin Dr	$51.80	908	805
Rebecca P Wilkins 1505 W Elk Ave	$29.11	925	806
Sabaina Arshad 1505 W Elk Ave Ste 2	$51.88	963	760
Rebecca R Powers 117 E F St	$26.62	1,082	929
Sheila M Shepherd 404 Bemberg Rd	$54.10	1,331	1,259
Michelle Lee Davenport 306 Pine Hill Rd	$31.63	1,381	1,171
Rebekah Livingston Swink 1505 W Elk Ave	$27.80	1,597	1,207
Whitney Deeanne Hollifield 1503 W Elk Ave Ste 12	$23.73	1,638	1,382
Katrina D Edwards 1501 W Elk Ave	$26.31	1,742	1,313
Timothy Brad Wood 1505 W Elk Ave Ste 1	$41.22	1,756	1,444
Amanda R Lingerfelt 106 Rogosin Dr Ste 4	$40.24	1,839	1,503
Andrew Stephen May 1200 Spruce Ln	$15.30	1,930	1,729
Rachel M Hecht 2606 Beechwood Dr	$42.71	1,981	1,704
Alison Grace Cronin 1505 W Elk Ave Ste 1	$36.75	2,008	1,683
Tammy M Wilhoit 314 Rogosin Dr	$35.46	2,009	1,749
Sudha Raj Kumar 1500 W Elk Ave	$42.98	2,065	1,862
Blue Ridge Medical Management Corporation 1497 W Elk Ave	$59.33	2,102	1,908
Tara Drinnon 1500 W Elk Ave	$47.04	2,245	1,991
Thomas Isaac Young 1500 W Elk Ave	$51.93	2,381	2,197
Celesta V Kirk 1497 W Elk Ave	$47.06	2,484	2,187

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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