Average Medicaid Office Visit Payments in Erwin, TN: $39.80
Avg. Paid
$39.80
Range
$12.49 – $65.89
Total Claims
79,081
Providers
21
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 Erwin, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert W Lawson
800 S Mohawk Dr |
$51.03 | 18,656 | 16,198 |
|
Jason A Colinger
105 Gay St |
$36.59 | 11,024 | 9,064 |
|
Shanna B Peterson
1201 N Main Ave |
$29.98 | 7,637 | 6,693 |
|
Laura Robyn Cox
631 Sinasta Dr |
$12.49 | 6,177 | 3,953 |
|
Mary Beth Byrd
108 Gay St |
$21.12 | 6,135 | 4,698 |
|
Amanda Johnson
1112 N Main Ave |
$59.55 | 5,271 | 4,265 |
|
Curtis Wayne Gibson
1826 N Main Ave |
$52.47 | 4,686 | 4,095 |
|
Harold Lance Debord
800 S Mohawk Dr Ste E |
$48.20 | 4,108 | 3,717 |
|
Charles G Miller
500 Love St |
$26.49 | 3,745 | 3,247 |
|
Travis Darrell Hughes
800 S Mohawk Dr Ste E |
$51.23 | 2,423 | 2,244 |
|
Kimberly Dawn Holtsclaw
1826 N Main Ave |
$34.95 | 1,471 | 1,301 |
|
Rebecca Sacora
2030 Temple Hill Rd Ste B |
$30.62 | 1,456 | 1,015 |
|
Gary L Lloyd
1826 N Main Ave |
$51.34 | 1,320 | 1,249 |
|
Eric Nathan Carter
1826 N Main Ave |
$31.18 | 1,073 | 896 |
|
Urgent Care Of Erwin, Llc
800 S Mohawk Dr |
$65.11 | 980 | 868 |
|
Brooklyn Whitson
500 Love St |
$13.34 | 919 | 737 |
|
Alexis Sierra Foster
953 Prince Ave |
$64.09 | 713 | 678 |
|
Jewel Renea Davis
1826 N Main Ave |
$36.21 | 691 | 562 |
|
Sarah Buchanan
105 Gay St |
$50.44 | 460 | 410 |
|
Darik Shane Barger
1112 N Main Ave |
$65.89 | 112 | 110 |
|
William James Aderhold
105 Gay St |
$36.60 | 24 | 21 |
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 Erwin, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Erwin, TN is $39.80 per claim, based on 79,081 claims from 21 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 Erwin, TN?
There are 21 Medicaid providers offering Office Visit related services in Erwin, TN according to public payment data.
What is the price range for Office Visit in Erwin, TN?
Medicaid reimbursement for Office Visit in Erwin, TN ranges from $12.49 to $65.89 per claim, with an average of $39.80. 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 Erwin, TN
Nursing Facility Care
Avg $4.54
19,136 claims
Ambulance Transport
Avg $25.01
18,886 claims
Blood Work & Lab Tests
Avg $2.35
17,177 claims
Emergency Room Visit
Avg $76.42
13,649 claims
Durable Medical Equipment (DME)
Avg $14.64
11,930 claims
Home Health Visit
Avg $54.37
11,087 claims
Physical Therapy
Avg $21.52
6,323 claims
Psychiatric Evaluation
Avg $52.33
5,390 claims