Average Medicaid Office Visit Payments in Fairview, TN: $41.78
Avg. Paid
$41.78
Range
$31.59 – $51.55
Total Claims
33,193
Providers
12
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 Fairview, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Patrick Fair
2377 Fairview Blvd |
$40.45 | 65 | 52 |
|
Sandra Sue Jones
2727 Fairview Blvd |
$51.08 | 352 | 289 |
|
Anne-Drew Meggs Bullard
2377 Fairview Blvd |
$50.67 | 669 | 633 |
|
Kyndall Leigh Petry
2340 Fairview Blvd Ste 600D |
$31.59 | 1,148 | 952 |
|
Katie Elizabeth Barnes
2340 Fairview Blvd |
$34.32 | 1,377 | 1,130 |
|
Christina M Wilson
2340 Fairview Blvd Ste 100 |
$39.16 | 1,995 | 1,706 |
|
Frances Elaine Hibbs
7100 Adams St. |
$44.06 | 3,116 | 2,620 |
|
Julie Wilson
2377 Fairview Blvd |
$49.65 | 3,609 | 3,061 |
|
Tina Franco
2377 Fairview Blvd |
$51.55 | 3,635 | 3,194 |
|
Lauren Barrera Judkins
2377 Fairview Blvd |
$45.96 | 4,190 | 3,464 |
|
Savita Leanne Fanta
2340 Fairview Blvd Ste 600D |
$32.03 | 6,119 | 4,666 |
|
Daniel J Sherwood
2340 Fairview Blvd Ste 100 |
$40.19 | 6,918 | 5,165 |
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 Fairview, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fairview, TN is $41.78 per claim, based on 33,193 claims from 12 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 Fairview, TN?
There are 12 Medicaid providers offering Office Visit related services in Fairview, TN according to public payment data.
What is the price range for Office Visit in Fairview, TN?
Medicaid reimbursement for Office Visit in Fairview, TN ranges from $31.59 to $51.55 per claim, with an average of $41.78. 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 Fairview, TN
Physical Therapy
Avg $14.96
8,729 claims
Blood Work & Lab Tests
Avg $1.81
4,339 claims
Dental Cleaning & Exam
Avg $31.47
3,428 claims
Vaccines & Immunizations
Avg $17.08
3,109 claims
Psychiatric Evaluation
Avg $32.42
1,583 claims
Emergency Room Visit
Avg $88.00
1,582 claims
Prescription Medications
Avg $1.42
1,155 claims
Urinalysis & Urine Tests
Avg $1.24
919 claims