Average Medicaid Office Visit Payments in Fayetteville, TN: $41.55
Avg. Paid
$41.55
Range
$10.90 – $70.58
Total Claims
148,588
Providers
40
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 Fayetteville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bartie C Scott
207 Elk Ave S |
$30.83 | 37 | 28 |
|
Brittany Swinford
207 Elk Ave S |
$34.05 | 99 | 84 |
|
David R Mccauley
207 Elk Ave S |
$10.90 | 213 | 171 |
|
Yashwant P Patel
207 Elk Ave S |
$15.72 | 373 | 318 |
|
Michael P Loiacono
305 College St W |
$34.72 | 482 | 408 |
|
Michelle Angelica Guthrie
1321 Huntsville Hwy |
$60.32 | 512 | 488 |
|
William R Jones
207 Elk Ave S |
$12.57 | 526 | 451 |
|
Baylee Johnson
207 Elk Ave S |
$35.79 | 690 | 635 |
|
Crystal Baker English
18 Eldad Rd |
$32.49 | 995 | 836 |
|
Neila Susan Thompson
207 Elk Ave S |
$67.47 | 996 | 885 |
|
Sara Lane Stanly
207 Elk Ave S |
$36.09 | 1,020 | 920 |
|
Julie L Styles
1321 Huntsville Hwy |
$45.90 | 1,178 | 1,073 |
|
Amanda Bradley
207 Elk Ave S |
$50.85 | 1,315 | 1,105 |
|
Le Roy Gurganious
108 Medical Center Blvd |
$34.36 | 1,318 | 1,009 |
|
Larry Wayne Barnes
2330 Thornton Taylor Pkwy |
$15.06 | 1,483 | 1,196 |
|
Shelania May Fowler
1421 Huntsville Hwy |
$36.89 | 1,653 | 1,334 |
|
Deanna B Womble
4114 Thornton Taylor Pkwy |
$55.03 | 1,711 | 1,540 |
|
James A Gray
108 Medical Center Blvd |
$27.50 | 1,791 | 1,402 |
|
Lydia Adams
108 Medical Center Blvd Ste G-50 |
$26.37 | 1,997 | 1,467 |
|
William A Edwards
108 Medical Center Blvd |
$31.59 | 2,459 | 1,967 |
|
Caitlin Alyse Bradford
108 Medical Center Blvd |
$36.69 | 2,631 | 2,144 |
|
Katie Rosetta Hill
1 Franke Blvd |
$51.41 | 2,676 | 2,328 |
|
Martha Gitau
1321 Huntsville Hwy |
$48.06 | 2,735 | 2,349 |
|
Andrea Askins Thorpe
207 Elk Ave S |
$66.65 | 2,820 | 2,614 |
|
Charles Alexander Kidd
207 Elk Ave S |
$42.07 | 3,150 | 2,744 |
|
Sarah Moon Thelen
305 College St W |
$39.23 | 3,209 | 2,613 |
|
Kara L Hall
207 Elk Ave S |
$33.47 | 3,275 | 2,869 |
|
Danyeil Harvey
108 Medical Center Blvd Ste G50 |
$33.79 | 3,420 | 2,813 |
|
Lori Pigg
2241 Thornton Taylor Pkwy |
$70.58 | 3,655 | 2,253 |
|
William D Hughes
108 Medical Center Blvd |
$33.50 | 4,896 | 4,053 |
|
Christopher E Gafford
2320 Thornton Taylor Pkwy |
$27.75 | 5,196 | 4,473 |
|
Heather Kilpatrick Mcalister
2241 Thornton Taylor Pkwy |
$62.42 | 5,302 | 3,617 |
|
Paul D Sain
207 Elk Ave S |
$31.84 | 5,985 | 4,979 |
|
Melinda T Williams
18 Eldad Rd |
$36.54 | 6,826 | 5,072 |
|
Tiffany Forst
1321 Huntsville Hwy |
$50.03 | 6,828 | 5,516 |
|
William K Spears
207 Elk Ave S |
$44.54 | 7,346 | 6,130 |
|
Richard William Cline
108 Medical Center Blvd |
$35.38 | 10,013 | 7,896 |
|
William Daniel
106 Medical Center Blvd |
$49.32 | 10,111 | 8,315 |
|
Stacy Hancock
1321 Huntsville Hwy |
$43.10 | 15,372 | 13,582 |
|
Theresa T Morrison
10 Eldad Rd |
$38.78 | 22,294 | 18,227 |
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 Fayetteville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fayetteville, TN is $41.55 per claim, based on 148,588 claims from 40 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 Fayetteville, TN?
There are 40 Medicaid providers offering Office Visit related services in Fayetteville, TN according to public payment data.
What is the price range for Office Visit in Fayetteville, TN?
Medicaid reimbursement for Office Visit in Fayetteville, TN ranges from $10.90 to $70.58 per claim, with an average of $41.55. 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 Fayetteville, TN
Ambulance Transport
Avg $32.16
35,457 claims
Durable Medical Equipment (DME)
Avg $15.67
33,416 claims
Vaccines & Immunizations
Avg $15.28
20,632 claims
Behavioral & Mental Health Therapy
Avg $101.58
15,608 claims
Urinalysis & Urine Tests
Avg $1.96
9,803 claims
Psychiatric Evaluation
Avg $53.63
9,272 claims
Physical Therapy
Avg $17.30
7,229 claims
Blood Work & Lab Tests
Avg $9.35
6,915 claims