Average Medicaid Office Visit Payments in Germantown, TN: $47.56
Avg. Paid
$47.56
Range
$0.00 – $155.75
Total Claims
547,470
Providers
333
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 Germantown, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shiva Shankar Natarajan
7645 Wolf River Cir |
$60.11 | 35,389 | 31,693 |
|
Apurva Rashmikant Dalal
7656 Poplar Pike |
$45.49 | 32,079 | 18,675 |
|
Stern Cardiovascular Foundation, Inc
8060 Wolf River Blvd |
$9.88 | 20,129 | 12,879 |
|
Jaya Venkataraman
3180 Professional Plaza |
$43.48 | 19,868 | 15,163 |
|
John Carl Hyden
1400 S Germantown Rd |
$85.91 | 11,350 | 8,748 |
|
Rance Ballard Wilbourn
2215 West St Ste 100 |
$37.51 | 8,556 | 6,852 |
|
William C Warner
1400 S Germantown Rd |
$84.35 | 7,934 | 7,099 |
|
Arun Solanki
7645 Wolf River Cir |
$69.54 | 7,682 | 7,329 |
|
Gastroenterology Center Of The Midsouth Pllc
8000 Wolf River Blvd Ste 200 |
$8.96 | 7,059 | 4,706 |
|
The West Clinic, Pllc
7945 Wolf River Blvd |
$16.05 | 6,953 | 5,505 |
|
Louis Caruso
8060 Wolf River Blvd |
$19.15 | 6,623 | 5,161 |
|
Jeffrey R Sawyer
1400 S Germantown Rd |
$117.43 | 6,356 | 5,628 |
|
Robert K Heck
1400 S Germantown Rd |
$61.89 | 6,134 | 4,763 |
|
Frederick M Azar
1400 S Germantown Rd |
$91.10 | 6,037 | 4,956 |
|
Joseph Murphy Gleason
1325 Wolf Park Dr Ste 102 |
$120.73 | 5,948 | 5,486 |
|
John D Dockery
1400 S Germantown Rd |
$80.77 | 5,764 | 4,613 |
|
Ashley L Park
1400 S Germantown Rd |
$85.41 | 5,709 | 4,530 |
|
Sailaja Raju
1941 S Germantown Rd Ste 103 |
$38.27 | 5,277 | 4,110 |
|
Syed Sameer Nasir
7945 Wolf River Blvd |
$31.49 | 5,199 | 4,237 |
|
Tunja Rash
7691 Poplar Ave |
$54.25 | 5,093 | 4,265 |
|
Vanessa Givens
7800 Wolf Trail Cv |
$89.38 | 5,067 | 4,116 |
|
Jennifer Mitchell Miller
2120 Exeter Rd Ste 250 |
$56.60 | 5,025 | 4,090 |
|
Norfleet Buckner Thompson
1400 S Germantown Rd |
$51.44 | 4,931 | 3,832 |
|
Darel Louis Davis
8040 Wolf River Blvd Ste 103 |
$63.98 | 4,899 | 4,383 |
|
William Clay Jackson
7945 Wolf River Blvd |
$36.88 | 4,676 | 3,581 |
|
Thomas Warren Ratliff
7945 Wolf River Blvd |
$36.09 | 4,468 | 3,715 |
|
Gang Gary Tian
7945 Wolf River Boulevard |
$43.33 | 4,390 | 3,521 |
|
Wesley Owen
1400 S Germantown Rd |
$94.06 | 4,333 | 3,476 |
|
Kimberly M Randolph
3180 Professional Plz |
$42.38 | 4,260 | 3,019 |
|
Bradley G Somer
7945 Wolf River Blvd |
$28.74 | 4,244 | 3,305 |
|
Lauren Hill
1400 S Germantown Rd |
$67.34 | 4,055 | 3,557 |
|
Tammy H Heinly Mcculley
7205 Wolf River Blvd |
$39.79 | 3,946 | 3,519 |
|
Lori Elise Shenep
1255 S Germantown Rd |
$44.40 | 3,943 | 3,616 |
|
Gregory Vidal
7945 Wolf River Blvd |
$42.88 | 3,922 | 3,024 |
|
Telisha Dixon
7691 Poplar Ave |
$22.82 | 3,894 | 2,863 |
|
Albert Earle Weeks
7655 Poplar Ave Ste 340 |
$30.09 | 3,830 | 3,270 |
|
Courtney Brooke Shires
7945 Wolf River Blvd |
$32.22 | 3,746 | 2,894 |
|
Jennifer Haaga Berger
1255 S Germantown Rd |
$51.40 | 3,664 | 3,370 |
|
Jason C Chandler
7945 Wolf River Boulevard |
$28.78 | 3,596 | 2,547 |
|
Mohammad Reza Rafieetary
1432 Kimbrough Rd |
$17.07 | 3,584 | 3,062 |
|
James H Beaty
1400 S Germantown Rd |
$116.89 | 3,571 | 3,049 |
|
David C Portnoy
7945 Wolf River Blvd |
$30.08 | 3,512 | 2,745 |
|
Eric R. Wiedower
7945 Wolf River Blvd |
$32.55 | 3,488 | 2,514 |
|
Justin Anthony May
8060 Wolf River Blvd |
$40.97 | 3,375 | 2,961 |
|
Tanya Jones
7691 Poplar Ave |
$61.82 | 3,295 | 2,186 |
|
Benjamin Joplin Grear
1400 S Germantown Rd |
$83.60 | 3,269 | 2,698 |
|
Santos F Martinez
1400 S Germantown Rd |
$68.17 | 3,234 | 2,582 |
|
Rachel Kathryn Parker
7945 Wolf River Blvd |
$37.47 | 3,233 | 2,545 |
|
Michella Glenna Douglas
1400 S Germantown Rd |
$80.95 | 3,079 | 2,379 |
|
Campbell Clinic, Pc
1400 S Germantown Rd |
$21.23 | 3,075 | 2,066 |
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 Germantown, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Germantown, TN is $47.56 per claim, based on 547,470 claims from 333 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 Germantown, TN?
There are 333 Medicaid providers offering Office Visit related services in Germantown, TN according to public payment data.
What is the price range for Office Visit in Germantown, TN?
Medicaid reimbursement for Office Visit in Germantown, TN ranges from $0.00 to $155.75 per claim, with an average of $47.56. 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 Germantown, TN
X-Ray
Avg $7.11
477,411 claims
Blood Work & Lab Tests
Avg $3.65
401,601 claims
Physical Therapy
Avg $39.74
211,346 claims
CT Scan (Computed Tomography)
Avg $38.82
203,047 claims
Emergency Room Visit
Avg $102.60
152,110 claims
EKG / ECG (Electrocardiogram)
Avg $3.18
115,229 claims
Vaccines & Immunizations
Avg $16.46
69,231 claims
Urinalysis & Urine Tests
Avg $1.85
52,564 claims