Average Medicaid Office Visit Payments in Gray, TN: $37.84
Avg. Paid
$37.84
Range
$20.42 – $95.06
Total Claims
64,194
Providers
22
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 Gray, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amber Lynette Vance
2103 Forest Dr Ste 5 |
$25.38 | 16 | 14 |
|
Associated Pain Specialists, Pc
2103 Forest Dr Ste 5 |
$25.67 | 44 | 44 |
|
Collette Mcwilliams Hoilman
115 Judge Gresham Rd Ste A |
$27.37 | 62 | 50 |
|
Foundation Health Services, Pllc
5583 Bobby Hicks Hwy Ste 205 |
$51.93 | 370 | 322 |
|
Wellmont Medical Associates, Inc.
115 Judge Gresham Rd |
$95.06 | 676 | 609 |
|
Adam Johnson
2103 Forest Dr Ste 5 |
$22.49 | 771 | 616 |
|
Frontier Health
1167 Spratlin Park Dr |
$45.58 | 992 | 911 |
|
Andrew Levi Blythe
2103 Forest Dr Ste 5 |
$20.42 | 1,570 | 1,431 |
|
Landon S Combs
115 Judge Gresham Rd |
$74.16 | 1,756 | 1,348 |
|
Joseph K Reid
2244 Boones Creek Road |
$26.96 | 1,945 | 1,549 |
|
April N Steele
115 Judge Gresham Rd Ste B |
$55.30 | 1,997 | 1,461 |
|
Elizabeth Brezina Palmer
2103 Forest Dr |
$24.80 | 2,031 | 1,713 |
|
Melanie Dawn Davis
115 Judge Gresham Rd |
$34.49 | 2,330 | 1,944 |
|
William Joseph Cote
132 Old Gray Station Road |
$31.14 | 2,341 | 1,951 |
|
Jordan Matthew Snead
2103 Forest Dr Ste 5 |
$29.71 | 3,047 | 2,378 |
|
Wanda Jarrett
115 Judge Gresham Rd Ste B |
$34.45 | 3,265 | 2,593 |
|
Jill W Wireman
151 Lake Harbor Dr |
$51.00 | 4,044 | 3,760 |
|
Courtney Carroll
2103 Forest Dr Ste 5 |
$26.07 | 4,108 | 3,751 |
|
Melissa V Layne
115 Judge Gresham Rd |
$55.22 | 4,519 | 3,745 |
|
Stephen P Combs
115 Judge Gresham Rd |
$31.22 | 9,016 | 8,102 |
|
Matthew J Grimm
2103 Forest Dr Ste 5 |
$27.25 | 9,614 | 8,052 |
|
Nicole M Miller
115 Judge Gresham Rd Ste B |
$45.65 | 9,680 | 8,317 |
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 Gray, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gray, TN is $37.84 per claim, based on 64,194 claims from 22 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 Gray, TN?
There are 22 Medicaid providers offering Office Visit related services in Gray, TN according to public payment data.
What is the price range for Office Visit in Gray, TN?
Medicaid reimbursement for Office Visit in Gray, TN ranges from $20.42 to $95.06 per claim, with an average of $37.84. 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 Gray, TN
Case Management Services
Avg $0.12
361,891 claims
Substance Abuse Treatment
Avg $74.23
66,973 claims
Behavioral & Mental Health Therapy
Avg $108.13
58,048 claims
Personal Care Services
Avg $116.72
55,349 claims
Durable Medical Equipment (DME)
Avg $12.92
54,973 claims
Home Health Visit
Avg $68.58
43,520 claims
Blood Work & Lab Tests
Avg $5.77
43,110 claims
Emergency Room Visit
Avg $115.98
21,936 claims