Average Medicaid Office Visit Payments in Greeneville, TN: $38.81
Avg. Paid
$38.81
Range
$2.73 – $162.62
Total Claims
516,870
Providers
173
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 Greeneville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hiren B Patel
1420 Tusculum Blvd |
$15.01 | 12 | 12 |
|
Tabitha D Combes
1000 Tusculum Blvd Ste 4 |
$13.50 | 13 | 13 |
|
Gordon Marsa
1406 Tusculum Blvd Ste 1200 |
$18.38 | 15 | 12 |
|
Christina Rochelle Gaby
555 Justis Dr |
$24.36 | 15 | 12 |
|
Jessica Marie Stamey
555 Justis Dr |
$30.29 | 16 | 12 |
|
Brody Stringer
109 E Church St |
$10.95 | 18 | 12 |
|
Chelsea Herald
1420 Tusculum Blvd |
$4.79 | 21 | 12 |
|
Panagiotis Drakos
1410 Tusculum Blvd Ste 1700 |
$36.82 | 22 | 14 |
|
Thomas Lloyd Brown
1406 Tusculum Blvd Ste 1000 |
$2.73 | 32 | 26 |
|
Graham Taylor
1310 E Andrew Johnson Hwy |
$62.55 | 38 | 38 |
|
Robert W Mosca
1404 Tusculum Blvd |
$3.47 | 46 | 26 |
|
Kevin S Toppenberg
1410 Tusculum Blvd |
$23.85 | 55 | 37 |
|
Heather M. Wilson
1404 Tusculum Blvd Ste 3000 |
$36.88 | 57 | 52 |
|
Suranny Sarria
1404 Tusculum Blvd Ste 2300 |
$24.09 | 60 | 42 |
|
Michael H Hartsell
1404 Tusculum Blvd Ste 3000 |
$17.77 | 60 | 40 |
|
Eleanor Lynette Wagers
801 E Church St |
$13.42 | 80 | 45 |
|
Shea Price Pitts
555 Justis Dr |
$29.70 | 96 | 72 |
|
Remy Sagadraca
1406 Tusculum Blvd Ste 2004 |
$5.61 | 102 | 64 |
|
Tom K Stathopoulos
1410 Tusculum Blvd Ste 1500 |
$23.57 | 114 | 107 |
|
Maria Waterbury
261 Riverview Dr |
$97.45 | 116 | 85 |
|
Anindya Kumar Sen
1406 Tusculum Blvd |
$18.65 | 122 | 102 |
|
Kara Lankford
1404 Tusculum Blvd Ste 3000 |
$35.09 | 123 | 110 |
|
Susan Flaglor
1404 Tusculum Blvd |
$18.81 | 132 | 111 |
|
Anne Thompson
1021 Coolidge St |
$31.09 | 135 | 105 |
|
Aimee Marie Henley
1410 Tusculum Blvd Ste 1700 |
$16.65 | 140 | 123 |
|
Amy Leigh Shelton
438 E Vann Rd |
$23.16 | 143 | 88 |
|
Amy-Sarah Maeve Hubbard
438 E Vann Rd Ste 300 |
$21.40 | 143 | 58 |
|
Elizabeth Reed
438 E Vann Rd |
$23.72 | 151 | 131 |
|
Amy Jean Hunt
1406 Tusculum Blvd Ste 2000 |
$55.02 | 151 | 148 |
|
Takoma Regional Hospital Inc
1420 Tusculum Blvd |
$74.94 | 156 | 142 |
|
Emily Susong
438 E Vann Rd Ste 201 |
$42.66 | 160 | 135 |
|
Kimberly Hoyle
1410 Tusculum Blvd Ste 2200 |
$23.39 | 173 | 150 |
|
Christopher Fleming
438 E Vann Rd |
$35.15 | 176 | 150 |
|
Sandra Wells
555 Justis Dr |
$31.47 | 195 | 164 |
|
Christina L Birchfield
1404 Tusculum Blvd Ste 2300 |
$43.01 | 224 | 194 |
|
Brandy N White
130 Serral Dr |
$20.35 | 227 | 164 |
|
Jack H Whitaker
1410 Tusculum Blvd., |
$11.27 | 230 | 188 |
|
Debbie Ann Bolton
712 Professional Plaza Dr |
$54.54 | 243 | 204 |
|
Brandy N Holder
1404 Tusculum Blvd Ste 3100 |
$34.61 | 243 | 204 |
|
Crystal M Weems
130 Serral Dr Ste B |
$33.18 | 248 | 211 |
|
Shalee Ottinger Nanney
1404 Tusculum Blvd Ste 3000 |
$40.84 | 249 | 190 |
|
James S Rodgers
1410 Tusculum Blvd |
$4.72 | 262 | 183 |
|
Mark D Patterson
1410 Tusculum Blvd |
$10.39 | 288 | 240 |
|
Lauren Elizabeth Mcdowell-Jacobs
1410 Tusculum Blvd Ste 1700 |
$35.67 | 295 | 276 |
|
Benjamin T Bailey
1404 Tusculum Blvd Ste 3100 |
$19.93 | 297 | 213 |
|
Joanna Lee Roberts
3430 E Andrew Johnson Hwy |
$38.88 | 316 | 261 |
|
Nolan R Hensley
1410 Tusculum Blvd Ste 1500 |
$18.41 | 316 | 245 |
|
Susan P Abernathy
1410 Tusculum Blvd |
$22.83 | 323 | 290 |
|
Andy A Roberts
109 E Church St |
$13.34 | 328 | 216 |
|
Carla A. Nickle
555 Justis Dr |
$16.97 | 333 | 234 |
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 Greeneville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Greeneville, TN is $38.81 per claim, based on 516,870 claims from 173 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 Greeneville, TN?
There are 173 Medicaid providers offering Office Visit related services in Greeneville, TN according to public payment data.
What is the price range for Office Visit in Greeneville, TN?
Medicaid reimbursement for Office Visit in Greeneville, TN ranges from $2.73 to $162.62 per claim, with an average of $38.81. 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 Greeneville, TN
Blood Work & Lab Tests
Avg $2.76
263,187 claims
Psychiatric Evaluation
Avg $54.34
105,018 claims
Durable Medical Equipment (DME)
Avg $16.98
103,660 claims
Vaccines & Immunizations
Avg $9.82
92,245 claims
Physical Therapy
Avg $19.75
82,104 claims
Ambulance Transport
Avg $54.04
69,665 claims
Emergency Room Visit
Avg $93.18
56,230 claims
Dental Cleaning & Exam
Avg $29.99
36,980 claims