Average Medicaid Office Visit Payments in Harrogate, TN: $27.67
Avg. Paid
$27.67
Range
$11.27 – $52.27
Total Claims
103,257
Providers
23
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 Harrogate, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amanda G Brown
6976 Cumberland Gap Pkwy |
$34.25 | 35,032 | 25,343 |
|
Samuel B Bayless
6650 Cumberland Gap Pkwy |
$23.55 | 13,050 | 10,275 |
|
Tommy Dale Livesay
200 Nettleton Rd Ste 1 |
$25.95 | 10,134 | 8,059 |
|
Elizabeth Anne Larew
170 Beech St |
$20.53 | 9,795 | 7,903 |
|
Sherri J Robertson
6650 Cumberland Gap Pkwy |
$26.59 | 7,485 | 6,387 |
|
Amy Jo Bussell
6650 Cumberland Gap Pkwy |
$24.79 | 6,778 | 5,425 |
|
Harrogate Health Group Llc
165 Westmoreland St |
$11.27 | 4,172 | 3,523 |
|
John M Robertson
170 Beech St |
$18.21 | 4,157 | 3,424 |
|
Ashley N Wilson
200 Nettleton Rd Ste 1 |
$34.45 | 3,706 | 3,121 |
|
Casey Wilson
170 Beech St Ste 1 |
$26.59 | 2,611 | 2,051 |
|
Pamela Deann Bays
169 Westmoreland St |
$33.00 | 1,711 | 1,282 |
|
Malinda Kaye Munsey
6650 Cumberland Gap Pkwy |
$24.91 | 1,431 | 1,125 |
|
Stephanie Lynn Boone
253 Londonderry Rd |
$40.71 | 823 | 602 |
|
Jared Wilson Madden
165 Westmoreland St |
$28.77 | 734 | 476 |
|
Emily Nichole Clotfelter
200 Nettleton Rd Ste 1 |
$25.01 | 520 | 357 |
|
Anne Marie Zeller
6965 Cumberland Gap Pkwy |
$34.60 | 333 | 294 |
|
Baylie Graves
6976 Cumberland Gap Pkwy |
$52.27 | 249 | 205 |
|
Emily A Oaks
6965 Cumberland Gap Pkwy |
$33.00 | 243 | 182 |
|
Stephanie J Beckett
6965 Cumberland Gap Pkwy Ste 315 |
$24.35 | 94 | 83 |
|
Lorelei Moore
169 Stratford Rd |
$36.69 | 77 | 73 |
|
Britteny Donielle Fultz
170 Beech St Ste 1 |
$16.00 | 65 | 47 |
|
Stephen Russell Bergman
6965 Cumberland Gap Pkwy |
$17.65 | 42 | 27 |
|
Emily Grace Fuson
170 Beech St |
$32.83 | 15 | 13 |
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 Harrogate, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Harrogate, TN is $27.67 per claim, based on 103,257 claims from 23 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 Harrogate, TN?
There are 23 Medicaid providers offering Office Visit related services in Harrogate, TN according to public payment data.
What is the price range for Office Visit in Harrogate, TN?
Medicaid reimbursement for Office Visit in Harrogate, TN ranges from $11.27 to $52.27 per claim, with an average of $27.67. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Harrogate, TN
Non-Emergency Medical Transportation
Avg $1.81
23,127 claims
Ambulance Transport
Avg $21.55
13,748 claims
Blood Work & Lab Tests
Avg $3.19
13,455 claims
Urinalysis & Urine Tests
Avg $0.61
8,134 claims
Physical Therapy
Avg $14.64
6,608 claims
Prescription Medications
Avg $1.63
6,412 claims
Personal Care Services
Avg $84.86
4,107 claims
Dental Cleaning & Exam
Avg $35.07
2,565 claims