Average Medicaid Office Visit Payments in Henderson, TN: $30.24
Avg. Paid
$30.24
Range
$9.52 – $74.63
Total Claims
144,153
Providers
29
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 Henderson, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Karen Nicole Johnson
401 E Main St |
$57.79 | 62 | 60 |
|
Mark Dearth
535 W Main St |
$11.44 | 79 | 40 |
|
Rylee Claire Smith
111 Front St |
$43.67 | 229 | 208 |
|
Sara Massey
1306 Us Highway 45 N |
$33.28 | 253 | 230 |
|
Apex Cardiology Pc
557 W Park Pl |
$74.63 | 357 | 307 |
|
Jessica Leigh Reese
1306 Us Highway 45 N |
$31.92 | 373 | 314 |
|
Samuel Adam Phelps
138 S Washington Ave |
$16.25 | 398 | 292 |
|
Bernhard Eric Dietz
116 W Main St |
$22.52 | 599 | 506 |
|
The Grove Primary Care Clinic Llc
541 W Park Pl |
$64.48 | 1,149 | 986 |
|
Paul Edward Schwartz
1306 Us Highway 45 N |
$21.60 | 1,823 | 1,419 |
|
Daniel D Salmon
1306 Hwy 45 North |
$42.02 | 2,231 | 1,976 |
|
Shirley Ann Collier
557 W Park Pl |
$24.73 | 2,296 | 1,809 |
|
Scott Sampson Norris
116 W Main St |
$27.68 | 2,397 | 1,988 |
|
Alexander Pearce Walker
116 W Main St |
$9.52 | 2,554 | 1,910 |
|
Rebecca Lillian Jones
1132 Industrial Dr |
$30.29 | 2,781 | 2,272 |
|
Randle S Miskelly
1306 Us Highway 45 N |
$27.62 | 3,582 | 3,096 |
|
Benjamin Reese
1306 Us Highway 45 N |
$31.44 | 4,308 | 3,669 |
|
Brian Mccarver
426 White Ave |
$26.76 | 4,492 | 3,782 |
|
Candice Johnson Jones
1132 Industrial Dr |
$37.83 | 4,673 | 4,041 |
|
Cheryl Middleton
541 W Park Pl |
$32.42 | 5,240 | 4,047 |
|
Keata Lorraine Anthony
116 W Main St |
$31.91 | 6,742 | 5,707 |
|
Nicole H Umstead
111 Front St |
$39.33 | 6,998 | 5,606 |
|
Kimberly S Roberts
111 Front St |
$38.94 | 7,031 | 5,682 |
|
Linda Nicole Crozier
541 W Park Pl |
$38.38 | 8,471 | 5,142 |
|
Cara Rust Roberson
1314 Us Highway 45 N Ste A |
$21.94 | 9,173 | 7,383 |
|
Amanda L Hearn
1132 Industrial Dr |
$36.71 | 12,442 | 9,878 |
|
Nicole Michelle Jennings
116 W Main St |
$20.62 | 14,352 | 11,387 |
|
Carey Wallace Frix
116 W Main St |
$21.34 | 18,698 | 15,038 |
|
Traci Kyle Hill
541 W Park Pl |
$34.12 | 20,370 | 11,957 |
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 Henderson, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Henderson, TN is $30.24 per claim, based on 144,153 claims from 29 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 Henderson, TN?
There are 29 Medicaid providers offering Office Visit related services in Henderson, TN according to public payment data.
What is the price range for Office Visit in Henderson, TN?
Medicaid reimbursement for Office Visit in Henderson, TN ranges from $9.52 to $74.63 per claim, with an average of $30.24. 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 Henderson, TN
Non-Emergency Medical Transportation
Avg $4.40
207,528 claims
Ambulance Transport
Avg $9.34
91,835 claims
Physical Therapy
Avg $17.00
22,612 claims
Blood Work & Lab Tests
Avg $2.23
20,921 claims
Psychiatric Evaluation
Avg $37.59
19,288 claims
Dental Cleaning & Exam
Avg $30.65
12,584 claims
Eye Exam
Avg $43.48
11,999 claims
Prescription Medications
Avg $0.81
11,623 claims