Average Medicaid Office Visit Payments in Hixson, TN: $27.88
Avg. Paid
$27.88
Range
$0.00 – $185.89
Total Claims
274,539
Providers
97
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 Hixson, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Urgent Care For Children, Pllc
5207 Highway 153 |
$76.52 | 13 | 13 |
|
Abigail L. Russell
1008 Executive Dr Ste 104 |
$28.94 | 14 | 12 |
|
Erin Martin
2051 Hamill Road |
$4.34 | 15 | 12 |
|
Aaron Lee Moore
8600 Hixson Pike |
$56.92 | 15 | 13 |
|
Mark Sean Sumida
1724 Hamill Road Suite 204 |
$20.04 | 15 | 14 |
|
Steven A Jaworski
4511 Hixson Pike |
$6.31 | 16 | 12 |
|
Stephen M Long
1025 Executive Dr |
$14.33 | 20 | 14 |
|
Zynia Pua
2051 Hamill Rd Ste 103 |
$34.17 | 20 | 12 |
|
Devon Ghodasra
1961 Northpoint Blvd Ste 110 |
$8.14 | 24 | 14 |
|
Charity A Moses
4841 Hixson Pike Ste A |
$27.48 | 29 | 28 |
|
Asghar Haider
1961 Northpoint Blvd Ste 110 |
$24.06 | 31 | 26 |
|
Jaime C Bingham
5000 Alpha Ln |
$8.64 | 32 | 24 |
|
Brandy L Biederman
1013 Executive Dr |
$2.38 | 32 | 30 |
|
Julie Marie Bilbrey
4980 Alpha Ln |
$9.12 | 32 | 31 |
|
William Michael Reisman
1724 Hamill Rd Ste 204 |
$4.06 | 35 | 12 |
|
Mark Benjamin Currin
2051 Hamill Road |
$9.48 | 36 | 28 |
|
Elizabeth Erin Scarbrough
2051 Hamill Rd Ste 400 |
$54.19 | 48 | 36 |
|
Ellen Huffaker Beam
5120 Highway 153 |
$59.12 | 50 | 46 |
|
Janna Aislinn Mcmahan
5211 Hwy 153, Suite M |
$15.54 | 52 | 37 |
|
Heather Shay Ward
1039 Executive Dr Ste 101 |
$9.57 | 58 | 43 |
|
Michael Quackenbush
5433 Hixson Pike |
$45.77 | 59 | 56 |
|
Richard W Pigg
2051 Hamill Road |
$11.54 | 80 | 62 |
|
Melanie Black Blake
1008 Executive Dr Ste 104 |
$42.29 | 93 | 88 |
|
Raymond C Howard
4490 Hixson Pike |
$31.59 | 103 | 86 |
|
Francis C Decroos
1961 Northpoint Blvd Ste 110 |
$17.55 | 110 | 77 |
|
Kurt Harold Pulver
1724 Hamill Rd Ste 204 |
$15.83 | 111 | 78 |
|
Samuel H Abbas
6572 Deep Canyon Rd |
$4.07 | 147 | 112 |
|
Sophie Cai
1961 Northpoint Blvd # 11 |
$62.15 | 152 | 140 |
|
Owen F Speer
2051 Hamill Road Suite 301 |
$12.20 | 157 | 107 |
|
Fatima Turner
5120 Highway 153 |
$27.89 | 163 | 140 |
|
Charles W Sienknecht
1035 Executive Drive |
$3.38 | 175 | 173 |
|
Robert K Berglund
2051 Hamill Rd |
$15.23 | 195 | 183 |
|
David Lee Adams
4980 Alpha Ln |
$20.58 | 202 | 152 |
|
Larry Gibson
2051 Hamill Rd |
$8.53 | 207 | 177 |
|
Sonya Leigh Dillard
2051 Hamill Rd |
$48.27 | 223 | 189 |
|
Kimberly Lynn Pickett
2051 Hamill Rd Ste 210 |
$27.22 | 224 | 191 |
|
Eugenia Faith Shaver
5120 Highway 153 |
$59.22 | 258 | 241 |
|
Rachel Nicole Kimble
2051 Hamill Road |
$6.74 | 260 | 220 |
|
Krissa M Guess
5120 Highway 153 |
$30.03 | 278 | 228 |
|
Oana Andreescu
2051 Hamill Rd |
$11.07 | 281 | 237 |
|
Mark Thomas Simpson
4513 Hixson Pike |
$47.67 | 299 | 265 |
|
Katelin Mccall Pannell
1724 Hamill Rd Ste 214 |
$32.24 | 305 | 232 |
|
Maria Lissette Pacheco
1039 Executive Dr Ste 102 |
$28.03 | 334 | 249 |
|
Andrew R. Jones
2051 Hamill Rd |
$54.33 | 345 | 315 |
|
Cornelius Jefferson Mance
2051 Hamill Rd |
$15.55 | 375 | 313 |
|
Erik Randall Ewing
5104 Hixson Pike |
$21.23 | 387 | 291 |
|
Miranda Vandergriff
8530 Hixson Pike |
$16.22 | 387 | 278 |
|
Jessica Erin Foutch
1039 Executive Dr Ste 101 |
$26.30 | 420 | 353 |
|
Elizabeth Ruth Ann Hampton
3000 Preston Station Dr |
$0.00 | 458 | 393 |
|
Olivia Weiss
1021 Executive Dr Ste 102 |
$42.51 | 460 | 351 |
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 Hixson, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hixson, TN is $27.88 per claim, based on 274,539 claims from 97 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 Hixson, TN?
There are 97 Medicaid providers offering Office Visit related services in Hixson, TN according to public payment data.
What is the price range for Office Visit in Hixson, TN?
Medicaid reimbursement for Office Visit in Hixson, TN ranges from $0.00 to $185.89 per claim, with an average of $27.88. 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 Hixson, TN
Physical Therapy
Avg $18.48
94,615 claims
Dental Cleaning & Exam
Avg $29.56
78,872 claims
Vaccines & Immunizations
Avg $13.92
52,091 claims
Blood Work & Lab Tests
Avg $5.18
32,975 claims
Urinalysis & Urine Tests
Avg $2.36
26,218 claims
Dental Filling
Avg $80.51
21,134 claims
Non-Emergency Medical Transportation
Avg $3.57
17,189 claims
Emergency Room Visit
Avg $66.96
16,594 claims