Average Medicaid Office Visit Payments in Jackson, TN: $34.02
Avg. Paid
$34.02
Range
$0.00 – $108.59
Total Claims
1,335,861
Providers
532
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 Jackson, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Edward Egan
2863 Highwy 45 Byp |
$89.36 | 12 | 12 |
|
Loran E Karlosky
28 Suncrest Dr |
$0.00 | 12 | 12 |
|
Robert Gilroy
2863 Highway 45 Byp |
$10.59 | 12 | 12 |
|
William Freese Kimmer
2196 Emporium Dr |
$70.53 | 12 | 12 |
|
Stephanie J Young
620 Skyline Dr |
$37.63 | 13 | 12 |
|
Susan M Francisco
700 W Forest Ave |
$17.03 | 13 | 13 |
|
Lisa M Piercey
2863 Highway 45 Byp |
$72.62 | 14 | 14 |
|
Elizabeth Gay Nordtvedt
112 Stonebridge Blvd |
$17.62 | 14 | 14 |
|
Jeffrey W Young
210 N Liberty St |
$0.54 | 14 | 12 |
|
Bryan P Tygart
620 Skyline Dr |
$11.01 | 14 | 14 |
|
Jessica M Ferrell
145 Innovation Dr |
$29.73 | 14 | 13 |
|
Whitney Elaine Scott
244 Coatsland Dr |
$33.91 | 16 | 13 |
|
Deseray S Melton
569 Skyline Dr |
$4.27 | 16 | 12 |
|
Stephen D Hammond
145 Innovation Dr |
$12.37 | 16 | 12 |
|
Kalee Jo Fountain
569 Skyline Dr |
$27.52 | 17 | 13 |
|
Stephen Hjerpe
227 Oil Well Rd |
$25.73 | 17 | 16 |
|
Jennifer Taylor Elder
180 Old Hickory Blvd Ste L |
$20.97 | 18 | 12 |
|
Alan C Rothrock
2859 Highway 45 Byp |
$40.63 | 19 | 18 |
|
Veronica Jarido
49 Larkson Ln |
$71.86 | 19 | 16 |
|
Ami Kanti Naik
2863 Highway 45 Byp |
$52.62 | 20 | 19 |
|
Davidson C. Curwen
60 Lynoak Cove |
$17.60 | 21 | 13 |
|
Heather R Dolan
145 Innovation Dr |
$60.14 | 24 | 24 |
|
John Baker
587 Skyline Dr |
$21.16 | 26 | 24 |
|
Lindsay Wigal
367 Hospital Blvd |
$4.23 | 26 | 25 |
|
Pamela Denise Murray
708 W Forest Ave |
$36.92 | 27 | 16 |
|
Micah Lee Mccarty
112 Stonebridge Blvd |
$35.09 | 28 | 26 |
|
Kyla O'Brien
244 Coatsland Dr |
$27.05 | 28 | 17 |
|
Chelsea Noel Schmidt
655 Lexington Ave |
$38.58 | 29 | 27 |
|
Benny C Houston
2859 Highway 45 Byp |
$25.78 | 29 | 28 |
|
Daniel R Fleming
145 Innovation Dr |
$26.56 | 29 | 24 |
|
Staci Renee Thomas
2863 Highway 45 Byp |
$29.83 | 32 | 26 |
|
Sarah S Bateman
145 Innovation Dr |
$25.05 | 33 | 26 |
|
Steven Ray Thorne
145 Innovation Dr |
$3.69 | 33 | 28 |
|
William Allen Gower
620 Skyline Dr |
$10.75 | 33 | 29 |
|
Jessica A Herron
2863 Highway 45 Byp |
$6.74 | 34 | 29 |
|
Sara W Jackson
2863 Highway 45 Byp |
$20.58 | 35 | 28 |
|
Elizabeth Londino
31 Hughes Drive |
$3.33 | 36 | 36 |
|
Brenda Kay Boswell
1270 Union University Dr Ste A |
$47.83 | 36 | 35 |
|
Adewale Adeyinka Odukoya
294 Summar Dr |
$51.31 | 38 | 38 |
|
James H Crenshaw
145 Innovation Dr |
$12.98 | 38 | 38 |
|
Joseph Lynn Gooch
Po Box 400 |
$5.31 | 40 | 24 |
|
Naomi D Watson
176C W University Pkwy # C |
$19.26 | 42 | 24 |
|
Jeffrey Hal Gillis
27A Medical Center Dr |
$36.32 | 42 | 37 |
|
Markeshe Wood
36 Fall Creek Dr |
$37.58 | 43 | 31 |
|
Travis Mckinzie
620 Skyline Dr |
$49.35 | 43 | 41 |
|
Taylor Brooke Mclean
2075 Pleasant Plains Ext Rd |
$30.10 | 44 | 42 |
|
Brandi Holt
65 Murray Guard Dr |
$0.00 | 46 | 30 |
|
Dana D Hager
2863 Highway 45 Byp |
$8.86 | 49 | 36 |
|
Lisa J Dyer
77 Stonebridge Blvd |
$0.42 | 49 | 48 |
|
Thomas T Alleva
620 Skyline Dr |
$51.80 | 51 | 45 |
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 Jackson, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jackson, TN is $34.02 per claim, based on 1,335,861 claims from 532 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 Jackson, TN?
There are 532 Medicaid providers offering Office Visit related services in Jackson, TN according to public payment data.
What is the price range for Office Visit in Jackson, TN?
Medicaid reimbursement for Office Visit in Jackson, TN ranges from $0.00 to $108.59 per claim, with an average of $34.02. 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 Jackson, TN
Blood Work & Lab Tests
Avg $3.53
850,264 claims
Emergency Room Visit
Avg $94.97
594,012 claims
Vaccines & Immunizations
Avg $12.40
347,764 claims
Ambulance Transport
Avg $42.67
333,550 claims
Psychiatric Evaluation
Avg $47.13
318,568 claims
Case Management Services
Avg $0.28
271,691 claims
Urinalysis & Urine Tests
Avg $3.15
252,973 claims
X-Ray
Avg $4.25
220,817 claims