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Based on public Medicaid payment data.

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

Other Procedures in Jackson, TN