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 |
|---|---|---|---|
|
Nathan John Hoeldtke
620 Skyline Dr |
$42.45 | 62,401 | 39,479 |
|
Samuel Olaniyi Bada
1673 N Royal St |
$20.85 | 25,658 | 16,253 |
|
Corey Amanda Page
621 Old Hickory Blvd |
$33.31 | 21,193 | 16,758 |
|
Ezekiel Oladejo Adetunji
150 Murray Guard Dr |
$29.12 | 19,326 | 15,591 |
|
Norma Baker Wood
176C West University Parkway |
$58.00 | 18,463 | 15,708 |
|
Mechelle Taylor Moragne
655 Lexington Ave |
$26.64 | 17,519 | 12,291 |
|
Paul Jonathan Smith
587 Mcclellan Rd |
$36.90 | 17,190 | 14,921 |
|
Theresa T Smith
587 Mcclellan Rd |
$38.38 | 17,151 | 15,233 |
|
Earl L Stewart
2815 N Highland Ave |
$22.10 | 14,994 | 12,565 |
|
Kandarp B Patel
86 Stonebridge Blvd |
$19.24 | 14,809 | 12,566 |
|
Whitney Ward Scott
35 W University Pkwy |
$50.06 | 14,261 | 12,278 |
|
David Lonnie Maness
294 Summar Dr |
$40.74 | 13,897 | 11,051 |
|
Kathy Michelle O'Connor-Wray
8 Stonebridge Blvd Ste M |
$40.52 | 13,817 | 11,846 |
|
Shavetta D Conner
295 Summar Ave |
$33.55 | 13,722 | 11,420 |
|
Jayme Leke Walker
176C W University Pkwy # C |
$54.52 | 13,512 | 11,642 |
|
Crystal Renee Hill
15 Stonebridge Blvd |
$14.70 | 13,374 | 10,159 |
|
Adeyinka Adebayo Agbetoyin
2968 North Highland Ave |
$21.52 | 13,057 | 10,151 |
|
Joni Davis
289 Vann Dr Ste A |
$43.96 | 12,021 | 9,909 |
|
Holly Brooke Shourd
31 Hughes Dr |
$49.37 | 11,856 | 9,705 |
|
Carol Ann Newman
1605 S Highland Ave |
$30.38 | 11,467 | 9,938 |
|
Krystal Shavonne Turner
15 Stonebridge Blvd |
$12.39 | 11,437 | 8,535 |
|
Sylvester Agorua Nwedo
30 Sandstone Cir |
$34.00 | 11,248 | 9,001 |
|
Erin Williams
176 W University Pkwy Ste C |
$50.45 | 11,145 | 9,895 |
|
Louis E Cunningham
17 Centre Plaza Dr |
$18.43 | 11,105 | 9,375 |
|
Deborah Cameron Sherer
2054 S Highland Ave |
$50.96 | 10,571 | 8,732 |
|
Lacy Rebaka Tisdale
2054 S Highland Ave |
$52.45 | 9,715 | 8,117 |
|
Courtney N Steinly
1004 Greystone Sq |
$25.24 | 9,548 | 8,583 |
|
Brian Blake Childress
87 Murray Guard Dr Ste B |
$47.11 | 9,547 | 8,895 |
|
Mohsin T Alhaddad
327 Summar Dr |
$34.80 | 9,256 | 8,089 |
|
Scott Michael Sadler
294 Summar Dr |
$42.13 | 9,122 | 7,280 |
|
Nirav Patel
17 Centre Plaza Dr |
$20.58 | 9,066 | 7,627 |
|
Bob T Souder
18 Windwood Dr |
$31.57 | 8,952 | 8,264 |
|
Elly K Riley
294 Summar Dr |
$41.59 | 8,884 | 7,155 |
|
Susan L Henson
620 Skyline Dr |
$53.14 | 8,767 | 7,240 |
|
Toby Andrew Hampton
110 E Forest Ave |
$38.75 | 8,436 | 5,554 |
|
Tracy Little
17 Centre Plaza Dr |
$32.20 | 8,327 | 6,793 |
|
Shanea Nicole Hines
100 Cherrywood Pl |
$45.10 | 8,302 | 6,902 |
|
Catherine M Greene
45 Executive Dr |
$42.62 | 8,259 | 6,150 |
|
Claire E Rikard
2863 Highway 45 Byp |
$39.76 | 8,204 | 6,847 |
|
Anthony Lake
238 Summar Dr |
$39.01 | 8,168 | 6,273 |
|
Brandi R Henry
160 W University Pkwy Ste C |
$15.59 | 8,009 | 7,388 |
|
Khwaja A Ahmed
145 Innovation Dr |
$50.17 | 7,946 | 7,170 |
|
Kimba J Keel
45 Executive Dr |
$33.98 | 7,612 | 6,433 |
|
Joseph E Fouche
720 W Forest Avenue |
$28.22 | 7,502 | 6,271 |
|
Jeanne O'Connor-Egan
238 Summar Dr |
$42.74 | 7,388 | 5,655 |
|
Heather N Mcfarland
621 Old Hickory Blvd Ste G |
$29.83 | 7,379 | 6,000 |
|
Naji Bourji
17 Centre Plaza Dr |
$17.38 | 7,304 | 5,867 |
|
Melinda S Mosby
238 Summar Dr |
$36.95 | 7,169 | 5,453 |
|
Ashley Nicole Freeman
620 Skyline Dr |
$32.97 | 7,135 | 5,756 |
|
Timothy David Sweo
111 Stonebridge Blvd |
$28.37 | 6,984 | 5,858 |
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