Average Medicaid Office Visit Payments in Jellico, TN: $31.44
Avg. Paid
$31.44
Range
$16.80 – $55.72
Total Claims
70,993
Providers
19
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 Jellico, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Darryl John Wilkens
131 Hospital Ln |
$29.06 | 15,366 | 12,930 |
|
Shonda Lynn Tucker
188 Hospital Ln |
$23.14 | 12,624 | 7,565 |
|
Heather Mae Demaree
131 Hospital Ln |
$32.29 | 7,221 | 5,941 |
|
Natalie Ruth Wilbanks
550 Sunset Trl |
$32.31 | 6,963 | 6,064 |
|
Keven Wayne Jeffers
550 Sunset Trl |
$30.58 | 6,916 | 5,951 |
|
David Escalante
292 N Main St |
$33.41 | 3,806 | 3,473 |
|
Adrian Ricketts Davies
550 Sunset Trl |
$42.59 | 3,675 | 3,133 |
|
Nicole Ann Asante
1811 5Th St |
$55.72 | 3,200 | 2,079 |
|
Cathleen Connie Suto
550 Sunset Trl |
$36.62 | 2,166 | 1,414 |
|
Daniel Eugene Yoder
550 Sunset Trl |
$27.76 | 1,933 | 1,661 |
|
Geogy Thomas
550 Sunset Trl |
$34.68 | 1,761 | 1,463 |
|
Allison Jill Branam
550 Sunset Trl |
$32.13 | 1,339 | 1,194 |
|
Karen Nicole Eldridge
131 Hospital Ln |
$34.40 | 1,021 | 918 |
|
Mohammed Humayun Kabir
486 S Florence Ave |
$38.86 | 731 | 666 |
|
Charles H. Wilkens, M.D.,P.C.
131 Hospital Ln |
$18.55 | 715 | 565 |
|
William Spencer Bolt
1390 5Th St |
$43.54 | 627 | 543 |
|
Frederick Warren Martin
467 Sunset Trl |
$16.80 | 452 | 344 |
|
Matthew Testa
467 Sunset Trl |
$25.90 | 380 | 321 |
|
Dayspring Health, Inc.
550 Sunset Trl |
$31.81 | 97 | 83 |
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 Jellico, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jellico, TN is $31.44 per claim, based on 70,993 claims from 19 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 Jellico, TN?
There are 19 Medicaid providers offering Office Visit related services in Jellico, TN according to public payment data.
What is the price range for Office Visit in Jellico, TN?
Medicaid reimbursement for Office Visit in Jellico, TN ranges from $16.80 to $55.72 per claim, with an average of $31.44. 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 Jellico, TN
Blood Work & Lab Tests
Avg $4.16
51,021 claims
Emergency Room Visit
Avg $116.11
33,214 claims
Nursing Facility Care
Avg $30.94
14,263 claims
X-Ray
Avg $27.34
10,681 claims
Physical Therapy
Avg $18.65
8,156 claims
Urinalysis & Urine Tests
Avg $2.45
7,758 claims
Eye Exam
Avg $34.62
7,373 claims
EKG / ECG (Electrocardiogram)
Avg $11.48
5,537 claims