Average Medicaid Office Visit Payments in Johnson City, TN: $41.00
Avg. Paid
$41.00
Range
$0.00 – $137.23
Total Claims
1,254,454
Providers
696
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 Johnson City, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Catalyst Health Solutions,Llc
1018 Chase Dr |
$66.08 | 34,371 | 21,528 |
|
William Clever
1009 Novus Dr Ste 1A |
$29.82 | 29,129 | 22,234 |
|
Kevin Charles Visconti
2335 Knob Creek Rd Ste 100 |
$78.25 | 18,226 | 13,753 |
|
Andrew Townsend
301 Med Tech Pkwy Ste 180 |
$61.58 | 14,068 | 12,822 |
|
Charles Famoyin
302 Wesley St |
$21.55 | 12,794 | 9,537 |
|
Crystal Ann Yates
325 N State Of Franklin Rd Fl 1 |
$25.39 | 12,124 | 8,578 |
|
Brandon Green
410 N State Of Franklin Rd |
$61.03 | 12,025 | 10,379 |
|
Casey Lynn Davis
208 Sunset Dr Ste 340 |
$57.72 | 11,203 | 9,106 |
|
Brian Scott Wakefield
401 E Main St |
$48.35 | 10,378 | 9,520 |
|
Samantha Manuel
1021 W Oakland Ave |
$63.98 | 9,903 | 7,776 |
|
Barbara Elaine Pate Pugh
101 Med Tech Pkwy |
$46.67 | 9,856 | 8,359 |
|
Sarah Elaine Hammons
1301 Sunset Dr Ste 3 |
$16.03 | 9,799 | 6,632 |
|
Cynthia P Partain
3019 Peoples St # Condo300 |
$21.79 | 9,180 | 7,069 |
|
Marci K Ishee
101 Med Tech Pkwy |
$36.32 | 9,005 | 8,351 |
|
Jason Hayes
109 W Watauga Ave |
$36.91 | 8,893 | 7,512 |
|
Justin A Montgomery
378 Marketplace Dr |
$77.58 | 8,844 | 8,673 |
|
Pyung Suh
401 E Main St |
$80.01 | 8,648 | 4,047 |
|
Jeffrey A Hopland
401 E Main St |
$29.08 | 8,626 | 7,508 |
|
Ashish B Madhok
2312 Knob Creek Rd |
$95.56 | 8,412 | 7,977 |
|
Bryan J Prudhomme
301 Med Tech Pkwy |
$47.29 | 8,185 | 7,450 |
|
Jason Kendall Walls
310 North State And Franklin Road |
$38.72 | 8,099 | 7,386 |
|
Timothy O Mcbride
401 E Main St |
$39.98 | 8,059 | 7,314 |
|
Nikki Faye Roberts
2 Red Bush Ct |
$34.44 | 8,035 | 6,171 |
|
Stuart S Leicht
2898 Boones Creek Rd Ste 105 |
$11.04 | 7,989 | 6,462 |
|
Katherine Elizabeth Echevarria
378 Marketplace Dr Ste 5 |
$55.77 | 7,976 | 6,790 |
|
Jennifer Diane Gibson
325 N State Of Franklin Rd |
$52.51 | 7,688 | 7,005 |
|
James M Schultz
401 E Main St |
$46.41 | 7,667 | 6,889 |
|
Keiko Suzuki
401 E Main St |
$44.08 | 7,664 | 7,025 |
|
William Scott Dodd
325 N State Of Franklin Rd |
$51.93 | 7,647 | 6,935 |
|
Demetrio Rebano Macariola
325 N State Of Franklin Rd |
$52.91 | 7,645 | 6,540 |
|
Judith L Day
301 Med Tech Pkwy Ste 240 |
$56.61 | 7,626 | 6,445 |
|
Michelle S Bullman
301 Med Tech Pkwy Ste 180 |
$46.98 | 7,601 | 6,647 |
|
Christy J Smith
2408 Susannah St Ste 1 |
$43.53 | 7,541 | 6,533 |
|
Jerry Don Walkup
2312 Knob Creek Rd Ste 208 |
$94.00 | 7,471 | 7,063 |
|
John C Bailey
378 Marketplace Dr Ste 5 |
$48.66 | 7,449 | 6,923 |
|
Thatcher Lee Card
1009 Novus Dr Ste 1A |
$27.16 | 7,411 | 4,762 |
|
Melinda Lee Mcdaniel
378 Marketplace Blvd Ste 5 |
$47.45 | 7,329 | 5,465 |
|
Connie R Stoots
301 Med Tech Pkwy Ste 120 |
$47.18 | 7,193 | 6,308 |
|
Cheryl Conrad
101 Med Tech Pkwy Ste 200 |
$13.35 | 6,961 | 5,943 |
|
Caitlen M Petschke
101 Med Tech Pkwy |
$45.19 | 6,832 | 5,483 |
|
Gayatri Bala Jaishankar
325 N State Of Franklin Rd |
$52.86 | 6,762 | 5,968 |
|
Jeremy Nathan Elliott
301 Med Tech Pkwy Ste 240 |
$29.16 | 6,677 | 5,347 |
|
Evelyn Artz
408 N State Of Franklin Rd Ste 31B |
$46.79 | 6,166 | 4,813 |
|
Rebecca A Morrison
2151 Century Ln |
$44.94 | 6,122 | 4,976 |
|
Benjamin Meeks
101 Med Tech Pkwy Ste 200 |
$15.10 | 5,945 | 5,134 |
|
Anne E Waldrop
2151 Century Ln |
$28.66 | 5,941 | 5,265 |
|
April D Lowery
301 Med Tech Pkwy |
$45.89 | 5,577 | 4,982 |
|
Johnathan Myles Winstead
2340 Knob Creek Rd 704 |
$45.20 | 5,550 | 5,079 |
|
Debra J. Uncapher
1409 W Market St Ste 108 |
$12.78 | 5,520 | 4,189 |
|
Clinton Allen Musil
109 West Watauga Avenue |
$50.55 | 5,433 | 4,114 |
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 Johnson City, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Johnson City, TN is $41.00 per claim, based on 1,254,454 claims from 696 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 Johnson City, TN?
There are 696 Medicaid providers offering Office Visit related services in Johnson City, TN according to public payment data.
What is the price range for Office Visit in Johnson City, TN?
Medicaid reimbursement for Office Visit in Johnson City, TN ranges from $0.00 to $137.23 per claim, with an average of $41.00. 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 Johnson City, TN
Blood Work & Lab Tests
Avg $6.13
810,124 claims
Ambulance Transport
Avg $19.77
356,576 claims
Non-Emergency Medical Transportation
Avg $5.44
345,590 claims
Emergency Room Visit
Avg $90.83
331,961 claims
Psychiatric Evaluation
Avg $39.41
315,792 claims
Home Health Visit
Avg $80.06
306,249 claims
Nursing Facility Care
Avg $9.59
243,361 claims
Personal Care Services
Avg $112.92
237,988 claims