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 |
|---|---|---|---|
|
Robert James Dray
400 N State Of Franklin Rd |
$34.69 | 12 | 12 |
|
Jack D Owens
325 N State Of Franklin Rd |
$21.10 | 12 | 12 |
|
Michael Bryanne Villalba
310 N State Of Franklin Rd Ste 202 |
$68.57 | 12 | 12 |
|
Syed Shiraz Hyder
3 Professional Park Dr Ste 31 |
$87.05 | 12 | 12 |
|
Amy Hamilton
119 Boone Ridge Dr |
$32.53 | 12 | 12 |
|
Brittnea Jean Adcock
325 N. State Of Franklin Road, Ground Floor |
$82.53 | 13 | 13 |
|
Matthew Sherban
1021 W Oakland Ave Ste 109 |
$137.23 | 13 | 13 |
|
Farshad Karimpour
1019 W Oakland Ave |
$49.20 | 13 | 13 |
|
Devin Cyrus Owen Johnson
408 N State Of Franklin Rd |
$111.68 | 14 | 12 |
|
Kevin Turner
119 Boone Ridge Dr |
$19.81 | 14 | 12 |
|
Brianne Leigh Fender Dunning
1018 Chase Dr |
$49.84 | 14 | 12 |
|
Jason T Hatjioannou
1930 Villa Ct |
$23.06 | 14 | 12 |
|
Frank P Johnson
111 Sterling Springs Dr |
$23.06 | 14 | 12 |
|
Anne H Eberhart
325 N State Of Franklin Rd |
$18.53 | 14 | 12 |
|
Jennifer Leigh Carver
325 N State Of Franklin Rd |
$117.64 | 14 | 14 |
|
Kristen Medlock Archibald
1619 W Market St |
$0.00 | 14 | 14 |
|
Jim N Brantner
1303 Sunset Dr |
$58.77 | 14 | 14 |
|
Holly N Falin
301 Med Tech Pkwy |
$35.03 | 14 | 12 |
|
Michelle L Arwood
2 Professional Park Dr Ste 21 |
$41.47 | 14 | 13 |
|
Jessica Reinhold Swanson
301 Med Tech Pkwy Ste 240 |
$79.64 | 14 | 13 |
|
Margaret Claire Deroos
205 Summer Rose Ln |
$35.68 | 14 | 13 |
|
Janet E O'Neal
301 Med Tech Pkwy Ste 200 |
$60.90 | 14 | 13 |
|
Rebecca A Jenkins
1021 W Oakland Ave Ste 301A |
$23.73 | 15 | 12 |
|
Hannah Elizabeth Audia-Webb
410 N State Of Franklin Rd Ste 135 |
$25.01 | 15 | 14 |
|
Rebecca Erion Odom
2333 Knob Creek Rd Ste 16 |
$79.09 | 15 | 14 |
|
David T Deroos
205 Summer Rose Ln |
$47.55 | 15 | 12 |
|
Christina L. Christiansen
217 E Springbrook Dr |
$32.00 | 15 | 13 |
|
Salvatore Paolillo
325 N State Of Franklin Rd Fl 1 |
$20.20 | 15 | 13 |
|
Leandra R Henderson
403 N State Of Franklin Rd |
$40.89 | 15 | 14 |
|
Vanessa L Ailey
301 Med Tech Pkwy |
$44.47 | 15 | 12 |
|
Andrew William Garrett
2333 Knob Creek Rd Ste 16 |
$68.66 | 15 | 14 |
|
Jon W Jones
325 N State Of Franklin Rd Fl 3 |
$9.47 | 15 | 12 |
|
Stefanie P Yoon
325 N. State Of Franklin Road, Ground Floor |
$118.79 | 15 | 15 |
|
Eric W Harman
1021 W Oakland Ave Ste 301 |
$25.71 | 16 | 13 |
|
Rebecca L Hooven
208 E Unaka Ave |
$53.30 | 16 | 16 |
|
Kyle Colvett
400 N State Of Franklin Rd |
$31.79 | 16 | 16 |
|
Lauren Callon Rushing
110 Med Tech Pkwy |
$9.14 | 17 | 12 |
|
Carolyn S. Merriman
2151 Century Lane |
$31.53 | 17 | 12 |
|
Louis Collier Jordan
2428 Knob Creek Rd |
$10.49 | 17 | 13 |
|
Jeffery Chad Martin
410 N State Of Franklin Rd Ste 140 |
$10.14 | 17 | 15 |
|
Desiree Raynor
818 Sunset Dr Ste 102 |
$46.38 | 17 | 15 |
|
Holly Renee Nummerdor
701 Med Tech Pkwy Ste 401 |
$26.07 | 18 | 13 |
|
Michael Farzin Shahbazi
110 Med Tech Pkwy |
$5.32 | 20 | 12 |
|
Meghana Srinivas
400 N State Of Franklin Rd Fl 1 |
$91.59 | 21 | 12 |
|
Donald Clinton Willis
325 N State Of Franklin Rd Fl 1 |
$58.39 | 22 | 21 |
|
Thomas W Jernigan
325 N State Of Franklin Rd |
$30.80 | 22 | 17 |
|
Paul Michael Benson
1009 North State Of Franklin Access Road |
$1.31 | 23 | 15 |
|
Jorge Manuel Diaz
310 N State Of Franklin Rd Ste 303 |
$2.99 | 24 | 14 |
|
Kenneth E. Cutshall
2 Professional Park Dr Ste 11 |
$83.21 | 26 | 24 |
|
State Of Franklin Healthcare Associates Pllc
2528 Wesley St |
$43.77 | 26 | 22 |
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