Average Medicaid Office Visit Payments in Kingsport, TN: $43.89
Avg. Paid
$43.89
Range
$0.96 – $488.43
Total Claims
1,005,838
Providers
470
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 Kingsport, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jason J Della Vecchia
1700 Pinebrook Dr Ste 4 |
$55.25 | 34,873 | 19,135 |
|
Anastasia C Brown
4600 Fort Henry Dr |
$48.16 | 34,731 | 30,825 |
|
Joshua Alton Morris
2000 Brookside Dr |
$47.08 | 27,464 | 14,954 |
|
Josh Shook
2033 Meadowview Ln |
$49.37 | 17,467 | 15,586 |
|
Sam Sadeghi
135 W Ravine Rd |
$31.44 | 17,156 | 13,374 |
|
Joseph Ley
105 West Stone Drive |
$48.73 | 16,584 | 14,657 |
|
Alicia Wright
105 W Stone Dr |
$49.29 | 16,438 | 14,182 |
|
Amy L Marlow
2002 Brookside Dr Ste 200 |
$52.06 | 14,684 | 12,489 |
|
Paul Charles Villeneuve
2001 Stonebrook Pl |
$55.99 | 14,460 | 10,123 |
|
Brittney R Terry
2002 Brookside Dr Ste 200 |
$58.93 | 14,365 | 12,388 |
|
Donald Lewis
2033 Meadowview Ln |
$47.39 | 14,232 | 12,848 |
|
Danielle Street Stephens
105 W Stone Dr Ste 2A |
$50.24 | 13,046 | 11,571 |
|
Wayne David Durbin
4600 Fort Henry Dr |
$44.62 | 12,625 | 10,322 |
|
Michelle R Estes
2002 Brookside Dr |
$52.55 | 12,598 | 10,577 |
|
Derek Darnell
111 W Stone Dr Ste 110 |
$51.74 | 12,102 | 10,907 |
|
Ashley C. Carroll
111 W Stone Dr |
$47.49 | 11,845 | 10,346 |
|
Rodney Watson
2212 N John B Dennis Pkwy |
$61.13 | 11,656 | 10,304 |
|
Janet Cradic
111 W Stone Dr Ste 110 |
$49.81 | 11,461 | 10,436 |
|
Deborah Carol Jenkins
130 W Ravine Rd |
$60.43 | 10,376 | 9,821 |
|
Kristi Cook
2001 E Stonebrook Pl |
$57.26 | 10,189 | 8,380 |
|
James Christopher Glass
130 Ravine Road |
$42.65 | 9,848 | 8,511 |
|
Sarah S Youssef
105 W Stone Dr Ste 2A |
$48.00 | 9,773 | 8,596 |
|
Samantha A Ketron
2002 Brookside Dr Ste 200 |
$52.11 | 9,176 | 7,869 |
|
Maureen A Gaynor
1570 Waverly Rd |
$32.41 | 9,043 | 7,260 |
|
Christopher Richard Morris
Three Sheridan Square |
$48.55 | 8,913 | 8,154 |
|
Stephanie Tipton
105 W Stone Dr |
$42.79 | 8,415 | 7,508 |
|
Kimberley Hunt
105 W Stone Dr |
$44.15 | 8,327 | 7,233 |
|
Holly Charlene Grigsby
1936 Brookside Dr Ste E |
$37.71 | 8,116 | 4,565 |
|
Erin Elizabeth Thomas
4 Sheridan Sq Ste 102 |
$37.23 | 8,040 | 6,618 |
|
Jennifer Ardemagni Height
105 W Stone Dr |
$40.40 | 7,919 | 7,255 |
|
Jennifer A Rose
3616 Netherland Inn Rd Ste 6 |
$52.01 | 7,568 | 6,458 |
|
Mary Pat Francisco
105 W Stone Dr |
$76.25 | 7,113 | 6,615 |
|
Shailee A Madhok
#8 Sheridan Square |
$50.72 | 6,955 | 5,985 |
|
Brian David Shafer
105 W Stone Dr |
$28.27 | 6,821 | 5,664 |
|
Tiffani M Dotson
1570 Waverly Rd |
$41.28 | 6,789 | 4,851 |
|
Kayla J Joyce
111 W Stone Dr |
$63.03 | 6,643 | 6,205 |
|
Christopher Morelock
105 W Stone Dr |
$41.89 | 6,607 | 6,172 |
|
Scott D Mclain
1526 Bridgewater Ln |
$11.98 | 6,479 | 4,006 |
|
Jean Scott Inderfurth
4600 Fort Henry Dr |
$56.86 | 6,300 | 5,732 |
|
Georgia Jane Williams
135 W Ravine Rd |
$23.92 | 6,253 | 4,863 |
|
Rebecca Jane Hamilton
2204 Pavilion Dr |
$34.52 | 5,961 | 5,412 |
|
Deronna S Moore
111 W Stone Dr Ste 110 |
$44.56 | 5,796 | 5,157 |
|
Amanda L Wright-Brown
121 E Ravine Rd Ste 900 |
$57.39 | 5,618 | 4,308 |
|
Matthew David Wood
737 E Sevier Ave |
$35.62 | 5,585 | 4,647 |
|
Dallas Shone
105 W Stone Dr |
$41.32 | 5,502 | 4,959 |
|
Jacqlyne Weber Bowman
1570 Waverly Rd |
$47.42 | 5,491 | 3,883 |
|
Jordan Burke
111 W Stone Dr Ste 110 |
$39.54 | 5,357 | 4,662 |
|
Kelly Lauren Thompson
111 W Stone Dr |
$58.81 | 5,268 | 4,215 |
|
Curtis Matthew Jantzi
2033 Meadowview Ln |
$29.39 | 5,231 | 4,470 |
|
Brian Lee Maggard
3550 Highway 75 |
$55.15 | 5,222 | 3,219 |
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 Kingsport, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kingsport, TN is $43.89 per claim, based on 1,005,838 claims from 470 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 Kingsport, TN?
There are 470 Medicaid providers offering Office Visit related services in Kingsport, TN according to public payment data.
What is the price range for Office Visit in Kingsport, TN?
Medicaid reimbursement for Office Visit in Kingsport, TN ranges from $0.96 to $488.43 per claim, with an average of $43.89. 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 Kingsport, TN
Blood Work & Lab Tests
Avg $5.84
551,873 claims
Durable Medical Equipment (DME)
Avg $18.44
215,749 claims
Emergency Room Visit
Avg $105.62
204,082 claims
Psychiatric Evaluation
Avg $51.17
175,169 claims
Vaccines & Immunizations
Avg $15.54
163,706 claims
Dental Cleaning & Exam
Avg $30.10
116,502 claims
Nursing Facility Care
Avg $8.27
95,203 claims
Eye Exam
Avg $27.37
92,072 claims