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 |
|---|---|---|---|
|
Carli J Cooper
444 Clinchfield St Ste 2800 |
$14.99 | 12 | 12 |
|
Larry D Shuster
130 W Ravine Rd |
$30.53 | 12 | 12 |
|
Sherry L Robbins
102 E Ravine Rd |
$36.85 | 12 | 12 |
|
Kelly S Oggero
130 W Ravine Rd Ste 3A |
$57.50 | 12 | 12 |
|
Joseph Michael Gunn
2412 N John B Dennis Hwy |
$19.25 | 12 | 12 |
|
Richard Gendron
2033 Meadowview Ln |
$40.74 | 13 | 13 |
|
Megan Long
1905 American Way |
$58.76 | 13 | 13 |
|
County Of Sullivan
1041 East Sullivan Street |
$11.27 | 13 | 13 |
|
Lisa M Adams
105 W Stone Dr Ste 4B |
$55.12 | 13 | 13 |
|
Benjamin Culp
2050 Meadowview Pkwy |
$35.09 | 13 | 13 |
|
Hannah Ruth Collins
2300 W Stone Dr |
$18.93 | 13 | 13 |
|
Jennifer Gordon Shafer
2033 Meadowview Ln |
$36.11 | 13 | 13 |
|
Robert Keith Kramer
2050 Meadowview Parkway |
$42.83 | 13 | 12 |
|
Mark Aziz
2050 Meadowview Pkwy |
$16.35 | 14 | 13 |
|
Wellmont Cardiology Services
2050 Meadowview Parkway |
$43.95 | 14 | 14 |
|
Cheryl Stanski
105 W Stone Dr |
$25.19 | 14 | 13 |
|
R. Douglas Strickland
135 W Ravine Rd |
$21.21 | 14 | 12 |
|
Patrick Rene Showalter
2204 Pavilion Dr Ste 310 |
$40.49 | 14 | 12 |
|
Sarah Abdel Massih
2002 Brookside Dr Ste 102 |
$42.75 | 14 | 12 |
|
Joan Colette D'Cruz
1536 Bridgewater Ln Ste 103 |
$2.61 | 14 | 13 |
|
Ashley Rachelle Roberts
2050 Meadowview Pkwy |
$5.11 | 14 | 13 |
|
Neesha Nalina Shah
1516 Bridgewater Ln |
$8.29 | 14 | 14 |
|
Lisa Renee Cook
105 W Stone Dr Ste 3A |
$28.52 | 15 | 12 |
|
Shelley Hilton
2300 W Stone Dr |
$34.77 | 16 | 15 |
|
Charles E Payne
1932 Brookside Drive |
$50.67 | 16 | 12 |
|
Rabindra Raj Lamichhane
4 Sheridan Sq Ste 200 |
$28.77 | 16 | 13 |
|
Guillian Michelle Fleming
2202 N John B Dennis Hwy Ste 204 |
$31.40 | 16 | 12 |
|
Elizabeth Michele Jackson
444 Clinchfield St |
$33.78 | 16 | 13 |
|
Isaac John Mcmurray
444 Clinchfield St Ste 103 |
$22.94 | 16 | 13 |
|
Kelli Lynn Walker
111 W Stone Dr |
$37.85 | 17 | 15 |
|
Janna Evans Davis
2050 Meadowview Pkwy |
$31.56 | 17 | 15 |
|
Kaycee Danielle Farlow
130 W Ravine Rd |
$48.79 | 18 | 13 |
|
Candace Christian
3013 Princeton Rd |
$42.90 | 18 | 15 |
|
Jeffrey P Fenyves
10461 Wallace Alley St |
$25.17 | 25 | 25 |
|
Jennifer N Mccready
1041 Amersham Rd |
$52.18 | 28 | 26 |
|
Stephanie Anne Hart
444 Clinchfield St Ste 2900 |
$25.97 | 29 | 24 |
|
Eric Schwartz
105 W Stone Dr |
$34.31 | 29 | 27 |
|
Renee L Boulicault
105 W Park Dr |
$43.41 | 29 | 25 |
|
Maria Christine Byrd
105 W Stone Dr Ste 4B |
$32.70 | 30 | 27 |
|
Kelly A Cox
2050 Meadowview Pkwy |
$17.41 | 30 | 25 |
|
Emily Renee Florez
2300 W Stone Dr |
$37.35 | 31 | 28 |
|
Lenita Thibault
135 W Ravine Rd |
$38.28 | 33 | 27 |
|
Riann J Burroughs
10461 Wallace Alley St |
$16.46 | 34 | 32 |
|
Megan C Couch
516 Stapleton Dr |
$19.77 | 34 | 24 |
|
Nimesh Adhikari
2202 N John B Dennis Hwy Ste 100 |
$40.73 | 38 | 28 |
|
Ashley A Winegar
1700 Pinebrook Dr |
$22.28 | 38 | 28 |
|
Steven Holt
105 W Stone Dr |
$59.58 | 43 | 41 |
|
Holly A Sanders
2300 W Stone Dr |
$26.05 | 45 | 38 |
|
Julia Paige Dunn
737 E Sevier Ave |
$46.99 | 46 | 41 |
|
Steven C Butler
2002 Brookside Dr |
$16.20 | 46 | 38 |
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