Average Medicaid Office Visit Payments in Kingston, TN: $34.25
Avg. Paid
$34.25
Range
$8.12 – $87.78
Total Claims
56,426
Providers
18
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 Kingston, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bhavana Vora
933 W Race St |
$20.55 | 11,188 | 7,303 |
|
Amanda Smith Ferguson
933 W Race St |
$46.23 | 8,064 | 6,751 |
|
Thomas Francis Boduch
314 E Spring St |
$25.90 | 6,859 | 5,993 |
|
Buffy Snow
933 W Race St |
$41.84 | 5,747 | 4,819 |
|
Megan H Nelson
933 W Race St |
$50.97 | 4,978 | 4,164 |
|
Kimberly C Bell
1029 Waterford Pl |
$49.85 | 3,581 | 3,138 |
|
Jennifer Gail Daugherty
820 W Race St |
$9.83 | 3,472 | 3,010 |
|
Kelly Talarico
933 W Race St |
$47.15 | 2,502 | 2,191 |
|
Dwight H Willett
820 W Race St |
$20.57 | 1,936 | 1,406 |
|
Rebecca Michelle Fitzgerald
930 W Race St |
$60.08 | 1,931 | 1,742 |
|
Farzana Sharmin Iqbal
820 W Race St |
$21.57 | 1,852 | 1,219 |
|
Timothy Edward Bell
814 N Kentucky St |
$31.67 | 1,339 | 1,073 |
|
Candace Joy Templeton
1000 Bradford Way Ste 500 |
$22.16 | 1,143 | 878 |
|
Elizabeth Ann Bell
933 W Race St |
$39.13 | 1,079 | 893 |
|
Jacqueline E Howard
814 N Kentucky St |
$11.59 | 529 | 481 |
|
Linda Sue Cole
900 Waterford Pl |
$87.78 | 162 | 151 |
|
Ronald Jay Baggett
133 E Race St |
$8.12 | 44 | 36 |
|
Beverly Kay Glasure
820 W Race St |
$41.43 | 20 | 13 |
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 Kingston, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kingston, TN is $34.25 per claim, based on 56,426 claims from 18 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 Kingston, TN?
There are 18 Medicaid providers offering Office Visit related services in Kingston, TN according to public payment data.
What is the price range for Office Visit in Kingston, TN?
Medicaid reimbursement for Office Visit in Kingston, TN ranges from $8.12 to $87.78 per claim, with an average of $34.25. 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 Kingston, TN
Dental Cleaning & Exam
Avg $30.30
63,260 claims
Physical Therapy
Avg $41.58
57,801 claims
Speech Therapy
Avg $22.34
53,519 claims
Blood Work & Lab Tests
Avg $3.31
28,856 claims
Dental Filling
Avg $68.82
17,762 claims
Nursing Facility Care
Avg $17.70
6,305 claims
Urinalysis & Urine Tests
Avg $1.01
2,528 claims
Vaccines & Immunizations
Avg $9.35
1,516 claims