Average Medicaid Office Visit Payments in Knoxville, TN: $45.18
Avg. Paid
$45.18
Range
$0.00 – $232.03
Total Claims
3,462,740
Providers
1,776
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 Knoxville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Youhanna S Al-Tawil
1975 Town Center Blvd |
$81.99 | 54,214 | 49,897 |
|
Richard E Poehlein
7328 Middlebrook Pike |
$24.88 | 40,006 | 24,063 |
|
Andrew Joshua Sewell
2100 W Clinch Ave |
$63.52 | 32,223 | 26,686 |
|
Stanley S. Park
5300 Clinton Plaza Drive |
$53.40 | 30,288 | 27,476 |
|
Syed M Akhter
1128 E Weisgarber Rd Ste 230 |
$52.59 | 28,333 | 24,562 |
|
Stacey Maltman
9051 Executive Park Dr Ste 500 |
$47.91 | 25,219 | 18,395 |
|
Periclis Roussis
501 19Th St. |
$70.09 | 22,658 | 14,683 |
|
Donna Suzanne Mccormick
9221 Middlebrook Pike |
$35.69 | 22,141 | 18,257 |
|
Renee Barbre Powell
100 Tech Center Dr |
$62.80 | 20,762 | 17,691 |
|
Francisco G Moreno
501 20Th St |
$46.17 | 20,483 | 19,084 |
|
Mubashir Mahmood
9303 Park West Blvd Ste 100 |
$42.61 | 19,538 | 15,424 |
|
James E Fox
300 Prosperity Rd |
$11.58 | 18,823 | 16,107 |
|
David L Eakes
100 Tech Center Dr |
$61.27 | 18,786 | 16,068 |
|
Syed Ahmed
4711 Centerline Dr Ste 100 |
$14.08 | 18,247 | 13,782 |
|
Rachel Taylor
100 Tech Center Dr |
$58.32 | 17,734 | 15,791 |
|
Michael Alan Chavin
1124 N Broadway St |
$19.88 | 17,285 | 12,393 |
|
Kristina Michelle Carter
1930 Alcoa Hwy Ste 435 |
$80.14 | 16,868 | 13,680 |
|
John Jay Crawford
260 Fort Sanders West Blvd |
$64.11 | 16,611 | 12,540 |
|
Anne Marie Green
205 W Springdale Ave |
$27.71 | 16,463 | 13,707 |
|
Nadine M Trainer
1025 Childrens Way |
$50.10 | 16,259 | 14,176 |
|
Cayci Denise Lane
4005 Fountain Valley Dr |
$56.95 | 16,250 | 14,858 |
|
James J Choo
220 Fort Sanders West Blvd. |
$16.82 | 16,010 | 13,727 |
|
Ehab Mansoor
1025 Childrens Way |
$69.89 | 15,604 | 14,193 |
|
Qin Zou
1400 Dutch Valley Dr |
$50.80 | 14,862 | 13,037 |
|
Maria C Javier
100 Tech Center Dr |
$56.90 | 14,636 | 12,494 |
|
Joe Alan Graves
2100 W Clinch Ave |
$52.23 | 14,464 | 13,048 |
|
Phillip A Noe
2018 Clinch Avenue |
$52.82 | 13,819 | 12,504 |
|
Catherine White
1915 White Ave |
$39.47 | 13,647 | 11,617 |
|
James E Deweese
7341 Chapman Hwy |
$31.60 | 13,515 | 10,998 |
|
Marta Kuniec
10857 Hardin Valley Rd |
$52.91 | 13,269 | 10,999 |
|
Cynthia T Buckner
2900 Tazewell Pike Ste G |
$46.13 | 13,247 | 9,537 |
|
Lori Stallings
301 Clark St |
$44.10 | 13,134 | 9,165 |
|
Chad Alan Thornhill
2100 Clinch Avenue Suite 420 |
$62.87 | 13,065 | 12,326 |
|
Mary Ann Hammonds
220 Fort Sanders West Blvd Ste 200 |
$25.95 | 12,971 | 10,923 |
|
Diane Beth Knights
11509 Hardin Valley Rd |
$35.30 | 12,965 | 9,387 |
|
Cecil Tripp Huron Nelson
1930 Alcoa Hwy Ste 435 |
$77.21 | 12,900 | 10,515 |
|
Anna E Kosentka
2018 W Clinch Avenue |
$74.92 | 12,693 | 11,843 |
|
Karsten Gammeltoft
2018 W Clinch Avenue |
$78.76 | 12,590 | 11,857 |
|
Brandon D Rowan
1451 Dowell Springs Blvd |
$43.61 | 12,549 | 7,127 |
|
Christopher Patrick O'Brien
6311 Kingston Pike |
$95.42 | 12,496 | 11,833 |
|
Alvinia Collins Proffitt
265 Brookview Centre Way |
$56.60 | 12,413 | 10,146 |
|
Chang Wen Chen
10430 Lovell Center Dr |
$24.38 | 12,148 | 10,497 |
|
Morgin N Johnson
1930 Alcoa Hwy Ste 145 |
$50.23 | 11,988 | 9,162 |
|
Lynlee Marie Wolfe
1925 Alcoa Hwy |
$76.08 | 11,988 | 9,887 |
|
Jackie Givens Pankratz
1975 Town Center Blvd |
$82.23 | 11,947 | 11,022 |
|
Justin K Mynatt
600 Arthur St |
$39.74 | 11,930 | 10,383 |
|
Cameron J. Sears
260 Fort Sanders West Blvd |
$61.09 | 11,857 | 10,776 |
|
Mark D Hennessy
1924 Alcoa Hwy |
$84.11 | 11,635 | 9,560 |
|
Eric Matthew Redmon
11408 Kingston Pike Ste 400 |
$24.65 | 11,516 | 6,603 |
|
Curtis Shannon Gaylord
1422 Old Weisgarber Rd |
$57.74 | 11,374 | 9,802 |
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 Knoxville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Knoxville, TN is $45.18 per claim, based on 3,462,740 claims from 1776 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 Knoxville, TN?
There are 1776 Medicaid providers offering Office Visit related services in Knoxville, TN according to public payment data.
What is the price range for Office Visit in Knoxville, TN?
Medicaid reimbursement for Office Visit in Knoxville, TN ranges from $0.00 to $232.03 per claim, with an average of $45.18. 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 Knoxville, TN
Blood Work & Lab Tests
Avg $4.36
3,232,027 claims
Case Management Services
Avg $11.55
1,534,932 claims
Emergency Room Visit
Avg $112.38
1,231,223 claims
Ambulance Transport
Avg $34.35
1,208,594 claims
Speech Therapy
Avg $48.14
1,179,507 claims
X-Ray
Avg $5.65
1,112,380 claims
Psychiatric Evaluation
Avg $54.43
1,063,759 claims
Non-Emergency Medical Transportation
Avg $5.25
884,779 claims