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 |
|---|---|---|---|
|
Bradley-James Ryan Faulkner
1924 Pinnacle Pointe Way Ste 100 |
$45.56 | 12 | 12 |
|
Kate Bounds
5508 Kingston Pike |
$35.22 | 12 | 12 |
|
Danielle B Rosser
7211 Wellington Dr Ste 201 |
$61.06 | 12 | 12 |
|
Daniel L. New
2018 W Clinch Ave |
$4.04 | 12 | 12 |
|
Erin Walker Hermann
2018 Clinch Avenue |
$70.91 | 12 | 12 |
|
Hogan Donald Harrell
1940 Alcoa Hwy Ste 120 |
$20.09 | 12 | 12 |
|
Amy Browning Maurer
123 Fox Rd |
$59.39 | 12 | 12 |
|
Eduardo R Mendez
9625 Kroger Park Dr Ste 450 |
$13.85 | 12 | 12 |
|
Carol D Hawkins
1120 E Weisgarber Rd |
$13.97 | 12 | 12 |
|
Johnny Altawil
1311 Dowell Springs Blvd |
$13.86 | 12 | 12 |
|
Aaron Taylor
1924 Alcoa Hwy # U-11 |
$28.60 | 12 | 12 |
|
Kelly Butler Patterson
2018 W Clinch Ave |
$100.22 | 12 | 12 |
|
Robert T Chambers
1208 Merchant Road |
$32.97 | 12 | 12 |
|
Melissa G Webber
201 Prosperity Dr |
$39.23 | 12 | 12 |
|
Cara Lynn Myers
801 N Weisgarber Rd |
$24.55 | 12 | 12 |
|
Dana M. Pelizza
1600 Accelerator Way Ste 200 |
$42.32 | 12 | 12 |
|
Jonathan Daniel Dee
1924 Pinnacle Pt |
$44.55 | 13 | 12 |
|
Chris A Klenck
1551 Lake Loudon Blvd |
$51.55 | 13 | 12 |
|
Jason P Collins
1612 Choto Markets Way |
$36.20 | 13 | 12 |
|
Justin C Kennon
9430 Park West Blvd Ste 130 |
$26.42 | 13 | 12 |
|
Stefani E. Piacentine
2018 Western Ave |
$48.39 | 13 | 12 |
|
Sangeeta Gulati
1928 Alcoa Highway |
$27.68 | 13 | 12 |
|
Barry Victor Maves
1311 Dowell Springs Blvd |
$9.02 | 13 | 13 |
|
Ronald Herman Lands
1924 Alcoa Hwy # U114 |
$27.40 | 13 | 13 |
|
Briana Teresa Costello
1819 Clinch Ave Ste 108 |
$108.56 | 13 | 12 |
|
Julia Ann Abraham
7503 S Northshore Dr |
$58.85 | 13 | 12 |
|
Kara Cockrum
2018 Clinch Ave |
$42.78 | 13 | 13 |
|
Richard Stanley Smith
1926 Alcoa Hwy |
$26.53 | 13 | 12 |
|
Sarah Mackey
2018 Clinch Ave |
$8.45 | 13 | 12 |
|
Coleman Clark Smith
1819 Clinch Ave Ste 100 |
$50.16 | 13 | 13 |
|
John Howard Acker
1940 Alcoa Hwy |
$15.09 | 13 | 13 |
|
Jenna Lee Fowlkes
10215 Kingston Pike Ste 100 |
$36.99 | 13 | 12 |
|
Erica Paige Hill
2060 Lakeside Centre Way |
$42.85 | 13 | 13 |
|
Elizabeth Ellington
8635 Middlebrook Pike |
$26.53 | 13 | 12 |
|
Daniel M Green
1924 Alcoa Hwy |
$17.62 | 13 | 13 |
|
Ann Criswell Stuart
3114 Alcoa Hwy |
$35.86 | 13 | 12 |
|
Rebecca E Criswell
9957 Sherrill Blvd |
$53.53 | 13 | 13 |
|
Kaci Hughes
9137 Middlebrook Pike |
$61.27 | 13 | 13 |
|
Stephen C Kiss
2001 Laurel Ave |
$7.34 | 13 | 12 |
|
Brian T Mosrie
103 Midlake Dr |
$26.28 | 13 | 13 |
|
Lauren Lindsey Harris
1932 Alcoa Hwy Ste 255 |
$21.75 | 14 | 12 |
|
Edwin Earl Spencer
12600 Woodcove Ln |
$55.00 | 14 | 13 |
|
Amanda Lasseter Mcnew
1422 Old Weisgarber Rd |
$64.24 | 14 | 12 |
|
Herbert J Glatt
1932 Alcoa Hwy Ste 255 |
$61.15 | 14 | 12 |
|
Lydia Sharp
5326 Western Ave |
$72.32 | 14 | 13 |
|
Michael E Mitchell
10810 Parkside Dr |
$19.62 | 14 | 12 |
|
Amie Phipps
1225 E Weisgarber Rd Ste 200 |
$28.10 | 14 | 12 |
|
Elizabeth Altizer
1928 Alcoa Hwy |
$12.58 | 14 | 13 |
|
Lauren Mccroskey
809 E Emerald Ave |
$41.92 | 14 | 14 |
|
Peter J Campbell
1450 Dowell Springs Blvd |
$65.51 | 14 | 14 |
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