Average Medicaid Office Visit Payments in Lawrenceburg, TN: $38.20
Avg. Paid
$38.20
Range
$0.00 – $79.50
Total Claims
448,047
Providers
108
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 Lawrenceburg, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Riley Rogers
1605 S Locust Ave |
$48.11 | 12 | 12 |
|
Cherie Luffman
1570 Morningside Dr |
$26.14 | 14 | 12 |
|
Sarah Whitmore
1607 S Locust Ave |
$45.56 | 27 | 25 |
|
Haley Kimbrell
416 N Locust Ave |
$5.00 | 31 | 26 |
|
Frances Ann Berry Brown
233 East Gaines St |
$7.89 | 45 | 26 |
|
Elbert G Warren
1605 S Locust Ave |
$38.59 | 46 | 42 |
|
Haresh H Khatri
416 N Locust Ave |
$6.75 | 53 | 39 |
|
Brenda May May
1605 S Locust Ave Ste 200 |
$46.93 | 76 | 54 |
|
Nikita N Duke
129 N Locust Ave |
$20.79 | 147 | 122 |
|
Kimberly Ann Crain
2380 Buffalo Rd |
$36.88 | 174 | 133 |
|
Express Med Of Tennessee, Llc
726 N Locust Ave |
$1.08 | 208 | 170 |
|
Wesley Jay Sands
234 S Locust Ave |
$23.90 | 296 | 239 |
|
Elizabeth Barron Mashburn
416 N Locust Ave |
$36.45 | 302 | 283 |
|
Roger Duane Thomas
129 N Locust Ave |
$2.71 | 327 | 302 |
|
Michael Quang-Minh Huynh
192 Prosser Rd |
$21.46 | 335 | 187 |
|
Elaine M. Wakeland
1605 S Locust Ave |
$31.89 | 336 | 285 |
|
Adrienne Hope Gowen
2019 N Locust Ave |
$24.71 | 372 | 329 |
|
Amanda Nicole Smith
726 N Locust Ave |
$23.85 | 377 | 334 |
|
Chelsie Caperton
1605 S Locust Ave Ste 200 |
$42.00 | 388 | 317 |
|
Whitney Brooke Franklin
2121 N Locust Ave |
$22.79 | 397 | 352 |
|
Jessica Mills Burress
129 N Locust Ave |
$42.98 | 461 | 402 |
|
Jayraj C Shah
416 N Locust Ave |
$4.42 | 487 | 399 |
|
Kimberly S Rickard
1605 S Locust Ave Ste 200 |
$26.92 | 505 | 299 |
|
Lauren True
184 Prosser Rd |
$33.11 | 507 | 392 |
|
Jennifer Renee Hill
2019 N Locust Ave |
$50.28 | 606 | 515 |
|
James Clayton
129 N Locust Ave |
$21.04 | 667 | 459 |
|
Julie Ann Markus
1607 S Locust Ave |
$42.75 | 668 | 587 |
|
Christopher Chase Davis
2019 N Locust Ave |
$24.36 | 711 | 558 |
|
Miranda S Svetkovich
326 N Locust Ave |
$38.84 | 722 | 688 |
|
Brandy M Brown
326 N Locust Ave Ste B |
$33.88 | 801 | 626 |
|
Margaret Paisley Hemmen
1009 N Locust Ave Ste 1 |
$5.89 | 840 | 785 |
|
Janel Smallman Carnes
406 E Gaines St |
$13.18 | 890 | 679 |
|
Brian Cole
1323 S Locust Ave |
$20.49 | 920 | 768 |
|
Deshonna Mosley
129 N Locust Ave |
$32.70 | 1,009 | 731 |
|
Gregory Alan Hines
1311 S Locust Ave Ste 102 |
$37.75 | 1,081 | 915 |
|
Anna Abigail Markus
211 Long Branch Rd |
$19.95 | 1,094 | 836 |
|
Micky L Busby
317 W Gaines St |
$5.81 | 1,174 | 816 |
|
Karrington Elizabeth Brooks
326 N Locust Ave |
$40.34 | 1,183 | 1,055 |
|
Megan Elizabeth Newton
1607 S Locust Ave |
$42.43 | 1,297 | 1,052 |
|
Tonya Danielle Ginez-Hernandez
2019 N Locust Ave |
$41.88 | 1,317 | 1,180 |
|
Timothy Wade Shelton
2131 N Locust Ave |
$47.76 | 1,349 | 1,203 |
|
Carlie M Black
129 N Locust Ave |
$42.59 | 1,355 | 1,039 |
|
Laura Elizabeth Curtis
2121 N Locust Ave Ste 8 |
$76.42 | 1,383 | 1,259 |
|
Steve D. Hagan
726 N Locust Ave |
$41.85 | 1,610 | 1,349 |
|
Amy Faye Culp
2121 N Locust Ave |
$41.74 | 1,763 | 1,500 |
|
Robert Eric Jackson
374 Brink St |
$33.20 | 1,803 | 1,319 |
|
Leon Eldon Everett
184 Prosser Rd |
$31.15 | 1,853 | 1,520 |
|
Sheldon Jon Harigel
1605 S Locust Ave |
$0.00 | 2,101 | 1,499 |
|
Homer Lee Staley
104 N Locust Ave |
$3.20 | 2,128 | 1,843 |
|
Gregory Anton Kersulis
124 South Columbia Ave |
$22.09 | 2,151 | 1,908 |
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 Lawrenceburg, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lawrenceburg, TN is $38.20 per claim, based on 448,047 claims from 108 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 Lawrenceburg, TN?
There are 108 Medicaid providers offering Office Visit related services in Lawrenceburg, TN according to public payment data.
What is the price range for Office Visit in Lawrenceburg, TN?
Medicaid reimbursement for Office Visit in Lawrenceburg, TN ranges from $0.00 to $79.50 per claim, with an average of $38.20. 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 Lawrenceburg, TN
Ambulance Transport
Avg $29.88
102,647 claims
Dental Cleaning & Exam
Avg $28.77
89,880 claims
Emergency Room Visit
Avg $65.40
86,183 claims
Psychiatric Evaluation
Avg $65.04
74,840 claims
Durable Medical Equipment (DME)
Avg $17.03
49,160 claims
Nursing Facility Care
Avg $18.37
33,805 claims
Speech Therapy
Avg $42.06
28,263 claims
Vaccines & Immunizations
Avg $17.96
27,738 claims