Average Medicaid Office Visit Payments in Lewisburg, TN: $38.89
Avg. Paid
$38.89
Range
$2.17 – $65.34
Total Claims
71,834
Providers
40
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 Lewisburg, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alexander J Brunner
122 E Commerce St |
$35.66 | 6,772 | 5,586 |
|
Krista Prince
641 E Commerce St |
$51.33 | 6,019 | 4,814 |
|
Breanna Wood
641 E Commerce St |
$50.99 | 5,823 | 5,123 |
|
Teresa Dianne Davis
529 W Commerce St |
$37.82 | 5,606 | 4,573 |
|
Lou Anne Pritchard
122 E Commerce St |
$47.98 | 5,393 | 4,437 |
|
Kimberly Fowler Huffman
1090 N Ellington Pkwy Ste 201 |
$39.61 | 5,076 | 4,391 |
|
Laura J Langdon
122 E Commerce St |
$28.14 | 4,755 | 3,448 |
|
Jennifer C Laws
335 1St Ave N |
$44.50 | 4,466 | 3,879 |
|
John Mason Douglas
1090 N Ellington Pkwy |
$34.21 | 3,972 | 3,201 |
|
Margaret Ann Throckmorton
1601 Nashville Hwy |
$42.70 | 2,938 | 2,333 |
|
Jessica E Boshers
1090 N Ellington Pkwy Ste 102 |
$34.16 | 2,669 | 2,182 |
|
Hali Redding
501 E Church St |
$50.47 | 2,177 | 1,885 |
|
Holly Nachole Garland
304 W Church St |
$21.16 | 1,720 | 1,500 |
|
Kanthi Charan Narra
1090 N Ellington Pkwy |
$10.55 | 1,579 | 1,379 |
|
Edward D White
710 Cornersville Rd |
$8.00 | 1,228 | 901 |
|
Brandy L Miller
1090 N Ellington Pkwy Ste 102 |
$36.24 | 1,096 | 872 |
|
Angela Ruth Wiles
122 E Commerce St |
$40.33 | 1,028 | 908 |
|
Cynthia Elaine Kelley
304 W Church St |
$24.29 | 1,014 | 671 |
|
Benny Martin Mcknight
1095 N Ellington Pkwy |
$25.81 | 727 | 576 |
|
Christie Janice Goats
1307 N. Ellington Parkway |
$52.67 | 725 | 681 |
|
Elizabeth M Rodriguez
1090 N Ellington Pkwy Ste 102 |
$39.72 | 638 | 509 |
|
Lindsay Vincent Turner
641 E Commerce St |
$60.81 | 589 | 539 |
|
Rebecca Brady
335 1St Ave N |
$41.21 | 566 | 456 |
|
Nicole Megan Grinnell
1261 Old Highway 99 |
$28.53 | 547 | 413 |
|
Pcl Express Walk-In Clinic, Llc
335 1St Ave N |
$65.34 | 483 | 448 |
|
Centeria Green Woolfolk
529 W Commerce St |
$21.46 | 475 | 379 |
|
Jeffrey Lawrence Jordan
815 E Commerce St |
$22.14 | 469 | 355 |
|
Margaret Kimberly Murdock
1090 N Ellington Pkwy |
$38.32 | 425 | 354 |
|
Julia Kuti
122 E Commerce St |
$42.33 | 424 | 380 |
|
Kiwana N Derrick
529 W Commerce St |
$17.86 | 397 | 333 |
|
Charles Cantieri
1090 N Ellington Pkwy Ste 102 |
$35.64 | 394 | 283 |
|
Erin L White
335 1St Ave N |
$45.78 | 384 | 342 |
|
Kerry Kay Peete
335 1St Ave N |
$43.19 | 376 | 345 |
|
Pamela D White
710 Cornersville Rd |
$2.74 | 231 | 196 |
|
Timothy A Nash
1090 N Ellington Pkwy |
$2.40 | 177 | 164 |
|
Celebration Family Care Pllc
529 W Commerce St |
$2.17 | 151 | 137 |
|
Madalyn Rae Gold Amis
1090 N Ellington Pkwy Ste 102 |
$32.77 | 150 | 126 |
|
Joyce Varela Gandy
1307 N. Ellington Parkway |
$49.07 | 77 | 73 |
|
Amy Alicia Holt
2291 Cornersville Hwy |
$41.55 | 57 | 44 |
|
Annah Griffith
1601 Nashville Hwy |
$4.13 | 41 | 33 |
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 Lewisburg, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lewisburg, TN is $38.89 per claim, based on 71,834 claims from 40 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 Lewisburg, TN?
There are 40 Medicaid providers offering Office Visit related services in Lewisburg, TN according to public payment data.
What is the price range for Office Visit in Lewisburg, TN?
Medicaid reimbursement for Office Visit in Lewisburg, TN ranges from $2.17 to $65.34 per claim, with an average of $38.89. 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 Lewisburg, TN
Ambulance Transport
Avg $29.62
45,732 claims
Dental Cleaning & Exam
Avg $30.11
33,660 claims
Physical Therapy
Avg $14.88
33,035 claims
Psychiatric Evaluation
Avg $52.94
24,895 claims
Emergency Room Visit
Avg $96.49
15,842 claims
Nursing Facility Care
Avg $11.28
13,212 claims
Blood Work & Lab Tests
Avg $4.30
9,780 claims
Vaccines & Immunizations
Avg $21.57
6,464 claims