Average Medicaid Office Visit Payments in Loudon, TN: $50.54
Avg. Paid
$50.54
Range
$0.00 – $82.93
Total Claims
60,101
Providers
19
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 Loudon, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Darryl Sanabria
15000 Hwy 72 North |
$60.81 | 19,888 | 16,979 |
|
Marc Vincent Courts
616 Ward Ave |
$51.66 | 13,337 | 11,764 |
|
Calvin Robert Schaerer
616 Ward Ave |
$46.89 | 10,943 | 9,664 |
|
James Perry Guider
616 Ward Ave |
$44.92 | 2,377 | 1,897 |
|
Jamie Mclemore
111 Clyde St |
$45.54 | 2,367 | 1,876 |
|
Olga Lutsyk
901 Grove St |
$82.93 | 2,269 | 1,937 |
|
Bipinchandra M. Patel
111 Clyde St |
$26.78 | 1,985 | 1,446 |
|
Peter Gagnon Stimpson
901 Grove St |
$6.00 | 1,837 | 1,482 |
|
Irina Lavrik
2480 Hwy 72 N |
$26.97 | 1,627 | 1,320 |
|
Brandi Brown
702 Grove St |
$44.90 | 1,113 | 786 |
|
Mohammad R Rahman
111 Clyde St |
$19.55 | 965 | 742 |
|
Robert J Kellett
810 Mulberry St |
$74.25 | 363 | 312 |
|
Robert P Martyn
202 Dohi Dr |
$23.09 | 330 | 278 |
|
Terri L Crabtree
1520 Grove St |
$12.79 | 264 | 154 |
|
Janna Graber Werner
100 River Rd |
$0.01 | 194 | 94 |
|
Charles Jacob Cupp
202 Dohi Dr |
$37.39 | 154 | 105 |
|
Sherri Gray
10209 Roberson Springs Rd |
$46.26 | 40 | 33 |
|
Milton N Kondiles
238 Chahyga Cir |
$0.00 | 32 | 28 |
|
Alessandra Glaser
810 Mulberry St |
$46.16 | 16 | 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 Loudon, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Loudon, TN is $50.54 per claim, based on 60,101 claims from 19 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 Loudon, TN?
There are 19 Medicaid providers offering Office Visit related services in Loudon, TN according to public payment data.
What is the price range for Office Visit in Loudon, TN?
Medicaid reimbursement for Office Visit in Loudon, TN ranges from $0.00 to $82.93 per claim, with an average of $50.54. 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 Loudon, TN
Speech Therapy
Avg $35.68
49,986 claims
Physical Therapy
Avg $34.88
48,990 claims
Vaccines & Immunizations
Avg $14.50
23,409 claims
Blood Work & Lab Tests
Avg $3.73
15,354 claims
Nursing Facility Care
Avg $7.74
13,019 claims
Substance Abuse Treatment
Avg $293.16
12,178 claims
EKG / ECG (Electrocardiogram)
Avg $3.34
8,234 claims
Emergency Room Visit
Avg $128.16
7,958 claims