Average Medicaid Office Visit Payments in Madisonville, TN: $37.49
Avg. Paid
$37.49
Range
$13.71 – $53.44
Total Claims
50,062
Providers
23
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 Madisonville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samantha Walker Burns
4798 New Highway 68 |
$37.69 | 5,961 | 5,172 |
|
Brad Allen Watson
3959 Highway 411 |
$53.44 | 5,305 | 4,408 |
|
Thomas R Cox
4798 New Highway 68 |
$29.00 | 5,187 | 4,349 |
|
Tracey D Beverley
321 Tellico Street |
$41.62 | 4,342 | 3,670 |
|
Heidie A Fisher
3959 Us 411 |
$38.58 | 3,467 | 2,891 |
|
Robin Lee Harding
4798 New Highway 68 |
$28.43 | 3,384 | 2,789 |
|
Jordan Michael Newman
4798 New Highway 68 |
$32.91 | 3,227 | 2,835 |
|
Hasmukh Vanmali Kanabar
167 Warren St |
$27.49 | 3,168 | 2,313 |
|
Gregory Brian Cain
3959 Highway 411 |
$32.62 | 2,740 | 2,063 |
|
Tracy Stratton
4233 Highway 411 |
$44.19 | 2,158 | 1,991 |
|
Deletra Michelle Wilke
3959 Highway 411 |
$38.88 | 2,087 | 1,575 |
|
Vicki L Forester
4798 New Highway 68 |
$49.47 | 1,954 | 1,757 |
|
Megan Ashley White
4798 New Highway 68 |
$38.97 | 1,830 | 1,612 |
|
Alex R Boller
301 Hiwassee Community Dr. |
$49.43 | 1,521 | 1,249 |
|
Jamie Nicole Daugherty
4233 Highway 411 |
$24.41 | 861 | 517 |
|
Starla Swaney
167 Warren St |
$30.34 | 844 | 645 |
|
Cherie L Hansen
167 Warren St |
$28.67 | 672 | 451 |
|
Tiffany Norton
4233 Highway 411 |
$29.63 | 666 | 496 |
|
Tamara Lynn Zelch
142 Pine Loop Dr |
$13.71 | 251 | 216 |
|
Arrah J Ford
4798 New Highway 68 |
$36.87 | 224 | 183 |
|
Brooke Torbett
4233 Highway 411 |
$36.50 | 140 | 102 |
|
Betty Gayle Bennett
4233 Highway 411 |
$35.37 | 59 | 46 |
|
Lauren Ann White
4798 New Highway 68 |
$40.51 | 14 | 13 |
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 Madisonville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Madisonville, TN is $37.49 per claim, based on 50,062 claims from 23 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 Madisonville, TN?
There are 23 Medicaid providers offering Office Visit related services in Madisonville, TN according to public payment data.
What is the price range for Office Visit in Madisonville, TN?
Medicaid reimbursement for Office Visit in Madisonville, TN ranges from $13.71 to $53.44 per claim, with an average of $37.49. 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 Madisonville, TN
Ambulance Transport
Avg $51.76
48,114 claims
Dental Cleaning & Exam
Avg $29.46
24,068 claims
Blood Work & Lab Tests
Avg $2.63
22,076 claims
Physical Therapy
Avg $13.00
21,636 claims
Psychiatric Evaluation
Avg $41.67
13,495 claims
Speech Therapy
Avg $21.14
13,298 claims
Dental Filling
Avg $66.49
7,921 claims
Tooth Extraction
Avg $57.28
1,702 claims