Average Medicaid Office Visit Payments in Manchester, TN: $32.01
Avg. Paid
$32.01
Range
$0.11 – $59.96
Total Claims
233,206
Providers
65
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 Manchester, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Edward Roth
1600 Mcarthur St |
$23.10 | 27,530 | 22,900 |
|
Rene Carlos Del Valle
1615 Mcminnville Hwy |
$41.08 | 17,525 | 12,716 |
|
William D Daniel
1615 Mcminnville Hwy |
$37.75 | 15,050 | 12,828 |
|
Evan Patrick Dyer
1415 Hillsboro Blvd Ste 106 |
$41.00 | 11,861 | 8,865 |
|
Brenna Cosminsky
1405 Hillsboro Blvd |
$29.97 | 11,742 | 8,791 |
|
Brian Walter Petersen
482 Interstate Dr Ste 102 |
$29.04 | 9,254 | 6,941 |
|
Angela Sitz Patterson
2345 Murfreesboro Hwy |
$27.39 | 8,916 | 7,235 |
|
Jay Michael Trussler
585 Interstate Dr |
$20.76 | 8,699 | 6,667 |
|
Rebecca Diane Swiger
1400 Willow Dr |
$39.24 | 8,199 | 7,226 |
|
William Bradley Mccrary
1870 Hillsboro Blvd. |
$59.96 | 8,124 | 6,951 |
|
Holly Nicole Zeller
395 Interstate Dr |
$39.25 | 7,589 | 6,994 |
|
Albert R Brandon
482 Interstate Dr |
$33.55 | 7,081 | 6,003 |
|
James R Nunley
2345 Murfreesboro Hwy |
$5.85 | 6,677 | 4,332 |
|
Harrison Y.N. Yang
845 Mcarthur St Ste D |
$32.40 | 5,985 | 4,916 |
|
Jason Michael Herndon
2345 Murfreesboro Hwy |
$9.22 | 5,125 | 3,652 |
|
Nicole Sparkman
482 Interstate Dr |
$38.17 | 5,032 | 3,866 |
|
Shon Patrick Nolin
1608 Mcarthur St |
$30.55 | 4,647 | 3,541 |
|
Kathy Highland
1321 Mcarthur St Ste B |
$31.35 | 3,931 | 2,753 |
|
Kylee Layne
1415 Hillsboro Blvd Ste 106 |
$45.78 | 3,886 | 3,435 |
|
Eric B Bouldin
108 N Spring St |
$32.46 | 3,854 | 3,172 |
|
Glenn Alan Davis
1020 Mcarthur St |
$30.64 | 3,822 | 3,257 |
|
Heather Hamilton Carter
482 Interstate Dr |
$34.32 | 3,172 | 2,645 |
|
Jennifer Keeley Sears
482 Interstate Dr |
$36.87 | 2,823 | 2,420 |
|
Rachel Rollins
1321 Mcarthur St |
$36.32 | 2,772 | 2,037 |
|
James Darrell Vanwinkle
1030 Mcarthur St |
$26.72 | 2,738 | 2,421 |
|
Dawn Selvage
1019 Hillsboro Blvd |
$48.51 | 2,377 | 1,963 |
|
Christy J Hager
115 N Woodland St |
$41.48 | 2,294 | 1,925 |
|
David G Florence
804 Keylon St |
$0.11 | 2,263 | 1,999 |
|
Kimberly D. Mathis
1600 Mcarthur Street |
$14.60 | 2,210 | 1,984 |
|
Alana Moore
1600 Mcarthur Street |
$45.54 | 2,074 | 1,579 |
|
Lisa W Gressel
119 E Fort St |
$9.12 | 2,059 | 1,888 |
|
Whitney Stirewalt
1415 Hillsboro Blvd Ste 106 |
$38.95 | 1,999 | 1,573 |
|
Nicole Lynn Brinkley
482 Interstate Dr Ste A |
$32.04 | 1,810 | 1,563 |
|
Andrea Starr Hall
482 Interstate Dr |
$28.21 | 1,742 | 1,464 |
|
Donna E Tudor
482 Interstate Dr |
$33.15 | 1,610 | 1,342 |
|
Meredith Fetterman
804 Keylon St |
$38.76 | 1,339 | 1,208 |
|
Hanna Lovelady Cunningham
585 Interstate Dr Ste B |
$20.51 | 1,297 | 1,024 |
|
Robin Michael Brady
2180 Hillsboro Blvd |
$29.64 | 1,159 | 965 |
|
Ryan Scott Parton
1405 Hillsboro Blvd |
$27.37 | 1,096 | 854 |
|
Mallory Reeves
1606 Mcarthur St |
$49.75 | 1,040 | 859 |
|
Uju Annie Onyia
1415 Hillsboro Blvd Ste 106 |
$47.86 | 1,008 | 920 |
|
Vanessa Streicher Green
1402 Willow Dr |
$32.99 | 967 | 817 |
|
Janice Bass
585 Interstate Dr. |
$15.69 | 959 | 738 |
|
Jaime Phillips
482 Interstate Dr |
$31.56 | 857 | 725 |
|
Bridget Odonnell George
1321 Mcarthur St |
$33.03 | 840 | 636 |
|
Maria Dolores Salibay
917 Mcarthur St |
$45.64 | 632 | 573 |
|
Kristen Lovelady Elam
585 Interstate Dr |
$24.59 | 622 | 510 |
|
E'Zoza Akhundjanova
1608 Mcarthur St |
$45.21 | 534 | 434 |
|
Candice Rachelle Kusch
1615 Mcminnville Hwy |
$31.24 | 501 | 455 |
|
Amy B White
585 Interstate Dr Ste B |
$16.27 | 421 | 301 |
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 Manchester, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Manchester, TN is $32.01 per claim, based on 233,206 claims from 65 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 Manchester, TN?
There are 65 Medicaid providers offering Office Visit related services in Manchester, TN according to public payment data.
What is the price range for Office Visit in Manchester, TN?
Medicaid reimbursement for Office Visit in Manchester, TN ranges from $0.11 to $59.96 per claim, with an average of $32.01. 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 Manchester, TN
Home Health Visit
Avg $66.44
131,149 claims
Personal Care Services
Avg $119.45
103,420 claims
Psychiatric Evaluation
Avg $35.04
52,177 claims
Blood Work & Lab Tests
Avg $15.86
47,881 claims
Physical Therapy
Avg $17.82
42,732 claims
X-Ray
Avg $4.93
34,989 claims
Ambulance Transport
Avg $66.46
30,852 claims
Emergency Room Visit
Avg $66.21
22,789 claims