Average Medicaid Office Visit Payments in Martin, TN: $38.51
Avg. Paid
$38.51
Range
$0.00 – $68.88
Total Claims
121,059
Providers
33
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 Martin, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sharon P Page
215 Hawks Rd |
$39.02 | 26,513 | 22,220 |
|
Mark Vinson
108 Courtright Rd |
$37.87 | 12,851 | 10,315 |
|
Susan C Brewer
142 Mount Pelia Rd |
$68.88 | 10,600 | 9,740 |
|
Stephanie Jeannette Gardner
130 Commons Dr |
$39.69 | 8,469 | 7,635 |
|
Susan S Lowry
117 Kennedy Dr |
$31.15 | 8,356 | 7,309 |
|
Sarah Elizabeth Huffstetler
215 Hawks Rd |
$36.60 | 7,332 | 5,877 |
|
Rebecca N Johnson
143 Kennedy Dr |
$46.37 | 6,517 | 5,176 |
|
James W Shore
117 Kennedy Dr |
$26.96 | 4,014 | 3,420 |
|
Linda A Barker
300 W Peach St |
$24.74 | 3,714 | 2,509 |
|
Elizabeth Duncan Lund
300 W Peach St |
$43.79 | 3,456 | 2,830 |
|
Ann Lucile Napier
300 W Peach St |
$31.82 | 2,393 | 2,038 |
|
Elizabeth Roberts
300 W Peach St |
$29.45 | 2,375 | 2,001 |
|
Seth Lewis Coleman
123 Commons Dr |
$31.71 | 2,351 | 1,790 |
|
Jami L Maddox
300 W Peach St |
$41.36 | 2,200 | 1,861 |
|
Regina Suzanne Chandler
300 W Peach St |
$33.32 | 2,081 | 1,687 |
|
Cynthia Raines Swaim
149 Commons Dr |
$10.81 | 2,076 | 1,622 |
|
Ashraf Yahya Alqaqa
143 Kennedy Dr |
$28.77 | 2,074 | 1,446 |
|
Amiee Foley Stooksberry
215 Hawks Rd |
$27.34 | 1,997 | 1,448 |
|
Haley Riggs Scillion
189 Mount Pelia Rd |
$36.59 | 1,976 | 1,598 |
|
Angela B Cursey
215 Hawks Rd |
$38.85 | 1,806 | 1,438 |
|
Keely E Vaughan
117 Kennedy Dr |
$24.85 | 1,302 | 1,083 |
|
Keener B Ragsdale
164 Mount Pelia Rd |
$24.68 | 1,090 | 890 |
|
Stefanie Lea Gray
117 Kennedy Dr |
$48.33 | 855 | 743 |
|
Kendra Deonne Hayslett
300 W Peach St |
$25.05 | 836 | 674 |
|
Victoria Claire Hooper
300 W Peach St |
$32.95 | 772 | 666 |
|
Morgan S Stone
143 Kennedy Dr |
$26.19 | 684 | 605 |
|
Michael W Hinds
215 Hawks Rd |
$26.61 | 559 | 411 |
|
Martin Children'S Clinic, Llc
130 Commons Dr |
$39.29 | 547 | 350 |
|
Anna K Hopla
148 Mount Pelia Rd |
$31.31 | 512 | 481 |
|
Kenneth W Carr
115 Mount Pelia Rd |
$2.57 | 344 | 295 |
|
Madison Switcher Northcutt
189 Mount Pelia Rd |
$40.84 | 324 | 259 |
|
Martin Health
143 Kennedy Drive |
$0.00 | 43 | 36 |
|
Frances Dickson Bynum
105 Highway 431 |
$20.53 | 40 | 40 |
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 Martin, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Martin, TN is $38.51 per claim, based on 121,059 claims from 33 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 Martin, TN?
There are 33 Medicaid providers offering Office Visit related services in Martin, TN according to public payment data.
What is the price range for Office Visit in Martin, TN?
Medicaid reimbursement for Office Visit in Martin, TN ranges from $0.00 to $68.88 per claim, with an average of $38.51. 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 Martin, TN
Non-Emergency Medical Transportation
Avg $5.59
361,722 claims
Ambulance Transport
Avg $11.42
188,624 claims
Blood Work & Lab Tests
Avg $3.71
112,040 claims
Emergency Room Visit
Avg $105.71
91,454 claims
Urinalysis & Urine Tests
Avg $1.78
40,518 claims
Physical Therapy
Avg $15.04
32,587 claims
Ultrasound
Avg $58.78
29,375 claims
Prescription Medications
Avg $0.78
25,725 claims