Average Medicaid Office Visit Payments in Maryville, TN: $40.36
Avg. Paid
$40.36
Range
$0.00 – $83.12
Total Claims
305,416
Providers
206
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 Maryville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lori A Baxter
Cedar Creek Pediatric & Adolescent Medicine, Pc |
$49.11 | 22,994 | 19,275 |
|
Susan E Wilson
616 Smithview Dr |
$72.42 | 14,864 | 13,419 |
|
Speech Pathology Services Of East Tennessee Llc
2030 Chilhowee Medical Park |
$12.41 | 12,823 | 4,045 |
|
Shannon Diane Blevins
2020 E. Lamar Alexander Pkwy |
$23.87 | 9,719 | 7,749 |
|
Michael T Damron
616 W Lamar Alexander Pkwy |
$48.14 | 8,855 | 7,923 |
|
Nalini Samavedy
210 Simmons St |
$25.05 | 7,539 | 6,124 |
|
Guy David Ferguson
365 Bmh Physicians Office Bldg |
$54.99 | 7,150 | 5,980 |
|
Joseph Duane Payne
1103 E. Lamar Alexander Pkwy |
$40.88 | 6,827 | 4,990 |
|
Bond Almand
275 Cherokee Professional Park |
$49.52 | 6,644 | 4,983 |
|
Lana G Fox
Cedar Creek Pediatric & Adolescent Medicine, Pc |
$36.67 | 6,196 | 4,591 |
|
Wilson Scout Robinson
616 W Lamar Alexander Pkwy |
$59.10 | 5,938 | 5,532 |
|
Kimberly Lynn Chambers
1620 E Lamar Alexander Pkwy |
$38.87 | 5,911 | 5,079 |
|
Mark Darryl Watkins
414 Greenbelt Dr |
$56.42 | 5,720 | 5,155 |
|
Anthony Mark Wagner
210 Simmons St |
$27.45 | 5,717 | 4,904 |
|
Karthik R Krishnan
616 W Lamar Alexander Pkwy |
$60.09 | 5,321 | 4,959 |
|
Shelby Bach
2925 Carpenters Grade Rd |
$52.22 | 5,298 | 4,741 |
|
Haley E Douglas
907 E Lamar Alexander Pkwy |
$51.30 | 5,298 | 4,685 |
|
Rachel Click Wilson
701 Morganton Square Dr |
$48.91 | 5,187 | 4,421 |
|
Sirisha Jasti
355 Bmh Physicians Office Bldg |
$35.73 | 4,611 | 4,133 |
|
Hannah Ruth Kasuli
1812 E Lamar Alexander Pkwy |
$51.85 | 4,415 | 4,237 |
|
Sharon N Chastain
1704 E Broadway Ave |
$47.20 | 4,392 | 3,454 |
|
Courtney L Bowles
701 Morganton Square Dr |
$45.04 | 4,349 | 3,946 |
|
Fred C Foshee
1503 E Lamar Alexander Pkwy |
$45.34 | 4,251 | 2,407 |
|
William George Blaker
1551 Cavalier Dr |
$37.54 | 4,015 | 2,824 |
|
Nicholas Cohen Kolinsky
616 W Lamar Alexander Pkwy |
$83.12 | 3,710 | 3,074 |
|
Caroline Elaine Arceri
1704 E Broadway Ave |
$15.13 | 3,568 | 2,361 |
|
Todd A Pepper
1111 E Lamar Alexander Pkwy |
$9.83 | 2,997 | 2,459 |
|
Reginald Brent Harbin
417 E Lamar Alexander Pkwy |
$20.53 | 2,895 | 2,198 |
|
Katherine Tippy Copeland
2030 Chilhowee Medical Park |
$0.99 | 2,867 | 780 |
|
Atlanta Gayle Russell Mccravey
2166 E Broadway Ave |
$48.56 | 2,849 | 2,438 |
|
Katasha Rae Flatt
355 Bmh Physicians Office Bldg |
$43.49 | 2,690 | 1,862 |
|
Paul Chase Holt
414 Greenbelt Dr |
$66.73 | 2,600 | 2,517 |
|
Tracie A Traver
250 Cherokee Professional Park |
$35.59 | 2,598 | 1,965 |
|
Ibrahim F Shalaby
1702 E Lamar Alexander Pkwy |
$26.87 | 2,524 | 2,095 |
|
Kimberly Cassie Hill
103 Foothills Mall Dr |
$46.47 | 2,472 | 2,248 |
|
Jamie Marie Bosnjak
1704 E Broadway Ave |
$55.47 | 2,307 | 1,974 |
|
Bhavin Patel
162 Bmh Physicians Office Bldg |
$23.81 | 2,239 | 1,893 |
|
Kelly Renea Alsup
270 Bmh Physicians Office Bldg |
$34.09 | 2,180 | 1,712 |
|
Nancy F Garza
250 Cherokee Professional Park |
$39.08 | 2,156 | 1,657 |
|
Bryan J. Tigner
653 Morganton Square Dr |
$44.87 | 2,117 | 1,861 |
|
Michael Scott Gardner
603 Smithview Dr |
$28.76 | 2,043 | 1,604 |
|
Donald Lance Ward
355 Bmh Physicians Office Bldg |
$37.31 | 2,006 | 1,729 |
|
Tyler Clayton Hall
2217 E Lamar Alexander Pkwy |
$48.72 | 1,999 | 1,415 |
|
Tyler Holt
827 E Lamar Alexander Pkwy |
$39.10 | 1,962 | 1,725 |
|
Paul H Holcomb
162 Bmh Physicians Office Bldg |
$17.34 | 1,887 | 1,518 |
|
Charles Allen Raper
414 Greenbelt Dr |
$44.28 | 1,814 | 1,612 |
|
Teresa Arnold
427 S Washington St |
$40.90 | 1,786 | 1,031 |
|
Benjamin R Kadas
627 Smithview Dr |
$42.41 | 1,746 | 1,442 |
|
Ousama Dabbagh
463 Bmh Physicians Office Bldg |
$24.86 | 1,732 | 1,434 |
|
Cynthia J Easter
641 Morganton Square Dr |
$53.38 | 1,653 | 1,550 |
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 Maryville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Maryville, TN is $40.36 per claim, based on 305,416 claims from 206 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 Maryville, TN?
There are 206 Medicaid providers offering Office Visit related services in Maryville, TN according to public payment data.
What is the price range for Office Visit in Maryville, TN?
Medicaid reimbursement for Office Visit in Maryville, TN ranges from $0.00 to $83.12 per claim, with an average of $40.36. 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 Maryville, TN
Speech Therapy
Avg $34.92
193,161 claims
Psychiatric Evaluation
Avg $56.25
112,753 claims
Emergency Room Visit
Avg $93.16
109,711 claims
Blood Work & Lab Tests
Avg $3.90
88,804 claims
Physical Therapy
Avg $30.59
87,201 claims
X-Ray
Avg $3.46
52,929 claims
Dental Cleaning & Exam
Avg $26.15
51,023 claims
Durable Medical Equipment (DME)
Avg $15.09
50,145 claims