Average Medicaid Office Visit Payments in Maynardville, TN: $48.66
Avg. Paid
$48.66
Range
$17.50 – $71.66
Total Claims
109,013
Providers
18
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 Maynardville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laurice A Mccord
147 Oakland Ln |
$60.27 | 20,324 | 16,865 |
|
Emily L Harless
2945 Maynardville Hwy |
$46.97 | 15,210 | 12,649 |
|
Matthew Dana Blair
147 Oakland Ln |
$71.66 | 13,001 | 11,511 |
|
Misty Dawn Anderson
4330 Maynardville Hwy |
$36.66 | 9,786 | 7,725 |
|
Matthew Travis Beason
4330 Maynardville Hwy |
$49.01 | 7,510 | 6,349 |
|
Hal Martin Moncier
4330 Maynardville Hwy |
$38.42 | 7,328 | 6,189 |
|
Srinivasa Rao Chintalapudi
149 Durham Dr |
$17.50 | 6,758 | 4,500 |
|
Amelia Kempf Case
149 Durham Dr |
$50.80 | 5,808 | 5,088 |
|
Kenneth Nicley
149 Durham Dr |
$45.80 | 5,693 | 4,882 |
|
Mary Jane Walker
4330 Maynardville Hwy |
$50.45 | 4,924 | 4,282 |
|
Brandy Hopson
149 Durham Dr |
$47.52 | 3,753 | 3,225 |
|
Jeffrey D Greenwood
4330 Maynardville Hwy |
$22.94 | 2,056 | 1,769 |
|
Natalie Signaigo
2975 Maynardville Hwy |
$37.36 | 1,541 | 1,333 |
|
Kristy Michille Bolt
4330 Maynardville Hwy |
$43.11 | 1,457 | 1,234 |
|
Chantia Labre Fears-Perez
4330 Maynardville Hwy |
$48.62 | 1,414 | 1,228 |
|
Kayla Renee Brummitte Newcomb
598 John Deere Dr |
$27.82 | 1,349 | 1,113 |
|
Christie Layne Mase
149 Durham Dr |
$42.01 | 654 | 572 |
|
Brittany Nicole Mcgill
4330 Maynardville Hwy |
$51.89 | 447 | 433 |
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 Maynardville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Maynardville, TN is $48.66 per claim, based on 109,013 claims from 18 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 Maynardville, TN?
There are 18 Medicaid providers offering Office Visit related services in Maynardville, TN according to public payment data.
What is the price range for Office Visit in Maynardville, TN?
Medicaid reimbursement for Office Visit in Maynardville, TN ranges from $17.50 to $71.66 per claim, with an average of $48.66. 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 Maynardville, TN
Blood Work & Lab Tests
Avg $4.10
41,935 claims
Speech Therapy
Avg $45.29
31,463 claims
Physical Therapy
Avg $32.83
29,478 claims
Vaccines & Immunizations
Avg $14.86
24,698 claims
Psychiatric Evaluation
Avg $64.30
16,699 claims
Ambulance Transport
Avg $66.49
16,689 claims
Dental Cleaning & Exam
Avg $28.79
15,282 claims
Urinalysis & Urine Tests
Avg $1.85
8,364 claims