Average Medicaid Office Visit Payments in Mc Kenzie, TN: $35.96
Avg. Paid
$35.96
Range
$13.04 – $69.25
Total Claims
145,215
Providers
34
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 Mc Kenzie, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laura Baker
205 Hospital Dr |
$55.32 | 32 | 28 |
|
Gary Fornera
205 Hospital Dr |
$56.38 | 135 | 93 |
|
Cynthia H Laux
205 Hospital Dr Ste A |
$49.80 | 238 | 208 |
|
Scott L Spivey
45 Hospital Dr |
$16.51 | 268 | 202 |
|
Daniel David Sumrok
1894 Cedar St |
$50.57 | 348 | 240 |
|
Paxton Kimber Sisson
22700 Highway 22 Ste A |
$29.73 | 432 | 334 |
|
Leslie Leeann Ellis
150 Oak Manor Rd |
$36.26 | 597 | 541 |
|
Joseph Robert Hames
205 Hospital Dr Ste A |
$18.94 | 646 | 389 |
|
Mckenzie Medical Center Pc
1894 Cedar St |
$13.04 | 659 | 513 |
|
William Boothe Merrick
270 Sixteenth Fairway |
$31.57 | 961 | 739 |
|
Allan J Moede
205 Hospital Dr |
$28.05 | 1,129 | 875 |
|
Sylvia Ifeyinwa Onyensoh
2372 Cedar St |
$63.55 | 1,138 | 1,001 |
|
Lakeshia Yarbrough
205 Hospital Dr Ste A |
$28.11 | 1,314 | 940 |
|
Gyu Chang Jo
205 Hospital Dr Ste A |
$38.30 | 2,132 | 1,794 |
|
Victoria Brooke Ivy
1894 Cedar St |
$39.09 | 2,200 | 1,948 |
|
Bertha Izaura Robles
205 Hospital Dr Ste A |
$69.25 | 2,207 | 1,946 |
|
David Christopher Martin
205 Hospital Dr Ste A |
$31.16 | 2,494 | 1,956 |
|
Heather Anne Melton
22700 Highway 22 Ste A |
$26.60 | 2,737 | 2,116 |
|
Briana Page Chandler
205 Hospital Dr Ste A |
$34.32 | 3,411 | 2,897 |
|
Keliea Ann Winstead
205A Hospital Dr |
$33.47 | 3,433 | 2,946 |
|
Kelly E Rawls
205 Hospital Dr |
$42.80 | 4,197 | 3,642 |
|
Michael Lee Bryant
205 Hospital Dr Ste A |
$32.69 | 4,671 | 3,449 |
|
Mckenzie Medical Center Pc
205A Hospital Dr |
$20.94 | 5,110 | 4,776 |
|
Shelby Jo Priddy Chapman
205 Hospital Dr Ste A |
$34.50 | 6,250 | 5,291 |
|
Lori B Holladay
205 Hospital Dr |
$38.04 | 7,955 | 7,074 |
|
Bryan Hale Merrick
205 Hospital Dr |
$24.50 | 8,409 | 6,355 |
|
Kirsten Ingeborg Sass
205 Hospital Dr |
$28.46 | 8,628 | 6,837 |
|
Beth Mitchell Graves
205 Hospital Dr |
$34.58 | 8,966 | 7,287 |
|
Hollie Frazier
205 Hospital Dr Ste A |
$24.61 | 9,250 | 6,957 |
|
Dawn Walker
205A Hospital Dr |
$39.40 | 9,604 | 7,624 |
|
Terry Andrew Colotta
205 Hospital Dr |
$24.21 | 9,704 | 7,427 |
|
Tavares Kinte Williams
205 Hospital Dr |
$69.06 | 11,443 | 9,086 |
|
Holly Anne Arnold
205 Hospital Dr |
$43.01 | 12,246 | 10,376 |
|
Amy S Smith
205 Hospital Dr |
$30.29 | 12,271 | 9,646 |
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 Mc Kenzie, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mc Kenzie, TN is $35.96 per claim, based on 145,215 claims from 34 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 Mc Kenzie, TN?
There are 34 Medicaid providers offering Office Visit related services in Mc Kenzie, TN according to public payment data.
What is the price range for Office Visit in Mc Kenzie, TN?
Medicaid reimbursement for Office Visit in Mc Kenzie, TN ranges from $13.04 to $69.25 per claim, with an average of $35.96. 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 Mc Kenzie, TN
Blood Work & Lab Tests
Avg $2.85
183,262 claims
Urinalysis & Urine Tests
Avg $1.83
52,560 claims
Home Health Visit
Avg $60.75
38,710 claims
Nursing Facility Care
Avg $11.47
29,088 claims
Vaccines & Immunizations
Avg $15.05
26,025 claims
Personal Care Services
Avg $104.27
18,348 claims
Culture & Microbiology Tests
Avg $2.17
16,801 claims
Eye Exam
Avg $31.80
16,365 claims