Average Medicaid Office Visit Payments in Memphis, TN: $39.77
Avg. Paid
$39.77
Range
$0.00 – $353.72
Total Claims
3,737,410
Providers
1,657
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 Memphis, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pedro Velasquez
1068 Cresthaven Rd Ste 300 |
$48.66 | 46,251 | 31,471 |
|
Bertram David Kaplan
6401 Poplar Ave Ste 405 |
$40.99 | 41,222 | 37,802 |
|
Baptist Memorial Medical Group Inc
8970 Winchester Rd |
$30.54 | 40,977 | 31,234 |
|
Alliance Healthcare Services
2150 Whitney Ave |
$0.04 | 39,976 | 33,063 |
|
Howard Bromley
5683 S Rex Rd |
$18.99 | 36,871 | 26,287 |
|
Phillip R Bowden
1417 Monroe Ave |
$27.96 | 35,249 | 30,434 |
|
Shoaib Qureshi
7865 Educators Lane, |
$21.11 | 34,140 | 25,687 |
|
James Edward Carter
1444 E Shelby Dr |
$42.80 | 30,592 | 25,340 |
|
Sanjeev Kumar
6584 Poplar Ave |
$46.44 | 29,429 | 19,566 |
|
Rande Harris Lazar
791 Estate Place |
$30.40 | 28,482 | 24,007 |
|
Preeti Palakurthi
2860 Covington Pike |
$57.09 | 27,425 | 24,832 |
|
Carl F Pean
3530 Hickory Hill Rd |
$42.85 | 25,984 | 21,278 |
|
Shahid I Khan
1211 Union Ave |
$19.21 | 22,529 | 19,788 |
|
Roy Bors-Koefoed
6266 Poplar Ave |
$50.57 | 22,465 | 15,997 |
|
Bianca Juselle Sweeten
1407 Union Ave |
$33.88 | 22,417 | 20,502 |
|
Ronnie Durrell Bowen
3699 Riverdale Rd |
$27.54 | 21,706 | 14,100 |
|
Imran Mirza
2900 Kirby Rd Ste 5 |
$28.04 | 20,453 | 15,611 |
|
Jennifer Dayle Mink
6625 Lenox Park Dr Ste 101 |
$58.57 | 20,450 | 18,377 |
|
Rickey R Carson
3030 Covington Pike |
$48.38 | 19,346 | 17,148 |
|
Kingsley Ogonna Oraedu
6027 Walnut Grove Rd Ste 216 |
$49.13 | 19,196 | 15,701 |
|
Ahsan H Kathawala
1264 Wesley Dr |
$24.05 | 18,312 | 13,933 |
|
Bret R Sokoloff
3980 New Covington Pike #100 |
$22.82 | 17,068 | 13,719 |
|
Stephen Eguabor Ehiremen
3337 Kirby Pkwy |
$45.52 | 16,988 | 13,322 |
|
Prabha Sudheendran
4299 Elvis Presley Blvd |
$46.92 | 16,766 | 14,560 |
|
Anthony Sheyn
51 N Dunlap St |
$102.76 | 16,492 | 15,591 |
|
John R. Hill
2860 Covington Pike |
$52.21 | 16,304 | 14,946 |
|
Kathleen Nicole Montinola Jalandoni
1407 Union Ave |
$66.06 | 16,212 | 15,109 |
|
Pranab Das
6005 Park Ave |
$19.72 | 15,824 | 12,183 |
|
David Kenneth Ragland
2860 Covington Pike |
$54.51 | 15,704 | 13,478 |
|
Thomas D Hodgkiss
5683 S Rex Rd |
$12.43 | 15,581 | 10,172 |
|
Rickey Hugh Hudson
4299 Elvis Presley Blvd. |
$29.60 | 15,474 | 11,395 |
|
Stephen Lavon Gipson
6005 Park Ave |
$1.97 | 14,602 | 9,603 |
|
Susan Annette Hillebert
2860 Covington Pike |
$47.60 | 14,480 | 12,905 |
|
Stephen T Bauch
1129 Hale Rd |
$54.99 | 13,831 | 12,140 |
|
Kishore Kumar Arcot
6005 Park Ave |
$16.88 | 13,719 | 10,322 |
|
Mohammad Theib Assaf
6005 Park Ave |
$37.71 | 13,573 | 12,605 |
|
Denise R Woods
1264 Wesley Drive Suite 103 |
$34.55 | 13,491 | 10,644 |
|
Ut Lebonheur Pediatric Specialists, Inc.
848 Adams Ave. |
$38.84 | 13,363 | 9,119 |
|
Dustin Parker
910 Madison Ave |
$40.53 | 13,095 | 10,681 |
|
John Rocco Macmillan Rodney
3030 Covington Pike |
$48.61 | 12,671 | 10,805 |
|
William Terrell
1444 E Shelby Dr |
$39.70 | 12,587 | 10,440 |
|
Stephen Paul Stancil
1129 Hale Rd |
$61.59 | 12,583 | 10,922 |
|
Lydia Marie Franklin
6063 Mount Moriah Road Ext Ste 4 |
$24.07 | 12,143 | 9,259 |
|
Deborah D Watson
6063 Mt. Moriah Road Extended |
$51.39 | 11,904 | 10,328 |
|
John K Eshun
848 Adams Ave |
$73.74 | 11,842 | 11,332 |
|
Monica Juma
1301 Primacy Pkwy |
$46.06 | 11,758 | 7,944 |
|
Allison Vaughan Jones
1068 Cresthaven Rd Ste 210 |
$51.79 | 11,692 | 9,384 |
|
Ashley O Pennington
5683 S Rex Rd |
$10.95 | 11,628 | 7,388 |
|
Lloydetta Stovall
360 E Eh Crump Blvd |
$31.23 | 11,542 | 9,545 |
|
Emily Hicks Jones
930 Madison Ave Ste 801 |
$45.11 | 11,375 | 9,326 |
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 Memphis, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Memphis, TN is $39.77 per claim, based on 3,737,410 claims from 1657 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 Memphis, TN?
There are 1657 Medicaid providers offering Office Visit related services in Memphis, TN according to public payment data.
What is the price range for Office Visit in Memphis, TN?
Medicaid reimbursement for Office Visit in Memphis, TN ranges from $0.00 to $353.72 per claim, with an average of $39.77. 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 Memphis, TN
Blood Work & Lab Tests
Avg $5.35
5,986,902 claims
Non-Emergency Medical Transportation
Avg $6.39
3,250,438 claims
Ambulance Transport
Avg $27.73
3,045,894 claims
Emergency Room Visit
Avg $119.96
1,856,841 claims
Vaccines & Immunizations
Avg $13.34
1,628,731 claims
Dental Cleaning & Exam
Avg $29.71
1,289,070 claims
Urinalysis & Urine Tests
Avg $2.42
1,163,403 claims
Home Health Visit
Avg $72.48
980,655 claims