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Based on public Medicaid payment data.

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

Other Procedures in Memphis, TN