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 |
|---|---|---|---|
|
Stephen Gregory Portera
6215 Humphreys Blvd Ste 110 |
$10.44 | 12 | 12 |
|
Melissa Anne Barnhart
1350 Concourse Ave Ste 142 |
$41.70 | 12 | 12 |
|
Rashmi Seth
1265 Union Ave |
$19.84 | 12 | 12 |
|
John M Freeman
6485 Poplar Ave |
$1.45 | 12 | 12 |
|
Hillary Morgan Lewis
2200 Union Ave |
$1.95 | 12 | 12 |
|
Mari Jordon Iezzi
2115 Union Ave |
$60.55 | 12 | 12 |
|
William R Rubino
3810 Winchester Rd |
$0.00 | 12 | 12 |
|
Cory Michael Mclaughlin
University Of Tennessee 920 Madison Avenue Suite 447 |
$95.65 | 12 | 12 |
|
Lauren Poindexter
6005 Park Ave Ste 200 |
$26.67 | 12 | 12 |
|
Thomas Eugene Cooper
1300 Wesley Dr |
$110.32 | 12 | 12 |
|
Shahnoor Afreen Hussain
51 N Dunlap St |
$210.46 | 12 | 12 |
|
Maury Strong
920 Madison Ave Ste 447 |
$119.62 | 13 | 13 |
|
Joshua A Katz
6029 Walnut Grove Rd |
$19.17 | 13 | 12 |
|
Addis Alemu Asfaw
1211 Union Ave Ste 965 |
$34.60 | 13 | 12 |
|
Cynthia Gale Heard
1225 Madison Ave |
$17.47 | 13 | 12 |
|
Amanda Michelle Tompkins
930 Madison Ave Ste 200 |
$343.02 | 13 | 13 |
|
Chester Brown
51 N Dunlap St Ste 400 |
$125.77 | 13 | 12 |
|
Darah Lockhart Mcdaniel-Chandler
1225 Madison Ave |
$35.23 | 13 | 12 |
|
Baillie Whitlow
848 Adams Ave |
$75.48 | 13 | 13 |
|
David W Peeler
3000 Getwell Rd |
$9.50 | 13 | 13 |
|
Amanda Leigh Linz
848 Adams Ave |
$12.70 | 13 | 12 |
|
Jon H Robertson
6325 Humphreys Blvd |
$51.94 | 13 | 12 |
|
Catherine Hogan
1410 River Bridge Cir Apt 202 |
$79.77 | 13 | 13 |
|
Rolando Toyos
6465 N Quail Hollow Rd Ste 100 |
$65.42 | 14 | 13 |
|
Kristin Owens
6745 Wolf River Blvd. |
$24.59 | 14 | 12 |
|
Megan Marie Crosier
6029 Walnut Grove Rd Ste 301 |
$22.77 | 14 | 12 |
|
Sheila Espiritu Ayers
3950 New Covington Pike Ste 220 |
$39.86 | 14 | 13 |
|
Glenn Allen Crosby
6373 N Quail Hollow Rd |
$10.62 | 14 | 12 |
|
Tyson R Stone
6027 Walnut Grove Rd Ste 114 |
$11.10 | 14 | 12 |
|
Michael Labagnara
6325 Humphreys Blvd |
$57.96 | 14 | 12 |
|
Muhammad Saad Hamid
880 Madison Ave |
$36.11 | 14 | 13 |
|
Latasha Shere Garrett
3169 Players Club Pkwy |
$34.98 | 14 | 13 |
|
Christina B Mccoy
8970 Winchester Rd |
$36.48 | 14 | 12 |
|
Hinalben Kunal Patel
650 E Parkway S |
$31.48 | 14 | 14 |
|
Mario E. Briceno-Medina
51 N Dunlap St |
$96.26 | 14 | 14 |
|
Nathan Michael Wiginton
877 Jefferson Ave |
$36.93 | 14 | 13 |
|
Sara Elizabeth Helmig
262 Danny Thomas Pl |
$75.27 | 14 | 13 |
|
Kathleen Newell Groeschell
3445 Poplar Ave Ste 18 |
$33.33 | 14 | 14 |
|
Malini Gupta
6005 Park Ave |
$20.33 | 14 | 12 |
|
Brittany C Smith
1265 Union Ave |
$105.62 | 14 | 12 |
|
Leah Marie Apalodimas
51 N Dunlap St Fl 2 |
$21.91 | 15 | 12 |
|
Barbara R Birmingham
877 Jefferson Ave |
$26.98 | 15 | 13 |
|
Sara Jane Humbert
880 Madison Ave |
$34.08 | 15 | 13 |
|
Nathan Michael Hinkle
1211 Union Ave Ste 300 |
$22.53 | 15 | 13 |
|
Christine T Mroz
6005 Park |
$21.61 | 15 | 13 |
|
Alex Johnson
3362 S 3Rd St |
$35.34 | 15 | 13 |
|
Daria D Weathers
360 E Eh Crump Blvd |
$0.00 | 15 | 12 |
|
Carl William Shorter
1265 Union Ave |
$31.07 | 15 | 13 |
|
Margaret C Cupit-Link
262 Danny Thomas Pl |
$199.14 | 15 | 12 |
|
Steven Kurt Rapp
7865 Educators Ln |
$41.06 | 15 | 15 |
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