Average Medicaid Office Visit Payments in Mountain City, TN: $38.77
Avg. Paid
$38.77
Range
$5.99 – $60.58
Total Claims
94,733
Providers
29
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 Mountain City, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Celeste V Peterson
222 Oak St |
$51.25 | 35,907 | 31,787 |
|
Taunda Leanne Motsinger
212 N Church St |
$28.46 | 14,155 | 10,697 |
|
Heather Newman
222 Oak St |
$25.74 | 5,714 | 4,762 |
|
Joshua H Perkins
222 Oak St |
$35.93 | 4,774 | 3,996 |
|
Michelle Lee Manuel
1901 S Shady St |
$37.47 | 4,622 | 3,739 |
|
Brittany S Hill
919 Medical Park Dr |
$43.01 | 4,473 | 3,450 |
|
Amanda K Reichenbach
1901 S. Shady Street |
$30.84 | 4,374 | 3,494 |
|
Mica Lauren Brown
222 Oak St |
$36.42 | 2,953 | 2,459 |
|
Lindsey Debord Yoggerst
1901 S Shady St |
$19.51 | 2,895 | 2,119 |
|
Angela S Evans
1901 S Shady St |
$42.26 | 2,434 | 1,748 |
|
Raina Arnold Sluder
377 Cold Springs Rd |
$12.22 | 2,361 | 1,906 |
|
Emily B. Mcqueen
1901 South Shady Street |
$15.11 | 1,653 | 1,291 |
|
April Morrison
1901 S Shady St |
$50.07 | 1,451 | 1,167 |
|
Christina Faith Stacy
222 Oak St |
$35.67 | 1,339 | 1,051 |
|
Susanne Mayer Shine
1901 S Shady St |
$12.34 | 1,164 | 935 |
|
Dereck G Campbell
222 Oak St |
$21.63 | 843 | 401 |
|
Christina Nicole Morton
1901 S Shady St |
$38.48 | 788 | 686 |
|
Deborah J Hassebrock
1901 S Shady Street |
$51.54 | 684 | 602 |
|
James W Shine
1901 S Shady St |
$16.49 | 542 | 471 |
|
East Tennessee State University
1901 S Shady Street |
$49.32 | 285 | 225 |
|
Nathan Robert Hitchcock
1901 S Shady St |
$60.58 | 284 | 268 |
|
Bethany Monique Rock
5249 Highway 67 W |
$33.25 | 237 | 204 |
|
Caleigh Blair
595 Hospital Hill Rd |
$51.14 | 217 | 206 |
|
Jamie G Mcnutt
1901 S Shady St |
$28.53 | 211 | 164 |
|
Kimberly Kay Kleine
100 Kellogg Drive |
$19.42 | 137 | 121 |
|
Wendy Lee Henley
211 N Church St |
$5.99 | 136 | 13 |
|
Terry L Armstrong
1901 S Shady St |
$36.41 | 69 | 54 |
|
Henry Renick Hartsoe
1901 S Shady St |
$20.64 | 18 | 13 |
|
Floyd James Barker
132 W Main St |
$20.54 | 13 | 12 |
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 Mountain City, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mountain City, TN is $38.77 per claim, based on 94,733 claims from 29 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 Mountain City, TN?
There are 29 Medicaid providers offering Office Visit related services in Mountain City, TN according to public payment data.
What is the price range for Office Visit in Mountain City, TN?
Medicaid reimbursement for Office Visit in Mountain City, TN ranges from $5.99 to $60.58 per claim, with an average of $38.77. 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 Mountain City, TN
Blood Work & Lab Tests
Avg $2.68
22,066 claims
Ambulance Transport
Avg $62.17
18,526 claims
Psychiatric Evaluation
Avg $59.49
13,228 claims
Emergency Room Visit
Avg $84.89
12,571 claims
Eye Exam
Avg $36.33
7,555 claims
Nursing Facility Care
Avg $9.72
6,532 claims
Dental Cleaning & Exam
Avg $29.06
5,402 claims
Urinalysis & Urine Tests
Avg $1.76
4,966 claims