Average Medicaid Office Visit Payments in New Tazewell, TN: $35.11
Avg. Paid
$35.11
Range
$12.70 – $60.71
Total Claims
89,870
Providers
24
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 New Tazewell, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Constance A Rosenbalm
606 N Broad St |
$33.51 | 13,971 | 9,904 |
|
Sarah Lee Barnard
309 N Broad St |
$23.51 | 8,271 | 6,588 |
|
Angela Dawn Thornsbury
606 N Broad St |
$38.45 | 8,262 | 6,874 |
|
Patricia Ann Kyle
1596 Highway 33 S |
$29.33 | 7,988 | 6,742 |
|
Charles H Debusk
309 N Broad St |
$30.79 | 7,388 | 6,196 |
|
Spencer Todd Harmon
309 N Broad St |
$41.41 | 7,307 | 6,030 |
|
Brianna Cooke
1596 Highway 33 S |
$46.97 | 6,915 | 5,655 |
|
Nicole Paulson Shields
424 N Broad St |
$44.26 | 6,370 | 4,493 |
|
Luis C Pannocchia
309 N Broad St |
$28.88 | 6,089 | 4,976 |
|
Pamela Gibbs Wenger
1596 Highway 33 South |
$24.12 | 3,068 | 2,761 |
|
Doug Winters
402 S Broad St |
$55.90 | 2,437 | 2,088 |
|
Brent Sheldon Neal
424 N Broad St |
$12.70 | 2,269 | 1,659 |
|
Janice Ledford
1596 Highway 33 S |
$47.41 | 1,977 | 1,747 |
|
Max L Money
606 N Broad St |
$24.48 | 1,953 | 1,781 |
|
Logan Spencer Mccarthy
424 N Broad St |
$40.60 | 1,361 | 969 |
|
Ellen Cawood Partin
424 N Broad St |
$36.31 | 955 | 674 |
|
Karla Madrigal Gray
402 S Broad St |
$47.35 | 921 | 847 |
|
Samantha Upton
424 N Broad St |
$57.26 | 754 | 556 |
|
Leah Cobb Snodgrass
424 N Broad St |
$30.38 | 431 | 345 |
|
Elite Urgent Care Pllc
606 N Broad St |
$60.71 | 407 | 271 |
|
Michael Allen Stephens
424 N Broad St |
$45.25 | 362 | 286 |
|
Uhs Ventures Inc
309 N Broad St |
$43.34 | 221 | 194 |
|
Jan D Zieren
424 N Broad St |
$30.70 | 144 | 110 |
|
Gina Marie Defranco
424 N. Broad Street |
$43.11 | 49 | 42 |
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 New Tazewell, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Tazewell, TN is $35.11 per claim, based on 89,870 claims from 24 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 New Tazewell, TN?
There are 24 Medicaid providers offering Office Visit related services in New Tazewell, TN according to public payment data.
What is the price range for Office Visit in New Tazewell, TN?
Medicaid reimbursement for Office Visit in New Tazewell, TN ranges from $12.70 to $60.71 per claim, with an average of $35.11. 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 New Tazewell, TN
Physical Therapy
Avg $10.50
19,785 claims
Blood Work & Lab Tests
Avg $2.40
13,256 claims
Psychiatric Evaluation
Avg $59.89
13,210 claims
Case Management Services
Avg $47.24
5,397 claims
Nursing Facility Care
Avg $19.89
4,330 claims
Vaccines & Immunizations
Avg $11.29
3,001 claims
Urinalysis & Urine Tests
Avg $1.16
2,987 claims
Emergency Room Visit
Avg $73.16
2,589 claims