Average Medicaid Office Visit Payments in Newport, TN: $39.31
Avg. Paid
$39.31
Range
$3.15 – $70.42
Total Claims
330,736
Providers
78
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 Newport, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samuel Mack Puckett
1829 Crowe Ln |
$50.82 | 27,934 | 23,734 |
|
Jennifer Lea Sauceman
1829 Crowe Ln |
$53.44 | 26,320 | 22,491 |
|
Christopher Brent Delph
990 W Highway 25 70 |
$38.14 | 16,371 | 13,143 |
|
Lawrence J Mathers
229 Hedrick Dr |
$27.38 | 13,398 | 10,950 |
|
Catherine L Spiker
121 Newport Towne Ctr |
$25.66 | 12,940 | 8,712 |
|
Patricia Mantooth
756 Cosby Hwy |
$55.01 | 12,508 | 10,455 |
|
Rajkamal Harricharan Singh
121 Newport Towne Ctr |
$22.90 | 10,862 | 7,449 |
|
Michael T Hood
407 4Th St |
$20.22 | 10,597 | 7,321 |
|
Melissa Rae Lamb
121 Newport Towne Ctr |
$37.95 | 10,530 | 8,855 |
|
Anton Christopher Daniel
235 Murray Dr |
$18.12 | 10,454 | 7,532 |
|
Thomas W Conway
434 4Th St |
$27.58 | 7,762 | 6,326 |
|
Nathan William Dewitt
229 Hedrick Dr |
$30.56 | 7,624 | 6,320 |
|
Courtney Vance Burgin
1829 Crowe Ln |
$42.98 | 7,447 | 6,596 |
|
Melody Counts
407 4Th St |
$50.95 | 6,875 | 6,070 |
|
Esther M Hooper-Layman
1829 Crowe Ln |
$42.45 | 6,782 | 6,100 |
|
Candi C Overholt
150 E Broadway |
$27.38 | 6,603 | 4,950 |
|
Kristi Michelle Ryan
229 Hedrick Dr |
$38.47 | 6,596 | 5,754 |
|
Caroline S Mcsween
610 Cosby Hwy |
$47.11 | 6,402 | 5,333 |
|
Shandee Lashea Ellis
756 Cosby Hwy |
$57.44 | 5,975 | 4,658 |
|
Evan J. Hewgley
610 Cosby Hwy |
$44.56 | 5,750 | 4,666 |
|
Kristy Leanne Cutshaw
121 Newport Towne Ctr |
$58.34 | 5,740 | 4,628 |
|
Kristi Dale Bradshaw
229 Hedrick Dr |
$34.73 | 5,686 | 4,875 |
|
David J Kickliter
407 4Th St |
$19.37 | 5,148 | 3,728 |
|
Laura Brawley Strader
1829 Crowe Ln |
$43.66 | 4,652 | 4,110 |
|
Gwendolyn Teesha Mcdaniel
150 E Broadway |
$34.03 | 4,590 | 3,535 |
|
Khaled Kamal Nour
434 4Th St Ste 201 |
$45.20 | 4,572 | 4,266 |
|
Lindsay Erin Henderson
121 Newport Towne Ctr |
$46.99 | 4,311 | 3,345 |
|
Christopher Copeland
330 Heritage Blvd |
$3.15 | 4,289 | 2,461 |
|
Amber Michelle Moore
320 8Th St |
$32.97 | 3,989 | 3,454 |
|
Brandi Michelle Haynes
229 Hedrick Dr |
$34.71 | 3,928 | 3,412 |
|
Kristin Renae Hickman
121 Newport Towne Ctr |
$48.48 | 3,873 | 2,722 |
|
Wayne Berry
407 4Th St |
$55.73 | 3,584 | 3,196 |
|
Meghan Hart
756 Cosby Hwy |
$70.42 | 3,401 | 2,932 |
|
Tonya E Williams
610 Cosby Hwy |
$51.87 | 3,263 | 2,730 |
|
Michelle Whitelaw
434 4Th St Ste 201 |
$45.28 | 3,144 | 2,644 |
|
Brittany D Dixon
229 Hedrick Dr |
$45.04 | 2,819 | 2,432 |
|
Vijoydeep Tanjore Venkoba Rao
434 4Th St Ste 201 |
$30.23 | 2,816 | 2,300 |
|
Lora D Spurlock
229 Hedrick Dr |
$44.73 | 2,771 | 2,355 |
|
Chance Reed Linkous
435 2Nd St |
$30.46 | 2,717 | 2,286 |
|
Arvo Kanna
434 4Th St Ste 201 |
$35.02 | 2,673 | 2,266 |
|
Chasity C Hensley
103 Wilton Springs Rd |
$37.31 | 2,378 | 2,089 |
|
Jeanne Marie Bohrer
610 Cosby Hwy |
$55.45 | 2,260 | 1,910 |
|
Krystal Lynn Lamb
756 Cosby Hwy |
$37.65 | 2,180 | 1,516 |
|
Sukhender Kumar Karwan
215 Hedrick Dr |
$31.59 | 2,065 | 1,672 |
|
Sonya N Hance
150 E Broadway |
$26.59 | 2,061 | 1,610 |
|
Aleksandr Vinogradov
121 Newport Towne Ctr |
$23.47 | 2,060 | 1,442 |
|
Emily Hensley Barnett
215 Hedrick Dr |
$38.13 | 1,993 | 1,703 |
|
Lawrence Avery Kennard
121 Newport Towne Ctr |
$48.30 | 1,624 | 1,504 |
|
Timothy Alvin Jones
435 2Nd St |
$46.51 | 1,579 | 1,332 |
|
Kabir David Harricharan Singh
994 W Highway 25 70 Ste 4 |
$50.22 | 1,422 | 999 |
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 Newport, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newport, TN is $39.31 per claim, based on 330,736 claims from 78 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 Newport, TN?
There are 78 Medicaid providers offering Office Visit related services in Newport, TN according to public payment data.
What is the price range for Office Visit in Newport, TN?
Medicaid reimbursement for Office Visit in Newport, TN ranges from $3.15 to $70.42 per claim, with an average of $39.31. 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 Newport, TN
Emergency Room Visit
Avg $72.28
484,892 claims
Blood Work & Lab Tests
Avg $2.82
156,466 claims
Physical Therapy
Avg $14.55
71,459 claims
Vaccines & Immunizations
Avg $14.08
65,695 claims
Psychiatric Evaluation
Avg $63.49
58,713 claims
Eye Exam
Avg $37.02
30,918 claims
EKG / ECG (Electrocardiogram)
Avg $2.94
25,723 claims
Substance Abuse Treatment
Avg $112.06
23,759 claims