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 |
|---|---|---|---|
|
Jessica Manning
434 4Th St Ste 310 |
$23.79 | 47 | 41 |
|
Lindsey Funderburk
1823 Crowe Ln |
$8.65 | 49 | 38 |
|
Theresa Adkins
435 2Nd St |
$26.94 | 58 | 52 |
|
Shawna Kate Dunn
407 4Th St |
$36.74 | 58 | 49 |
|
Emily Kate Baxter
1823 Crowe Ln |
$37.43 | 90 | 61 |
|
Jeffrey Allen Mathews
434 4Th St Ste 201 |
$52.34 | 158 | 137 |
|
Jeannie B Levi
407 4Th St |
$48.43 | 168 | 160 |
|
Robert Joseph Ampudia
434 4Th St Ste 305 |
$24.95 | 171 | 132 |
|
Steven L Morgan
330 Heritage Blvd |
$14.93 | 239 | 230 |
|
James R Williams
434 4Th St |
$31.40 | 239 | 201 |
|
Ana Lucia Leon-Arango
229 Hedrick Dr |
$37.35 | 248 | 212 |
|
Robert Martin
434 4Th St Ste 305 |
$14.33 | 280 | 223 |
|
Rural Medical Services, Inc.
207 Murray Dr |
$53.36 | 307 | 277 |
|
Rachel A Mathers
229 Hedrick Dr |
$37.82 | 329 | 302 |
|
Kathryn R Hunt
103 Wilton Springs Rd |
$32.22 | 370 | 305 |
|
Virginia Revill
1586 Depaul Rd |
$49.20 | 404 | 335 |
|
Vicki G Carter
150 E Broadway |
$34.20 | 509 | 402 |
|
Wendee Nicole Pace
434 4Th St Ste 310 |
$25.08 | 523 | 436 |
|
Sonya Denise Sartain
756 Cosby Hwy |
$58.57 | 598 | 508 |
|
Benjamin Eakes
435 2Nd St |
$38.05 | 606 | 424 |
|
Heather Ingram
434 4Th St Ste 201 |
$24.54 | 624 | 550 |
|
Charlene Margaret Frazier
215 Hedrick Dr |
$6.44 | 654 | 539 |
|
Heather Sunshine Bossie
990 W Highway 25 70 |
$58.19 | 787 | 557 |
|
Kim M Thomas
121 Newport Towne Ctr |
$48.76 | 1,046 | 873 |
|
Annette Goodman
434 4Th St Ste 201 |
$35.76 | 1,100 | 940 |
|
Crystal Dawn Lane
223 Mineral St |
$17.33 | 1,139 | 770 |
|
Tina Marie Hurley
215 Hedrick Dr |
$30.17 | 1,282 | 985 |
|
Amy Pitts
407 4Th St |
$42.67 | 1,335 | 1,082 |
|
Kabir David Harricharan Singh
994 W Highway 25 70 Ste 4 |
$50.22 | 1,422 | 999 |
|
Timothy Alvin Jones
435 2Nd St |
$46.51 | 1,579 | 1,332 |
|
Lawrence Avery Kennard
121 Newport Towne Ctr |
$48.30 | 1,624 | 1,504 |
|
Emily Hensley Barnett
215 Hedrick Dr |
$38.13 | 1,993 | 1,703 |
|
Aleksandr Vinogradov
121 Newport Towne Ctr |
$23.47 | 2,060 | 1,442 |
|
Sonya N Hance
150 E Broadway |
$26.59 | 2,061 | 1,610 |
|
Sukhender Kumar Karwan
215 Hedrick Dr |
$31.59 | 2,065 | 1,672 |
|
Krystal Lynn Lamb
756 Cosby Hwy |
$37.65 | 2,180 | 1,516 |
|
Jeanne Marie Bohrer
610 Cosby Hwy |
$55.45 | 2,260 | 1,910 |
|
Chasity C Hensley
103 Wilton Springs Rd |
$37.31 | 2,378 | 2,089 |
|
Arvo Kanna
434 4Th St Ste 201 |
$35.02 | 2,673 | 2,266 |
|
Chance Reed Linkous
435 2Nd St |
$30.46 | 2,717 | 2,286 |
|
Lora D Spurlock
229 Hedrick Dr |
$44.73 | 2,771 | 2,355 |
|
Vijoydeep Tanjore Venkoba Rao
434 4Th St Ste 201 |
$30.23 | 2,816 | 2,300 |
|
Brittany D Dixon
229 Hedrick Dr |
$45.04 | 2,819 | 2,432 |
|
Michelle Whitelaw
434 4Th St Ste 201 |
$45.28 | 3,144 | 2,644 |
|
Tonya E Williams
610 Cosby Hwy |
$51.87 | 3,263 | 2,730 |
|
Meghan Hart
756 Cosby Hwy |
$70.42 | 3,401 | 2,932 |
|
Wayne Berry
407 4Th St |
$55.73 | 3,584 | 3,196 |
|
Kristin Renae Hickman
121 Newport Towne Ctr |
$48.48 | 3,873 | 2,722 |
|
Brandi Michelle Haynes
229 Hedrick Dr |
$34.71 | 3,928 | 3,412 |
|
Amber Michelle Moore
320 8Th St |
$32.97 | 3,989 | 3,454 |
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