Average Medicaid Office Visit Payments in Oak Ridge, TN: $40.42
Avg. Paid
$40.42
Range
$0.60 – $292.24
Total Claims
437,896
Providers
191
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 Oak Ridge, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeanne A Dople
800 Oak Ridge Tpke Ste 600 |
$25.72 | 47,747 | 32,916 |
|
Okon Enyenihi
240 W Tyrone Rd |
$39.09 | 19,866 | 16,342 |
|
Jason Troy Cheney
221 W Tyrone Rd |
$42.94 | 17,837 | 14,758 |
|
Loan Quynh To
221 W Tyrone Rd |
$43.28 | 13,080 | 10,700 |
|
Paul Barongan
801 Oak Ridge Turnpike |
$58.68 | 12,204 | 10,354 |
|
Karen J Wilkinson
801 Oak Ridge Turnpike |
$62.19 | 12,197 | 10,115 |
|
Frances Pisano
801 Oak Ridge Turnpike |
$63.17 | 11,970 | 10,280 |
|
Matthew C Mccallister
801 Oak Ridge Turnpike |
$59.64 | 11,694 | 10,115 |
|
Frederick A Bunge
800 Oak Ridge Tpke |
$50.04 | 9,681 | 8,825 |
|
Renu Bhateja
240 W Tyrone Rd |
$36.36 | 9,556 | 7,807 |
|
Melvin Sisco
575 Oak Ridge Tpke |
$38.68 | 8,434 | 7,414 |
|
Brynae Laxton Miley
800 Oak Ridge Tpke |
$55.17 | 8,422 | 7,567 |
|
Brian Niel Christiansen
170 W Tennessee Ave |
$19.85 | 8,015 | 5,589 |
|
Sonali Deo
801 Oak Ridge Tpke |
$32.90 | 7,783 | 5,466 |
|
Hannah Kaye Stockton Hutchins
100 Adams Ln |
$34.92 | 7,693 | 6,789 |
|
Thomas Benton Repine
200 New York Ave |
$33.86 | 6,612 | 5,151 |
|
Kathryn J Hayes
988 Oak Ridge Tpke |
$34.28 | 5,978 | 4,795 |
|
Judith D Witt
221 W Tyrone Rd |
$44.11 | 5,918 | 5,131 |
|
Wesley L Hayes
801 Oak Ridge Tpke |
$36.10 | 5,753 | 4,333 |
|
Katelyn Marie Liles
801 Oak Ridge Turnpike |
$66.00 | 5,556 | 4,424 |
|
Raven Michelle Heatherly
90 Vermont Ave Ste 300 |
$54.63 | 5,456 | 4,470 |
|
Terri Moran
801 Oak Ridge Turnpike |
$50.74 | 5,270 | 4,129 |
|
Andwylynn Crabtree Sances
988 Oak Ridge Tpke |
$34.45 | 5,135 | 4,172 |
|
Jason Eskew
801 Oak Ridge Tpke |
$27.64 | 4,619 | 3,331 |
|
Charles G Sewall
800 Oak Ridge Tpke |
$55.91 | 4,501 | 4,081 |
|
Kegan Reilly
599 Oak Ridge Tpke |
$55.75 | 4,136 | 3,805 |
|
Allison Byrd
801 Oak Ridge Turnpike |
$68.02 | 4,081 | 3,341 |
|
Daniel Richard Lenoir
100 Vermont Ave |
$22.76 | 4,057 | 2,797 |
|
Clifford Dale James
575 Oak Ridge Tpke |
$39.63 | 4,024 | 3,640 |
|
Michael Roger Thompson
200 New York Ave |
$30.87 | 3,878 | 3,018 |
|
Guy Lynwood Smoak
1 Bethel Valley Rd |
$37.86 | 3,718 | 2,863 |
|
Rakesh Vohra
80 Vermont Ave |
$28.96 | 3,680 | 2,885 |
|
Jared Michael Orick
90 Vermont Ave Ste 300 |
$48.30 | 3,589 | 3,120 |
|
Ty Taubenheim
961 Oak Ridge Tpke |
$55.06 | 3,388 | 2,894 |
|
Olivia Peterson
Children'S Clinic Pllc |
$47.84 | 3,360 | 2,987 |
|
Thomas H Metcalf
988 Oak Ridge Tpke |
$36.55 | 3,267 | 2,609 |
|
Caitlin R Russell
200 New York Ave Ste 150 |
$43.72 | 3,015 | 2,374 |
|
Mara Michele Schuessler
240 W Tyrone Rd |
$14.86 | 2,975 | 2,464 |
|
Scott W Peters
988 Oak Ridge Tpke |
$36.91 | 2,915 | 2,397 |
|
Milan J Sheth
80 Vermont Ave. |
$20.17 | 2,903 | 2,207 |
|
Thomas L Clary
145 E Vance Rd |
$54.34 | 2,660 | 2,456 |
|
John W Welch
221 W Tyrone Rd |
$45.62 | 2,546 | 2,307 |
|
Amy Wolz
145 E Vance Rd |
$49.54 | 2,474 | 2,194 |
|
Carlos Antonio Montes
80 Vermont Ave |
$30.45 | 2,380 | 1,818 |
|
Cheryl Louise Goforth
200 New York Ave |
$33.94 | 2,380 | 1,828 |
|
Namratha Reddy Vontela
200 New York Ave Ste 200 |
$43.80 | 2,356 | 1,674 |
|
Lauren Nicole Church
599 Oak Ridge Tpke |
$37.61 | 2,294 | 2,004 |
|
Niva Misra Sammons
801 Oak Ridge Tpke |
$42.96 | 2,273 | 1,696 |
|
Michael Alan Mackay
90 Vermont Ave Ste 300 |
$27.93 | 2,219 | 1,842 |
|
Jocelyn Rebeccah Chermak
200 New York Ave Ste 200 |
$32.86 | 2,190 | 1,877 |
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 Oak Ridge, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oak Ridge, TN is $40.42 per claim, based on 437,896 claims from 191 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 Oak Ridge, TN?
There are 191 Medicaid providers offering Office Visit related services in Oak Ridge, TN according to public payment data.
What is the price range for Office Visit in Oak Ridge, TN?
Medicaid reimbursement for Office Visit in Oak Ridge, TN ranges from $0.60 to $292.24 per claim, with an average of $40.42. 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 Oak Ridge, TN
Behavioral & Mental Health Therapy
Avg $73.71
149,606 claims
Case Management Services
Avg $0.34
130,053 claims
Blood Work & Lab Tests
Avg $6.78
127,739 claims
Psychiatric Evaluation
Avg $50.51
97,308 claims
Durable Medical Equipment (DME)
Avg $18.70
80,429 claims
Emergency Room Visit
Avg $107.06
77,770 claims
Dental Cleaning & Exam
Avg $25.00
76,660 claims
X-Ray
Avg $5.96
56,905 claims