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 |
|---|---|---|---|
|
Sarita Felicia Stovall
800 Oak Ridge Tpke Ste C260 |
$31.81 | 12 | 12 |
|
Christopher D Maull
800 Oak Ridge Tpke Ste A101 |
$144.99 | 14 | 14 |
|
Brianna Williamson
800 Oak Ridge Tpke Ste A101 |
$10.83 | 14 | 13 |
|
Madilynn Ann Perrigo
800 Oak Ridge Tpke Ste A101 |
$0.60 | 14 | 13 |
|
Joseph Metcalf
988 Oak Ridge Tpke |
$1.82 | 14 | 12 |
|
Amanda Rowena Key-Burke
850 Briarcliff Ave |
$38.63 | 15 | 14 |
|
Misty Suzanne Mccray
988 Oak Ridge Tpke Ste 200 |
$41.31 | 15 | 12 |
|
Shelly Burns Foust
200 New York Ave |
$35.94 | 17 | 12 |
|
Ahmad Adel Taha Abu-Heija
988 Oak Ridge Turnpike |
$43.82 | 18 | 12 |
|
Jordan Digiovanni
1 Bethel Valley Rd |
$27.11 | 20 | 14 |
|
Annia Mullins
961 Oak Ridge Tpke |
$34.59 | 24 | 14 |
|
Amy Jo Noble
200 New York Ave Ste 200 |
$37.28 | 25 | 24 |
|
Justin Mark Harrell
80 Vermont Ave |
$88.29 | 28 | 26 |
|
Rose Marie Orange
100 Vermont Ave |
$32.00 | 39 | 28 |
|
Kathryn Renee Baker
90 Vermont Ave |
$13.76 | 41 | 37 |
|
Michael L Douglas
200 New York Ave Ste 250 |
$51.65 | 42 | 27 |
|
Madison O'Hara
961 Oak Ridge Tpke |
$53.79 | 49 | 42 |
|
Gina Smith Mcneer
850 Briarcliff Ave |
$32.23 | 58 | 47 |
|
Elizabeth Tenaglia Azel
100 Vermont Ave |
$35.52 | 62 | 45 |
|
Henry C Hooker
988 Oak Ridge Tpke |
$21.84 | 63 | 43 |
|
Richard Hal Hughes
800 Oak Ridge Turnpike C-200 |
$11.30 | 63 | 63 |
|
Kelly Dry
200 New York Ave Ste 330 |
$10.62 | 65 | 53 |
|
Jacob Gingerich
120 Administration Rd |
$34.40 | 74 | 48 |
|
Robert Karnes
801 Oak Ridge Tpke |
$33.17 | 74 | 60 |
|
David Grant Heald
100 Vermont Ave |
$29.19 | 76 | 60 |
|
Joel Hayes
801 Oak Ridge Tpke |
$30.90 | 85 | 73 |
|
Amanda N Hill
800 Oak Ridge Turnpike C-200 |
$7.81 | 87 | 79 |
|
Kimberly Ann Dymond
988 Oak Ridge Tpke Ste 200 |
$43.59 | 97 | 86 |
|
Trena Lanelle Stoute
200 New York Ave Ste 200 |
$24.75 | 103 | 92 |
|
James Michael Hart
850 Briarcliff Ave |
$41.75 | 103 | 71 |
|
Stuart E Chasan
800 Oak Ridge Tpke |
$10.35 | 106 | 86 |
|
Patricia J Myers
801 Oak Ridge Tpke |
$38.48 | 106 | 100 |
|
Daniel Scott Graves
120 Administration Rd |
$29.73 | 118 | 90 |
|
Haley Carver
850 Briarcliff Ave |
$41.49 | 130 | 118 |
|
Ryan Chris Moellenkamp
90 Vermont Ave Ste 300 |
$34.07 | 138 | 122 |
|
Ryan B Pendleton
961 Oak Ridge Tpke |
$13.98 | 140 | 109 |
|
Pamela R Guider
240 West Tyrone Road |
$292.24 | 142 | 126 |
|
David Worrell Seay
100 Vermont Ave |
$14.89 | 143 | 96 |
|
Abigail Asbury
120 Administration Rd |
$11.06 | 144 | 88 |
|
Edward K Kahn
988 Oak Ridge Tpke Ste 100 |
$5.02 | 169 | 146 |
|
Venkata C Gourineni
988 Oak Ridge Tpke |
$27.80 | 175 | 124 |
|
Andrea Nicole Littlefield
800 Oak Ridge Tpke Ste 101 |
$17.04 | 179 | 152 |
|
Patrick W Moody
988 Oak Ridge Tpke Ste 100 |
$26.30 | 186 | 155 |
|
Laurel Wieland Bivens
988 Oak Ridge Tpke Ste 350 |
$16.33 | 188 | 149 |
|
Michael Andrew Fisher
665B Emory Valley Rd |
$17.38 | 197 | 171 |
|
Elzbieta E Gornisiewicz
988 Oak Ridge Tpke |
$27.12 | 199 | 151 |
|
James Warren Munsey
981 Oak Ridge Tpke |
$13.33 | 201 | 172 |
|
Rachel Hope Vann
800 Oak Ridge Tpke |
$13.80 | 209 | 172 |
|
Caitlin Prusha
800 Oak Ridge Tpke Ste C100 |
$48.55 | 211 | 204 |
|
Michael A Henderson
801 Oak Ridge Tpke |
$16.14 | 212 | 140 |
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