Average Medicaid Office Visit Payments in Oneida, TN: $35.65
Avg. Paid
$35.65
Range
$12.70 – $64.42
Total Claims
209,327
Providers
34
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 Oneida, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rachel Hutson
19790 Alberta St |
$64.42 | 18 | 18 |
|
Peter Michael Litchfield
189 Andrew St |
$23.67 | 22 | 12 |
|
Allie Gentry Patton
125 S Cross St |
$42.67 | 50 | 45 |
|
Colton Lowe
281 Underpass Dr |
$18.03 | 96 | 84 |
|
Timothy Wayne West
18895 Alberta St |
$25.50 | 318 | 297 |
|
Trent Wade Cross
20405 Alberta St |
$28.59 | 1,140 | 1,065 |
|
Lindsay K Mckinley
16605 Alberta St |
$32.39 | 1,191 | 1,007 |
|
Aimee Nicole Marlar
189 Andrew St |
$32.16 | 1,335 | 1,057 |
|
Erika Lynch
189 Andrew Drive |
$12.70 | 1,555 | 828 |
|
Ashley Dawn Griffith
460 Industrial Ln |
$25.62 | 1,737 | 1,338 |
|
Nancy Jane Bunch
19536 Alberta St |
$56.79 | 1,948 | 1,788 |
|
Nate Aaron Brennan
18859 Alberta St |
$17.28 | 2,011 | 1,647 |
|
Robert Blake Lowe
470 Industrial Ln |
$40.07 | 2,036 | 1,888 |
|
John Paul Martin
189 Andrew St |
$27.43 | 2,226 | 1,854 |
|
Laura Hatchman
470 Industrial Ln |
$37.64 | 3,319 | 2,461 |
|
Raelan Duncan
19536 Alberta St |
$49.42 | 4,048 | 3,576 |
|
Evelyn W Smith
281 Underpass Dr |
$24.49 | 4,336 | 3,347 |
|
Steven Joshua Thompson
17941 Alberta St |
$19.28 | 4,942 | 3,547 |
|
Heather Danielle Wilson
19536 Alberta St |
$39.85 | 4,969 | 3,980 |
|
John Franklin Scates
325 Hc Smith Drive |
$57.76 | 7,191 | 6,052 |
|
Stanley Mark Swindell
18797 Alberta St |
$30.41 | 7,670 | 6,153 |
|
Grace Ellen Murphy
460 Industrial Ln |
$44.30 | 7,836 | 6,426 |
|
Cody Alan Pike
18797 Alberta St |
$58.73 | 7,939 | 6,328 |
|
Lori Yancey-Ellis
19067 Alberta St |
$42.08 | 8,621 | 6,904 |
|
Edward W Capparelli
460 Industrial Ln |
$32.33 | 9,490 | 7,837 |
|
Ammie S Webb
19536 Alberta St |
$55.24 | 10,046 | 8,358 |
|
Kelly Ann Walker
460 Industrial Ln |
$30.67 | 11,023 | 9,255 |
|
Chelsea Sexton Shelton
460 Industrial Ln |
$37.72 | 11,832 | 9,175 |
|
Alicia M. Alexander
474 Industrial Lane |
$49.15 | 12,143 | 9,806 |
|
Adam C. Cooper
133 W 2Nd Ave |
$41.36 | 12,492 | 10,249 |
|
Jessica Lynn Sexton
470 Industrial Ln |
$34.44 | 13,510 | 10,664 |
|
Timothy R Bunker
281 Underpass Dr |
$14.06 | 14,991 | 12,337 |
|
David Bruce Coffey
281 Underpass Drive |
$25.07 | 18,103 | 12,397 |
|
Alisha L Shoemaker
19067 Alberta St |
$28.39 | 19,143 | 15,077 |
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 Oneida, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oneida, TN is $35.65 per claim, based on 209,327 claims from 34 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 Oneida, TN?
There are 34 Medicaid providers offering Office Visit related services in Oneida, TN according to public payment data.
What is the price range for Office Visit in Oneida, TN?
Medicaid reimbursement for Office Visit in Oneida, TN ranges from $12.70 to $64.42 per claim, with an average of $35.65. 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 Oneida, TN
Blood Work & Lab Tests
Avg $6.68
46,296 claims
Physical Therapy
Avg $23.50
44,399 claims
Ambulance Transport
Avg $39.89
42,074 claims
Emergency Room Visit
Avg $118.66
34,862 claims
Speech Therapy
Avg $39.51
33,749 claims
Psychiatric Evaluation
Avg $49.52
18,467 claims
Eye Exam
Avg $37.37
15,636 claims
Prescription Medications
Avg $2.09
8,703 claims