Average Medicaid Office Visit Payments in Piney Flats, TN: $46.17
Avg. Paid
$46.17
Range
$15.32 – $66.57
Total Claims
30,056
Providers
10
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 Piney Flats, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David N Freemon
792 Lake Point Dr |
$15.32 | 156 | 136 |
|
Joshua Barrett Compton
6419 Bristol Hwy |
$53.50 | 317 | 278 |
|
Kenneth W Starnes
6419 Bristol Hwy |
$53.47 | 758 | 637 |
|
Emmaus Community Healthcare, Pllc
6419 Bristol Highway |
$66.57 | 869 | 777 |
|
Eden Marie Villiard
6419 Bristol Hwy |
$49.73 | 2,753 | 2,239 |
|
Lindsey Paige Pendergrass
5554 Highway 11 E |
$48.72 | 2,780 | 2,291 |
|
Charles Adam Willis
6419 Bristol Hwy |
$42.33 | 4,698 | 4,333 |
|
Timothy R Zeolia
6419 Bristol Hwy |
$51.05 | 5,301 | 4,449 |
|
Mary Catherine Elizabeth Shipley
6419 Bristol Hwy |
$42.50 | 5,633 | 4,655 |
|
Taylor Alese Mccoy
6419 Bristol Hwy |
$42.51 | 6,791 | 5,559 |
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 Piney Flats, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Piney Flats, TN is $46.17 per claim, based on 30,056 claims from 10 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 Piney Flats, TN?
There are 10 Medicaid providers offering Office Visit related services in Piney Flats, TN according to public payment data.
What is the price range for Office Visit in Piney Flats, TN?
Medicaid reimbursement for Office Visit in Piney Flats, TN ranges from $15.32 to $66.57 per claim, with an average of $46.17. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Piney Flats, TN
Dental Cleaning & Exam
Avg $30.92
9,908 claims
Emergency Room Visit
Avg $61.25
9,468 claims
Chiropractic Care
Avg $20.03
3,631 claims
Speech Therapy
Avg $42.14
2,613 claims
Blood Work & Lab Tests
Avg $4.76
1,055 claims
Urinalysis & Urine Tests
Avg $1.70
874 claims
Physical Therapy
Avg $28.19
409 claims
EKG / ECG (Electrocardiogram)
Avg $2.44
329 claims