Average Medicaid Office Visit Payments in Pleasant View, TN: $40.64
Avg. Paid
$40.64
Range
$3.64 – $65.86
Total Claims
128,851
Providers
25
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 Pleasant View, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alicia Pinson Jackson
254 Ren Mar Dr |
$45.02 | 35,268 | 24,871 |
|
Shannah Lea Steel
6312 Highway 41A |
$34.51 | 34,608 | 19,701 |
|
Emily Harvison
238 Centre St |
$43.95 | 13,025 | 11,275 |
|
Rebecca Anne Knight
238 Centre St Ste 100 |
$39.63 | 9,930 | 8,797 |
|
John Mark Pennington
2536 Highway 49 E Ste 110 |
$34.35 | 6,701 | 5,031 |
|
Chandler Washburn
238 Centre St. Suite 100 |
$42.89 | 6,097 | 5,300 |
|
Jennifer B Seawell-Wynn
6312 Highway 41A Ste 102 |
$50.13 | 4,161 | 3,579 |
|
Anne Claire Oakes
6312 Highway 41A Ste 102 |
$37.67 | 3,213 | 2,691 |
|
Christina Parker Jackson
6312 Highway 41A Ste 108 |
$56.07 | 2,901 | 2,452 |
|
Mark D Hughes
6509 Highway 41A |
$48.62 | 2,730 | 2,303 |
|
Travis Shivers
1000 Bee Tee Ln |
$39.15 | 2,592 | 2,249 |
|
Abbey Robinson Volk-Perez
6312 Highway 41A Ste 108 |
$42.17 | 1,342 | 1,270 |
|
Lori A Ray
254 Ren Mar Dr |
$41.06 | 1,246 | 946 |
|
Fred A Nordquist
6294 Highway 41A |
$13.98 | 1,240 | 948 |
|
Mattie Joseph
6294 Highway 41A |
$39.82 | 889 | 737 |
|
Meri Melodie Shanahan
254 Ren Mar Dr. |
$53.98 | 871 | 806 |
|
Ellen Mcmurry Morphis
238 Centre St |
$38.71 | 759 | 625 |
|
Jill Cutright
2536 Highway 49 E |
$19.97 | 605 | 484 |
|
Lauren Mcclain Wells
2528A Highway 49 E |
$22.26 | 171 | 142 |
|
Benjamin Walker
6312 Highway 41A Ste 108 |
$29.33 | 136 | 124 |
|
Ben T Baggett
254 Ren Mar Dr Ste 100 |
$35.72 | 135 | 106 |
|
Christopher Areephanthu
1808 Pinnacle Rd Ste C |
$41.93 | 120 | 73 |
|
Joann A Ferland
6320 Highway 41A Ste 100 |
$19.96 | 51 | 39 |
|
Amanda Tuzzio Hunter
2536 Highway 49 E Ste 110 |
$65.86 | 31 | 28 |
|
Regents Medical Center Pc
254 Ren Mar Dr |
$3.64 | 29 | 15 |
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 Pleasant View, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pleasant View, TN is $40.64 per claim, based on 128,851 claims from 25 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 Pleasant View, TN?
There are 25 Medicaid providers offering Office Visit related services in Pleasant View, TN according to public payment data.
What is the price range for Office Visit in Pleasant View, TN?
Medicaid reimbursement for Office Visit in Pleasant View, TN ranges from $3.64 to $65.86 per claim, with an average of $40.64. 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 Pleasant View, TN
Vaccines & Immunizations
Avg $15.03
34,133 claims
Physical Therapy
Avg $30.84
20,451 claims
Blood Work & Lab Tests
Avg $2.38
20,186 claims
Urinalysis & Urine Tests
Avg $1.63
10,070 claims
Emergency Room Visit
Avg $99.82
9,728 claims
Nursing Facility Care
Avg $9.71
6,855 claims
Hearing Test (Audiometry)
Avg $6.08
6,389 claims
Speech Therapy
Avg $54.05
4,605 claims