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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Portland, TN: $43.71

Avg. Paid

$43.71

Range

$0.00 – $102.59

Total Claims

34,262

Providers

19

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 Portland, TN

Provider Avg. Paid Claims Patients
Randy Tidwell

421 N Broadway

 $34.74 7,331 5,896
Sherelen Hodges

235 Highway 52 W

 $37.38 5,180 4,733
Lisa Nazarenus

307 S Broadway

 $38.03 2,943 2,293
Joshua Bland

103 Redbud Dr Ste A

 $47.31 2,797 2,089
Pamela Poghen

235 Hwy 52 E

 $41.54 2,633 2,168
Andrea Reed

121 Village Dr

 $54.23 2,521 2,163
Ashlea B Lamberth

307 S Broadway

 $43.41 2,070 1,616
Ashley Eden Mesler

235 Highway 52 W

 $48.53 2,044 1,827
Shelby Harpel

235 Highway 52 W

 $51.37 1,524 1,271
Stacey Drott Vance

120 Main St

 $102.59 1,463 1,311
Kelsey B Glover

124 Ewing Dr

 $56.40 1,056 915
Ronda M Worsham

103 Redbud Dr Ste E

 $32.92 797 597
Verna Bain

105 E Market St

 $27.12 701 562
Laura Porter-Guyer

934 S Broadway St Ste C

 $29.14 455 286
Elizabeth Stewart Wood

235 Highway 52 W

 $50.06 232 217
John A Taylor

307 S Broadway

 $19.09 230 182
Timothy C Kuntz

307 S Broadway St

 $30.77 229 190
Paul R. Porter

934 S. Broadway

 $0.00 41 37
Ralph H. Ruckle

103 Redbud Dr

 $22.61 15 12

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 Portland, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Portland, TN is $43.71 per claim, based on 34,262 claims from 19 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 Portland, TN?

There are 19 Medicaid providers offering Office Visit related services in Portland, TN according to public payment data.

What is the price range for Office Visit in Portland, TN?

Medicaid reimbursement for Office Visit in Portland, TN ranges from $0.00 to $102.59 per claim, with an average of $43.71. 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 Portland, TN

Physical Therapy

Avg $19.33

18,766 claims

Emergency Room Visit

Avg $87.31

16,761 claims

Eye Exam

Avg $42.10

6,233 claims

Blood Work & Lab Tests

Avg $3.16

5,717 claims

Vaccines & Immunizations

Avg $23.62

2,047 claims

Urinalysis & Urine Tests

Avg $0.67

1,412 claims

Behavioral & Mental Health Therapy

Avg $101.35

1,059 claims

EKG / ECG (Electrocardiogram)

Avg $4.75

877 claims