Average Medicaid Office Visit Payments in Rogersville, TN: $44.29
Avg. Paid
$44.29
Range
$1.34 – $99.75
Total Claims
199,047
Providers
51
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 Rogersville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah Shea Crook
405 Scenic Dr Ste A |
$46.04 | 16,555 | 14,056 |
|
Linda L. Funk
405 Scenic Dr Ste A |
$52.63 | 13,703 | 11,793 |
|
Katrina F Holder
101 Lena Dr |
$50.64 | 13,134 | 10,417 |
|
Dana Wright Mccoy
4307 Highway 66 S |
$42.95 | 12,293 | 10,815 |
|
Chelsey Leeann Babb
4307 Highway 66 S |
$53.10 | 11,944 | 10,179 |
|
Richard Scott Mcgill
4307 Highway 66 S |
$47.41 | 11,810 | 10,416 |
|
David Charles Saunders
4307 Highway 66 S |
$47.01 | 11,322 | 9,334 |
|
Alexandria Grace-Mary Holder
4307 Highway 66 S |
$52.60 | 9,869 | 8,619 |
|
Constance Sue Lackner
101 Lena Dr |
$39.96 | 9,308 | 6,950 |
|
Karen Angela Hobbs
159 Knights I |
$41.24 | 8,570 | 6,827 |
|
Camellia Bell Williams
4307 Highway 66 S |
$49.67 | 8,528 | 7,403 |
|
Kristen Dykes
4307 Highway 66 S |
$45.38 | 7,383 | 6,337 |
|
Amanda A Dove
405 Scenic Dr |
$26.19 | 6,407 | 5,260 |
|
Kelly Jane Hopkins
4307 Highway 66 S |
$37.94 | 5,795 | 4,645 |
|
Danny Dale Wester
4307 Highway 66 S |
$29.86 | 5,694 | 4,607 |
|
Carla Jane Weems
4307 Highway 66 S |
$40.33 | 5,119 | 4,182 |
|
Rebeka Kaye Skelton
4307 Highway 66 S |
$37.15 | 3,976 | 3,356 |
|
Rachel Lauren Osborne Metzgar
4307 Highway 66 S |
$52.98 | 3,368 | 2,821 |
|
Lata Shah
Lung And Sleep Clinic |
$25.60 | 3,249 | 2,433 |
|
Brooke Leanna Roberts
405 Scenic Dr |
$42.46 | 3,222 | 2,530 |
|
Amy Haynes
405 Scenic Dr |
$31.36 | 2,883 | 2,295 |
|
Charles Wayne Carroll
405 Scenic Dr Ste A |
$51.18 | 2,741 | 2,460 |
|
Kim A Collinson
3815 Highway 66 S Ste 5 |
$33.97 | 2,607 | 2,025 |
|
Stephanie Marie Cooper
405 Scenic Dr Ste B |
$25.47 | 2,209 | 1,586 |
|
Amanda Rae Dellinger
311 E Main St |
$62.19 | 1,923 | 1,791 |
|
Mark Joseph Dalle-Ave
4307 Highway 66 S |
$19.42 | 1,859 | 1,578 |
|
Chelsea Brooke Hartsook-Fields
4307 Highway 66 S |
$34.53 | 1,827 | 1,548 |
|
Jack K Heath
Rogersville Medical Complex |
$41.87 | 1,683 | 1,451 |
|
Keshia Beth Luster
4307 Highway 66 S |
$37.94 | 1,644 | 1,393 |
|
Wellmont Medical Associates, Inc.
405 Scenic Dr |
$92.89 | 1,066 | 973 |
|
Natalie Jewel Price
4307 Highway 66 S |
$44.19 | 1,041 | 849 |
|
Sarah S Kersey
4966 Highway 11W |
$34.35 | 949 | 827 |
|
Heather Campbell Mills
482 Park Blvd Ste A |
$47.06 | 852 | 762 |
|
Joyce Lafollette Shea
3815 Highway 66 S Ste 5 |
$36.36 | 754 | 679 |
|
Brooke Jones Popplewell
110 Forest Hills Rd |
$56.95 | 514 | 476 |
|
Melody Stump
109 Highway 70 N |
$20.66 | 451 | 352 |
|
Tammy Baird
405 Scenic Dr |
$39.68 | 407 | 328 |
|
Jennifer E. Lane
4307 Highway 66 S |
$31.97 | 379 | 328 |
|
Rural Health Services Consortium Of Upper East Tennessee Inc
4966 Highway 11-W |
$44.57 | 364 | 322 |
|
Brandy Reshea Ball
4307 Highway 66 S |
$33.85 | 281 | 215 |
|
Christopher Lawrence Calendine
4307 Highway 66 S |
$33.57 | 257 | 185 |
|
Kenneth Byrd
312 Armstrong St |
$28.69 | 254 | 210 |
|
Lakita Mae Ramsey
109 Highway 70 N |
$1.34 | 247 | 228 |
|
Omar R. Kassem
4307 Highway 66 S |
$21.09 | 130 | 109 |
|
Ashly C Yount
3815 Highway 66 S Ste 1 |
$36.97 | 108 | 91 |
|
Eddie H Abernathy
107 East Main St |
$22.73 | 108 | 93 |
|
Brance Edwin Hagood
215 W Broadway St |
$27.61 | 101 | 89 |
|
Crystal Shanelle Dyer
850 W Main St Ste 2 |
$24.49 | 76 | 42 |
|
Jeffrey Alan Nix
851 Locust St |
$99.75 | 34 | 26 |
|
Lori A. Correll
405 Scenic Dr |
$29.02 | 28 | 25 |
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 Rogersville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rogersville, TN is $44.29 per claim, based on 199,047 claims from 51 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 Rogersville, TN?
There are 51 Medicaid providers offering Office Visit related services in Rogersville, TN according to public payment data.
What is the price range for Office Visit in Rogersville, TN?
Medicaid reimbursement for Office Visit in Rogersville, TN ranges from $1.34 to $99.75 per claim, with an average of $44.29. 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 Rogersville, TN
Ambulance Transport
Avg $48.79
45,196 claims
Blood Work & Lab Tests
Avg $3.71
39,662 claims
Vaccines & Immunizations
Avg $10.37
37,232 claims
Eye Exam
Avg $36.85
24,054 claims
Physical Therapy
Avg $17.20
23,254 claims
Psychiatric Evaluation
Avg $39.09
22,661 claims
Durable Medical Equipment (DME)
Avg $15.39
17,357 claims
Nursing Facility Care
Avg $6.43
12,883 claims