Average Medicaid Office Visit Payments in Sevierville, TN: $41.69
Avg. Paid
$41.69
Range
$1.17 – $101.76
Total Claims
296,351
Providers
116
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 Sevierville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Steven Wayne Johnson
1105 Oak Cluster Drive |
$29.55 | 19,159 | 15,506 |
|
Loryn C Hoskins
502 Winfield Dunn Pkwy |
$53.93 | 14,524 | 11,951 |
|
Ashley E. Myers
641 Middle Creek Rd |
$55.80 | 13,691 | 11,399 |
|
Mary Ngoc Nhu Brooks
641 Middle Creek Rd |
$52.32 | 12,868 | 10,979 |
|
John Gregory Kupfner
3889 Wonderland Ln |
$38.60 | 11,174 | 8,319 |
|
Leslie Best Tallon
208 Prince St |
$44.30 | 10,416 | 9,079 |
|
Virginia Leshea Pate
1115 Blanton Dr |
$55.49 | 10,038 | 8,729 |
|
David Wayne Sanford
502 Winfield Dunn Pkwy |
$57.07 | 9,148 | 7,977 |
|
Douglas Estey
441 Parkway |
$34.74 | 8,945 | 5,924 |
|
Delilah Marie Sizemore
1787 Veterans Blvd |
$54.26 | 8,158 | 6,989 |
|
Melissa Renea Blair
707 Dolly Parton Pkwy |
$39.97 | 7,607 | 6,765 |
|
Megan Elizabeth Stonecypher
1104 Foxwood Dr |
$13.56 | 6,795 | 5,767 |
|
Sarah Kamp
629 Middle Creek Rd |
$46.73 | 6,552 | 5,580 |
|
Richard Lawrence Love
740 Middle Creek Rd |
$38.65 | 6,238 | 4,477 |
|
Stephanie H Atkins
1610 Licking Spring Way |
$47.29 | 5,839 | 3,414 |
|
Melissa Ann Graves
1110 Village Dr |
$24.86 | 5,496 | 4,703 |
|
Laura Ann Davidson
740 Middle Creek Rd Ste 200 |
$33.31 | 5,399 | 3,322 |
|
Jessica Williams Cooper
215 Forks Of The River Pkwy |
$45.99 | 5,229 | 4,379 |
|
Meredith Cromer
1115 Blanton Dr |
$48.79 | 5,107 | 4,096 |
|
Pamela F Wright
744 Middle Creek Rd |
$23.90 | 4,806 | 3,005 |
|
Abigail Lea Hilton
744 Middle Creek Rd Ste 108 |
$24.20 | 4,774 | 4,236 |
|
Jessica Trentham
744 Middle Creek Rd Ste 108 |
$46.87 | 4,672 | 3,431 |
|
Jessica Hembree Payne
744 Middle Creek Rd |
$44.04 | 4,655 | 3,477 |
|
Brandon D Brown
744 Middle Creek Rd Ste 108 |
$29.04 | 4,498 | 3,141 |
|
Sarah Michelle Swint
744 Middle Creek Rd Ste 108 |
$51.33 | 4,316 | 3,317 |
|
Jennifer Kendra Mcdaniel
1105 Oak Cluster Dr |
$58.84 | 4,191 | 2,772 |
|
Lindsey Layman Lassiter
1229 Fox Meadows Blvd Ste 2 |
$26.88 | 3,993 | 3,119 |
|
Tammy Ashburn
744 Middle Creek Rd Ste 108 |
$39.36 | 3,725 | 2,566 |
|
Sara Ann Sammons
1115 Blanton Dr |
$56.66 | 3,617 | 2,923 |
|
Pamela J Sturgill
675 Middle Creek Rd |
$39.36 | 3,563 | 2,961 |
|
Sara Caldwell
744 Middle Creek Rd Ste 108 |
$33.86 | 3,429 | 3,044 |
|
Corey Wj Cleland
1110 Village Dr |
$22.76 | 3,379 | 2,795 |
|
Christopher Palmer
744 Middle Creek Rd Ste 108 |
$46.62 | 3,219 | 2,407 |
|
Jessica R Atchley
641 Middle Creek Rd |
$48.47 | 3,101 | 2,604 |
|
Whitney Bean
740 Middle Creek Rd |
$45.55 | 2,415 | 2,019 |
|
Lorrie Tate
744 Middle Creek Rd Ste 114 |
$33.44 | 2,393 | 1,769 |
|
Jennifer R. Marsh
675 Middle Creek Rd |
$39.27 | 2,366 | 2,003 |
|
David R Robins
629 Middle Creek Rd |
$38.04 | 2,360 | 1,824 |
|
Lauren Elizabeth Carlson
1787 Veterans Blvd |
$48.64 | 2,338 | 2,027 |
|
Kenneth Lee Justice
1130 Middle Creek Rd Ste 260 |
$19.90 | 2,303 | 1,554 |
|
Douglas B Freels
1108 Fox Meadows Blvd |
$30.54 | 2,256 | 1,841 |
|
Megan Mccarley
744 Middle Creek Rd Ste 108 |
$52.60 | 2,198 | 1,557 |
|
Jennifer Lane
1124 Fox Meadows Blvd Ste 3 |
$33.19 | 2,075 | 1,874 |
|
Sheri L Chapman
657 Middle Creek Rd |
$37.44 | 2,036 | 1,762 |
|
Derek Wiggins
713 Winfield Dunn Pkwy Ste 9 |
$48.10 | 1,949 | 1,597 |
|
Allyson M. Neal
1105 Oak Cluster Dr |
$44.55 | 1,892 | 1,744 |
|
Jacqueline Carol Dotson
641 Middle Creek Rd |
$46.46 | 1,825 | 1,594 |
|
Sheryl A Hill
744 Middle Creek Rd |
$21.09 | 1,732 | 1,363 |
|
Martha W Clinton
208 Prince St |
$34.62 | 1,578 | 1,376 |
|
James M Koerten
1102 Foxwood Dr |
$30.91 | 1,522 | 1,232 |
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 Sevierville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sevierville, TN is $41.69 per claim, based on 296,351 claims from 116 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 Sevierville, TN?
There are 116 Medicaid providers offering Office Visit related services in Sevierville, TN according to public payment data.
What is the price range for Office Visit in Sevierville, TN?
Medicaid reimbursement for Office Visit in Sevierville, TN ranges from $1.17 to $101.76 per claim, with an average of $41.69. 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 Sevierville, TN
Emergency Room Visit
Avg $116.03
161,635 claims
Blood Work & Lab Tests
Avg $4.40
129,519 claims
Vaccines & Immunizations
Avg $17.59
82,534 claims
Ambulance Transport
Avg $41.88
80,259 claims
Dental Cleaning & Exam
Avg $29.79
74,855 claims
Physical Therapy
Avg $17.34
67,946 claims
Urinalysis & Urine Tests
Avg $2.42
63,354 claims
Durable Medical Equipment (DME)
Avg $15.92
55,857 claims