Average Medicaid Office Visit Payments in Seymour, TN: $49.80
Avg. Paid
$49.80
Range
$10.40 – $473.38
Total Claims
88,857
Providers
35
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 Seymour, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kelsey Ann May
11616 Chapman Hwy |
$56.00 | 13,223 | 10,331 |
|
Stephanie Lynn Gorman
11616 Chapman Hwy |
$56.97 | 10,616 | 8,378 |
|
Kayla Elaine Crye
11616 Chapman Highway |
$57.35 | 8,143 | 6,712 |
|
Christopher Dale Lezu
10626 Chapman Hwy |
$51.75 | 6,891 | 5,967 |
|
Amy Seal
1717 Boyds Creek Hwy Ste 104A |
$45.09 | 5,818 | 4,148 |
|
Brittany Lucas
10731 Chapman Hwy |
$45.21 | 5,609 | 4,815 |
|
Anil Harsh
11021 Chapman Hwy |
$52.22 | 5,009 | 4,256 |
|
David Enrique Mendez
11616 Chapman Hwy |
$41.35 | 4,394 | 3,918 |
|
Jill Mcdowell Newsome
212 Phoenix Ct |
$40.43 | 3,722 | 3,218 |
|
Brittany R. Simpson
10626 Chapman Hwy |
$48.32 | 3,693 | 3,049 |
|
Whitaker Michael Smith
366 Meadowlake Cir |
$36.89 | 2,888 | 2,324 |
|
Kristi Michelle Rutherford
212 Phoenix Ct Ste 1 |
$46.97 | 2,887 | 2,459 |
|
Laura Contri
10731 Chapman Hwy |
$53.01 | 2,320 | 1,920 |
|
Meghan Elizabeth Peters
11021 Chapman Hwy |
$51.86 | 2,270 | 2,048 |
|
Wayne J Stuart
10626 Chapman Hwy |
$19.25 | 1,836 | 1,083 |
|
Staci Kerr Stalcup
11606 Chapman Hwy |
$27.22 | 1,644 | 1,185 |
|
Emma Love Gilmartin
11606 Chapman Hwy Ste 2 |
$66.10 | 1,008 | 986 |
|
Brian Bonnyman
10731 Chapman Hwy |
$17.72 | 971 | 598 |
|
Laura Michelle Asbury
11616 Chapman Hwy |
$38.90 | 792 | 711 |
|
Wilson Lee Powers
11021 Chapman Hwy |
$49.66 | 681 | 492 |
|
Joyce Ann Hatch
10626 Chapman Hwy |
$37.54 | 671 | 456 |
|
Margaret Miller
10731 Chapman Hwy |
$57.90 | 626 | 483 |
|
Catherine Rains
11021 Chapman Hwy |
$48.68 | 609 | 511 |
|
Alexander S Kerr
10626 Chapman Hwy |
$43.48 | 554 | 474 |
|
Jason Kirby
Landmark Recovery Of Knoxville |
$31.19 | 468 | 258 |
|
Steven F Hall
11546 Chapman Hwy |
$28.72 | 303 | 244 |
|
Thomas Daniel Shirley
11546 Chapman Hwy |
$25.84 | 265 | 197 |
|
Clay Eugene Stalcup
11606 Chapman Hwy |
$10.76 | 199 | 149 |
|
Amanda Sherrod
411 Illinois Ave |
$33.64 | 196 | 173 |
|
David F Hassell
10731 Chapman Hwy |
$473.38 | 189 | 180 |
|
Maggie Corrine Farley
11657 Chapman Hwy |
$30.90 | 155 | 123 |
|
Brandi Nicole Phillips
11657 Chapman Hwy |
$45.84 | 129 | 109 |
|
Jeremy Ray Strader
127 W Macon Ln Ste 2 |
$33.83 | 47 | 34 |
|
Mark Reddington
11560 Chapman Hwy |
$10.40 | 18 | 17 |
|
Garrett Rowe
11657 Chapman Hwy |
$50.21 | 13 | 13 |
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 Seymour, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Seymour, TN is $49.80 per claim, based on 88,857 claims from 35 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 Seymour, TN?
There are 35 Medicaid providers offering Office Visit related services in Seymour, TN according to public payment data.
What is the price range for Office Visit in Seymour, TN?
Medicaid reimbursement for Office Visit in Seymour, TN ranges from $10.40 to $473.38 per claim, with an average of $49.80. 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 Seymour, TN
Physical Therapy
Avg $18.79
72,439 claims
Speech Therapy
Avg $41.41
41,051 claims
Blood Work & Lab Tests
Avg $5.28
40,530 claims
Substance Abuse Treatment
Avg $277.60
35,017 claims
Vaccines & Immunizations
Avg $26.00
21,832 claims
Dental Cleaning & Exam
Avg $30.31
20,030 claims
Emergency Room Visit
Avg $114.19
16,546 claims
Psychiatric Evaluation
Avg $56.84
15,372 claims