Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Shelbyville, TN: $37.69

Avg. Paid

$37.69

Range

$1.74 – $79.57

Total Claims

321,501

Providers

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 Shelbyville, TN

Provider	Avg. Paid	Claims	Patients
Joseph Howard Rupard 883 Union Street	$30.64	74,129	51,703
Courtney Ellen Clardy 1612 N Main St Ste A	$39.29	32,574	22,516
Samer Loleh 220 W Cedar St Ste 208	$44.19	29,129	23,336
Grahm Smith 1612 N Main St Ste B	$35.40	17,436	11,679
Abbie R Byrom 880 Colloredo Blvd	$44.70	13,788	11,338
Amber Archer 1612 N Main St	$41.48	13,778	9,128
Erica Stich Rogers 1612 N Main St	$39.61	13,189	8,959
Kristin Mcbay 2012 N Main St	$27.19	12,896	9,493
Sarah Beth Bridge 1612 N Main St	$35.77	11,698	7,637
Jean Tennant 1612 N Main St	$41.28	9,784	7,016
Mary Elizabeth Lamb 880 Colloredo Blvd	$38.30	9,174	7,440
Christy Stapleton 883 Union St	$53.74	7,149	6,020
Barbara F Kaczmarska 880 Colloredo Blvd	$39.98	6,601	4,968
Erica Jo Cox 221 Lane Pkwy Ste B	$55.10	6,569	5,079
Karyn Elizabeth Jones 1401 Madison St	$37.25	6,496	4,352
Charles E Kelly 2839 Hwy 231 North	$73.48	6,021	5,717
Penny Marie Matthews 883 Union St	$49.59	4,881	3,219
Bryan Berry 1401 N Main St	$27.17	4,486	3,500
Ryan Michael Carr 120 Frank Martin Rd Ste 102	$33.82	3,843	3,043
Abigayle Ochs 1401 N Main St	$53.37	3,449	2,985
Kenda Marshelle Harrison 1021 Colloredo Blvd	$24.59	3,286	2,735
Sarah Berry 220 W Cedar St	$30.21	3,099	2,573
Alex A.S. Fider 319 Bethany Ln	$3.55	2,994	2,918
Nnamdi Ifeanyi Eze 120 Frank Martin Rd Ste 102	$29.78	2,891	2,352
April Ann Smith 1660 Railroad Ave	$54.32	2,018	1,836
Emily Anne Lewis 1401 N Main St	$15.66	1,704	1,489
Katherine Helen Fox 1121 1/2 N Main St	$34.66	1,670	1,302
Staci Smith 2012 N Main St	$27.38	1,614	1,208
Christina Grover 1660 Railroad Ave	$46.28	1,601	1,386
Rachel Lynn Mitchell 120 Frank Martin Rd Ste 102	$39.07	1,447	1,188
Haley Webster 200 Dover St Ste 207	$57.80	1,330	1,222
Scott Jason Jones 1114 N Main St Ste B	$37.16	1,287	1,083
Matthew Ryan Brock 116 Frank Martin Rd	$26.46	1,282	954
Philip Brian Cox 221 Lane Pkwy Ste B	$45.80	1,277	1,060
Kenneth D Hasty 605 N Main St	$31.20	1,171	996
Sky S Patel 1401 N Main St	$53.00	1,022	897
Chris M. Marasco 112 Airport Drive	$1.74	943	601
Hardy Odell Arrowood 120 Frank Martin Rd Ste 200	$28.90	747	586
Muhamed Salah Faour 2762 Hwy 231 North	$37.47	729	553
Tiffany Coggins 1612 N Main St Ste B	$19.33	420	243
Pamela Gail Gilley 200 Dover St Ste 207	$28.83	362	300
Shelbyville Clinic Corp 2835 Highway 231 N Ste 100	$6.14	325	244
Navid Monajjem 120 Frank Martin Rd	$46.68	217	161
Zeke Parker Grissom 915 Colloredo Blvd	$17.09	191	160
W Cristina Sevilla Parawan 200 Dover St	$24.36	187	168
Kesha Torentia Casseus 600 S Cannon Blvd	$23.73	176	157
William Lee Russell 120 Frank Martin Rd	$9.77	119	93
Jan Pitts 212 S Linda Dr	$79.57	84	81
Lana Sharon Beavers 885 Union St	$9.30	60	26
Charles L. Stimpson 1701 N Main St	$22.86	50	42

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 Shelbyville, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shelbyville, TN is $37.69 per claim, based on 321,501 claims from 54 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 Shelbyville, TN?

There are 54 Medicaid providers offering Office Visit related services in Shelbyville, TN according to public payment data.

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

Medicaid reimbursement for Office Visit in Shelbyville, TN ranges from $1.74 to $79.57 per claim, with an average of $37.69. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Shelbyville, TN: $37.69

Providers Offering Office Visit in Shelbyville, TN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Shelbyville, TN

Psychiatric Evaluation

Blood Work & Lab Tests

Vaccines & Immunizations

Physical Therapy

Nursing Facility Care

Eye Exam

Emergency Room Visit

Ambulance Transport