Average Medicaid Office Visit Payments in Shelbyville, TN: $37.69
Avg. Paid
$37.69
Range
$1.74 – $79.57
Total Claims
321,501
Providers
54
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 |
|---|---|---|---|
|
Kathy Lynn Shamblin
915 Colloredo Blvd |
$13.47 | 14 | 12 |
|
Kelsey Dennis Wright
1701 N Main St |
$36.43 | 32 | 28 |
|
Marie Carter
1701 N Main St |
$21.86 | 41 | 12 |
|
Vanderbilt Bedford Hospital, Llc
1612 N Main St Ste A |
$54.13 | 41 | 34 |
|
Charles L. Stimpson
1701 N Main St |
$22.86 | 50 | 42 |
|
Lana Sharon Beavers
885 Union St |
$9.30 | 60 | 26 |
|
Jan Pitts
212 S Linda Dr |
$79.57 | 84 | 81 |
|
William Lee Russell
120 Frank Martin Rd |
$9.77 | 119 | 93 |
|
Kesha Torentia Casseus
600 S Cannon Blvd |
$23.73 | 176 | 157 |
|
W Cristina Sevilla Parawan
200 Dover St |
$24.36 | 187 | 168 |
|
Zeke Parker Grissom
915 Colloredo Blvd |
$17.09 | 191 | 160 |
|
Navid Monajjem
120 Frank Martin Rd |
$46.68 | 217 | 161 |
|
Shelbyville Clinic Corp
2835 Highway 231 N Ste 100 |
$6.14 | 325 | 244 |
|
Pamela Gail Gilley
200 Dover St Ste 207 |
$28.83 | 362 | 300 |
|
Tiffany Coggins
1612 N Main St Ste B |
$19.33 | 420 | 243 |
|
Muhamed Salah Faour
2762 Hwy 231 North |
$37.47 | 729 | 553 |
|
Hardy Odell Arrowood
120 Frank Martin Rd Ste 200 |
$28.90 | 747 | 586 |
|
Chris M. Marasco
112 Airport Drive |
$1.74 | 943 | 601 |
|
Sky S Patel
1401 N Main St |
$53.00 | 1,022 | 897 |
|
Kenneth D Hasty
605 N Main St |
$31.20 | 1,171 | 996 |
|
Philip Brian Cox
221 Lane Pkwy Ste B |
$45.80 | 1,277 | 1,060 |
|
Matthew Ryan Brock
116 Frank Martin Rd |
$26.46 | 1,282 | 954 |
|
Scott Jason Jones
1114 N Main St Ste B |
$37.16 | 1,287 | 1,083 |
|
Haley Webster
200 Dover St Ste 207 |
$57.80 | 1,330 | 1,222 |
|
Rachel Lynn Mitchell
120 Frank Martin Rd Ste 102 |
$39.07 | 1,447 | 1,188 |
|
Christina Grover
1660 Railroad Ave |
$46.28 | 1,601 | 1,386 |
|
Staci Smith
2012 N Main St |
$27.38 | 1,614 | 1,208 |
|
Katherine Helen Fox
1121 1/2 N Main St |
$34.66 | 1,670 | 1,302 |
|
Emily Anne Lewis
1401 N Main St |
$15.66 | 1,704 | 1,489 |
|
April Ann Smith
1660 Railroad Ave |
$54.32 | 2,018 | 1,836 |
|
Nnamdi Ifeanyi Eze
120 Frank Martin Rd Ste 102 |
$29.78 | 2,891 | 2,352 |
|
Alex A.S. Fider
319 Bethany Ln |
$3.55 | 2,994 | 2,918 |
|
Sarah Berry
220 W Cedar St |
$30.21 | 3,099 | 2,573 |
|
Kenda Marshelle Harrison
1021 Colloredo Blvd |
$24.59 | 3,286 | 2,735 |
|
Abigayle Ochs
1401 N Main St |
$53.37 | 3,449 | 2,985 |
|
Ryan Michael Carr
120 Frank Martin Rd Ste 102 |
$33.82 | 3,843 | 3,043 |
|
Bryan Berry
1401 N Main St |
$27.17 | 4,486 | 3,500 |
|
Penny Marie Matthews
883 Union St |
$49.59 | 4,881 | 3,219 |
|
Charles E Kelly
2839 Hwy 231 North |
$73.48 | 6,021 | 5,717 |
|
Karyn Elizabeth Jones
1401 Madison St |
$37.25 | 6,496 | 4,352 |
|
Erica Jo Cox
221 Lane Pkwy Ste B |
$55.10 | 6,569 | 5,079 |
|
Barbara F Kaczmarska
880 Colloredo Blvd |
$39.98 | 6,601 | 4,968 |
|
Christy Stapleton
883 Union St |
$53.74 | 7,149 | 6,020 |
|
Mary Elizabeth Lamb
880 Colloredo Blvd |
$38.30 | 9,174 | 7,440 |
|
Jean Tennant
1612 N Main St |
$41.28 | 9,784 | 7,016 |
|
Sarah Beth Bridge
1612 N Main St |
$35.77 | 11,698 | 7,637 |
|
Kristin Mcbay
2012 N Main St |
$27.19 | 12,896 | 9,493 |
|
Erica Stich Rogers
1612 N Main St |
$39.61 | 13,189 | 8,959 |
|
Amber Archer
1612 N Main St |
$41.48 | 13,778 | 9,128 |
|
Abbie R Byrom
880 Colloredo Blvd |
$44.70 | 13,788 | 11,338 |
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.
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 Shelbyville, TN
Psychiatric Evaluation
Avg $72.53
194,034 claims
Blood Work & Lab Tests
Avg $3.06
91,600 claims
Vaccines & Immunizations
Avg $12.65
83,509 claims
Physical Therapy
Avg $21.05
55,340 claims
Nursing Facility Care
Avg $9.68
51,095 claims
Eye Exam
Avg $35.93
43,350 claims
Emergency Room Visit
Avg $66.94
31,308 claims
Ambulance Transport
Avg $71.32
28,267 claims