Average Medicaid Office Visit Payments in Signal Mountain, TN: $37.20
Avg. Paid
$37.20
Range
$11.92 – $53.71
Total Claims
15,127
Providers
18
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 Signal Mountain, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rachna Gupta
635 Alexian Way |
$37.18 | 20 | 14 |
|
Rebecca Guess Susong
1807 Taft Hwy Ste 6 |
$48.62 | 24 | 20 |
|
Kaitlyn Elizabeth Louise Greer
2600 Taft Hwy |
$33.06 | 47 | 31 |
|
Tonya C Roberts
796 Ridgeway Ave |
$53.71 | 51 | 44 |
|
John Dowlen
808 Danbury Cove Pl |
$45.09 | 73 | 65 |
|
Terry F Holmes
45 Carriage Hl |
$11.92 | 86 | 70 |
|
Jennifer Lynn Ingram
796 Ridgeway Ave |
$47.88 | 138 | 123 |
|
Sheena E Cox
1238 Taft Highway |
$31.13 | 138 | 119 |
|
Chelsea Ryan
1238 Taft Hwy Ste 170 |
$28.34 | 146 | 118 |
|
Flora Ziliak Walker
1807 Taft Hwy Ste 2 |
$43.44 | 216 | 185 |
|
John D. Cranwell
2600 Taft Highway |
$25.86 | 308 | 284 |
|
Sara Webster Merkle
508 S Palisades Dr |
$24.41 | 339 | 208 |
|
Jane O Jones
1303 Taft Hwy |
$48.81 | 461 | 427 |
|
Melissa Leeann Greywitt
501 James Blvd |
$30.34 | 476 | 329 |
|
Meghan Leigh Whitehead
1303 Taft Hwy |
$35.82 | 574 | 526 |
|
Christopher S St. Charles
106 Signal Point Trl |
$33.25 | 639 | 582 |
|
Elaine W Hatch
1303 Taft Hwy |
$40.34 | 1,925 | 1,720 |
|
Catherine Anderson Mcelhinny
401 Pine Street |
$37.52 | 9,466 | 7,741 |
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 Signal Mountain, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Signal Mountain, TN is $37.20 per claim, based on 15,127 claims from 18 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 Signal Mountain, TN?
There are 18 Medicaid providers offering Office Visit related services in Signal Mountain, TN according to public payment data.
What is the price range for Office Visit in Signal Mountain, TN?
Medicaid reimbursement for Office Visit in Signal Mountain, TN ranges from $11.92 to $53.71 per claim, with an average of $37.20. 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 Signal Mountain, TN
Physical Therapy
Avg $29.12
2,909 claims
Nursing Facility Care
Avg $8.45
2,660 claims
Urinalysis & Urine Tests
Avg $3.28
1,670 claims
Dental Cleaning & Exam
Avg $27.96
1,338 claims
Podiatry (Foot Care)
Avg $1.79
1,333 claims
Hearing Test (Audiometry)
Avg $10.54
1,079 claims
Blood Work & Lab Tests
Avg $2.46
967 claims
Emergency Room Visit
Avg $78.07
797 claims