Average Medicaid Office Visit Payments in Smithville, TN: $33.17
Avg. Paid
$33.17
Range
$11.36 – $48.96
Total Claims
96,365
Providers
17
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 Smithville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Denise R Dingle
516 W Main St Ste C |
$28.36 | 19,224 | 16,238 |
|
Deborah F Smith
302 N Congress Blvd |
$39.46 | 11,790 | 9,892 |
|
Timothy D Tobitt
414 E Broad St |
$32.18 | 10,955 | 8,664 |
|
Amy Fults
516 W Main St Ste C |
$39.91 | 10,491 | 9,349 |
|
Amy Alicia Evans
516 A West Main St |
$41.43 | 9,382 | 8,002 |
|
Jack Randall Rhody
302 N Congress Blvd |
$34.62 | 7,526 | 6,581 |
|
William Hanford Sherwood
302 N Congress Blvd |
$28.79 | 6,211 | 5,453 |
|
Kevin Ryan Rhody
302 N Congress Blvd |
$31.20 | 5,687 | 4,942 |
|
Tonya Renee Jennings
518C West Main St |
$26.72 | 5,156 | 4,085 |
|
Doug Gibbons Hooper
302 N Congress Blvd |
$32.52 | 4,102 | 3,609 |
|
Brenda Ann Tramel
302 N Congress Blvd |
$15.46 | 2,920 | 399 |
|
Johnny D Ball
518 W Main St Ste C |
$28.94 | 1,081 | 947 |
|
April Dee Dearmon
825 Fisher Ave |
$48.96 | 809 | 683 |
|
Hugh Don Cripps
302 N Congress Blvd |
$25.58 | 394 | 328 |
|
William A Turner
516 W Main St Ste C |
$11.36 | 302 | 276 |
|
Starla K Meigs
107 N Congress Blvd |
$24.11 | 282 | 242 |
|
Cassandra Leigh Curtis
302 N Congress Blvd |
$34.68 | 53 | 40 |
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 Smithville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Smithville, TN is $33.17 per claim, based on 96,365 claims from 17 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 Smithville, TN?
There are 17 Medicaid providers offering Office Visit related services in Smithville, TN according to public payment data.
What is the price range for Office Visit in Smithville, TN?
Medicaid reimbursement for Office Visit in Smithville, TN ranges from $11.36 to $48.96 per claim, with an average of $33.17. 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 Smithville, TN
Blood Work & Lab Tests
Avg $1.58
29,819 claims
Psychiatric Evaluation
Avg $40.49
22,042 claims
Ambulance Transport
Avg $39.40
15,745 claims
Vaccines & Immunizations
Avg $13.83
15,341 claims
Prescription Medications
Avg $1.02
8,499 claims
Speech Therapy
Avg $44.34
7,768 claims
Home Health Visit
Avg $56.38
7,516 claims
Emergency Room Visit
Avg $97.33
6,564 claims