Average Medicaid Office Visit Payments in Smyrna, TN: $39.51
Avg. Paid
$39.51
Range
$3.69 – $76.42
Total Claims
391,282
Providers
138
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 Smyrna, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sadia Majid Dar
515 Stonecrest Pkwy |
$45.38 | 30,354 | 22,601 |
|
Charles Grafford Hilgenhurst
519 Enon Springs Rd E |
$22.87 | 24,166 | 15,462 |
|
Ukpong Ette Nwankwo
121 Mayfield Dr |
$31.15 | 17,750 | 12,572 |
|
Rachel Morales Ricafort
739 President Pl Ste 110 |
$48.47 | 17,619 | 14,943 |
|
Jithander R Katkuri
713A President Pl |
$39.04 | 14,615 | 12,036 |
|
Sarah-Jo Stimpson
1335 Rock Springs Rd |
$52.24 | 12,803 | 11,126 |
|
Tracy L. Carter
515 Stonecrest Pkwy |
$52.87 | 12,337 | 10,606 |
|
James Allen Sudberry
300 Stonecrest Blvd Ste 255 |
$25.35 | 12,272 | 8,655 |
|
Susan Elizabeth Langone
741 President Pl |
$46.40 | 10,530 | 8,964 |
|
Melissa Emily Fuller
741 President Place |
$48.02 | 10,381 | 8,869 |
|
Moses Andre Swauncy
115 Front St |
$44.99 | 10,271 | 8,379 |
|
Julie A Mcelroy
515 Stonecrest Pkwy |
$47.17 | 10,159 | 9,171 |
|
Anitha S Dhar
1702 Rock Springs Road |
$39.08 | 10,117 | 8,585 |
|
Vilmarie J Tanon
739 President Pl Ste 110 |
$48.19 | 9,574 | 8,153 |
|
Kristal Nichole Reed
309 Quecreek Cir |
$33.55 | 8,226 | 6,245 |
|
Jonathan M Head
985 Industrial Blvd |
$37.21 | 7,697 | 5,934 |
|
Afam C Ikejiani
301 Wolverine Trl |
$38.07 | 7,408 | 5,490 |
|
Catherine Sipe Bottoms
741 President Pl |
$45.76 | 6,861 | 5,958 |
|
Anna-Louise O Molette
739 President Pl |
$35.67 | 6,770 | 5,248 |
|
Lisa C Wood
1335 Rock Springs Rd |
$42.42 | 6,739 | 6,004 |
|
Lucinda Lee Motley-Davis
301 Wolverine Trl Ste 201 |
$29.91 | 6,436 | 5,224 |
|
Derek K. Johnson
300 Stonecrest Blvd Ste 250 |
$44.68 | 6,174 | 5,447 |
|
Mistye Dawnielle Taylor
300 Stonecrest Blvd |
$38.22 | 6,081 | 4,969 |
|
Dana J Haselton
699 President Pl |
$46.59 | 5,771 | 4,720 |
|
Jacqueline A Peters
301 Wolverine Trl |
$38.54 | 5,630 | 4,745 |
|
Sarah Schwartz Wilson
115 Enon Springs Rd E |
$33.46 | 5,320 | 4,410 |
|
Matthew D Neuhaus
693 President Pl Ste 103 |
$28.38 | 4,849 | 3,809 |
|
Laurel Yates
301 Wolverine Trl Ste 100 |
$34.79 | 4,765 | 3,944 |
|
George Albert Fox
2020 Rock Springs Rd Ste 110 |
$47.92 | 4,616 | 3,798 |
|
Venkata Krishna Suresh Chitturi
300 Stonecrest Blvd Ste 365 |
$51.19 | 4,164 | 3,685 |
|
Matthew Lane Perkins
741 President Pl |
$38.85 | 3,497 | 2,824 |
|
Edmundo H Yibirin Peluffo
301 Wolverine Trail |
$35.27 | 3,355 | 2,247 |
|
William C Mayfield
300 Stonecrest Blvd Ste 200 |
$56.11 | 3,340 | 2,775 |
|
James Jeffrey York
300 Stonecrest Blvd Ste 230 |
$36.82 | 3,078 | 2,594 |
|
Mitchell Andrew Pullias
741 President Pl |
$38.36 | 2,878 | 2,322 |
|
James M Fish
300 Stonecrest Blvd Ste 230 |
$30.95 | 2,844 | 2,314 |
|
Ram Chandra Sharma
300 Stonecrest Blvd Ste 290 |
$31.01 | 2,756 | 2,457 |
|
Olawumi Olubukola Ayo Akatue
127 Enon Springs Rd E |
$39.98 | 2,515 | 2,110 |
|
Jeffrey R Day
300 Stonecrest Blvd Ste 230 |
$29.49 | 2,479 | 2,092 |
|
Julia Alexandra Byrd
739 President Pl Ste 110 |
$39.54 | 2,296 | 1,867 |
|
Miaschia Bryanna Scott
983 Nissan Dr |
$45.62 | 2,293 | 1,988 |
|
Kristie R Bucher
515 Stonecrest Pkwy Ste 200 |
$33.01 | 2,242 | 1,964 |
|
Angie R Larsen
300 Stonecrest Blvd |
$36.51 | 2,081 | 1,651 |
|
Gina Elizabeth Hamrang
2020 Rock Springs Rd |
$51.31 | 2,063 | 1,635 |
|
Alexis Kylie Spence
200 Stonecrest Blvd |
$46.14 | 1,993 | 1,481 |
|
Saritha Voncha Reddy
405 W Sam Ridley Pkwy |
$48.90 | 1,924 | 1,651 |
|
Ramy Sayed
819 Medical Park |
$15.84 | 1,862 | 1,240 |
|
Adam Richard Cochran
2160 Rock Springs Rd Ste 100 |
$51.91 | 1,820 | 1,460 |
|
John M Byrnes
115 Enon Springs Rd E |
$7.35 | 1,804 | 1,394 |
|
Krista Delaine Gessler
13181 Old Nashville Hwy |
$17.72 | 1,751 | 1,420 |
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 Smyrna, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Smyrna, TN is $39.51 per claim, based on 391,282 claims from 138 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 Smyrna, TN?
There are 138 Medicaid providers offering Office Visit related services in Smyrna, TN according to public payment data.
What is the price range for Office Visit in Smyrna, TN?
Medicaid reimbursement for Office Visit in Smyrna, TN ranges from $3.69 to $76.42 per claim, with an average of $39.51. 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 Smyrna, TN
Dental Cleaning & Exam
Avg $28.74
327,727 claims
Vaccines & Immunizations
Avg $15.68
151,431 claims
Physical Therapy
Avg $40.49
124,635 claims
Speech Therapy
Avg $43.12
108,711 claims
Emergency Room Visit
Avg $131.91
96,936 claims
Blood Work & Lab Tests
Avg $3.95
87,524 claims
Dental Filling
Avg $64.93
83,688 claims
Urinalysis & Urine Tests
Avg $2.16
77,371 claims