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 |
|---|---|---|---|
|
Louis T Riley
300 Stonecrest Blvd |
$41.56 | 12 | 12 |
|
Tera Jeanette Simpson
200 Stonecrest Blvd |
$54.33 | 13 | 13 |
|
Juris Shibayama
300 Stonecrest Blvd Ste 300 |
$35.64 | 16 | 12 |
|
Hailey Diana Burton
13181 Old Nashville Hwy Ste 150 |
$13.91 | 18 | 16 |
|
Ashley Nicole Scott
300 Stonecrest Blvd Ste 230 |
$20.95 | 19 | 13 |
|
Sara Elizabeth Owen
881 Seven Oaks Blvd Ste 720 |
$32.14 | 26 | 24 |
|
Caroline Mcmurtry Elcan
739 President Pl Ste 110 |
$35.42 | 29 | 24 |
|
Caroline Peacock
300 Stonecrest Blvd Ste 250 |
$16.85 | 36 | 28 |
|
Cassandra Cervantes
890 Isabella Ln |
$40.01 | 48 | 48 |
|
Mackenzie Faith Davis
741 President Pl Ste 210 |
$39.60 | 56 | 53 |
|
Sarah Mcclure Hill
1335 Rock Springs Rd |
$67.76 | 57 | 55 |
|
Sara Burgess Imamura
463 W Sam Ridley Pkwy |
$38.87 | 59 | 55 |
|
Kristin L Wilson
115 Enon Springs Road East |
$3.69 | 60 | 52 |
|
Kara E Hobbs
300 Stonecrest Blvd Ste 110 |
$35.20 | 63 | 56 |
|
Karla E S Luker
108 David Collins Dr |
$21.94 | 64 | 58 |
|
Joshua Tray Taylor
515 Stonecrest Pkwy Ste 230 |
$43.82 | 76 | 69 |
|
Terri J Meisamer
741 President Place |
$34.93 | 86 | 76 |
|
Susan E Elliott
463 Sam Ridley Pkwy W |
$31.28 | 88 | 79 |
|
Aaron Chase Allred
693 President Pl Ste 103 |
$27.09 | 90 | 68 |
|
Casey Anne Graham
300 Stonecrest Blvd Ste 310 |
$26.67 | 93 | 82 |
|
Tennille J Block
515 Stonecrest Pkwy Ste 130 |
$52.78 | 96 | 83 |
|
Sangeetha Varghese Mccollum
300 Stonecrest Blvd Ste 100 |
$4.83 | 102 | 83 |
|
Karen Hunt
1332 Hazelwood Dr |
$15.69 | 103 | 59 |
|
Kirby Marie Groover
890 Isabella Ln |
$40.66 | 103 | 85 |
|
Tessa Snowden Stewart
300 Stonecrest Blvd Ste 310 |
$46.20 | 116 | 110 |
|
Chelsea Baker
301 Wolverine Trl |
$35.57 | 131 | 113 |
|
Suzanne Marguerite Fletcher
Tennessee Rehabilitation Center |
$20.49 | 144 | 76 |
|
Tara Deatheridge Duke
741 President Pl |
$39.11 | 144 | 108 |
|
Charlene N Bunger
300 Stonecrest Blvd Ste 310 |
$51.93 | 154 | 142 |
|
Anthony Montemuro
300 Stonecrest Blvd |
$57.73 | 154 | 134 |
|
Francisco Emmanuel Garcia Gonzalez
300 Stonecrest Blvd Ste 210 |
$33.13 | 161 | 136 |
|
Caleb Fresh
521 Stonecrest Pkwy Ste 200 |
$29.84 | 162 | 141 |
|
Hannah Evelyn Chilcote
985 Industrial Blvd |
$26.86 | 169 | 141 |
|
Ashley Taylor
300 Stonecrest Blvd Ste 310 |
$35.04 | 191 | 158 |
|
Cherise Marie Felix
300 Stonecrest Blvd |
$36.81 | 191 | 156 |
|
Caitlin O'Leary Elliott
463 W Sam Ridley Pkwy |
$33.92 | 196 | 163 |
|
Selam Yosef
519 E. Enon Springs |
$43.02 | 206 | 177 |
|
Allison Lever
515 Stonecrest Pkwy Ste 100 |
$44.27 | 208 | 195 |
|
Nelson J Mangione
300 Stonecrest Blvd |
$28.67 | 212 | 178 |
|
Lacy Young
900 Sgt Asbury Hawn Way |
$30.54 | 241 | 199 |
|
Sara Mebrahtu
463 W Sam Ridley Pkwy |
$34.36 | 243 | 230 |
|
Jemima Mensah
433 Nissan Dr Ste 301 |
$76.42 | 246 | 177 |
|
Tara Lynn Fishwild
300 Stonecrest Blvd Ste 250 |
$30.77 | 261 | 190 |
|
Helene Angeline Fodra Sandoval
515 Stonecrest Pkwy Ste 100 |
$41.23 | 270 | 259 |
|
Noah Kuykendall
2160 Rock Springs Rd Ste 100 |
$17.50 | 272 | 226 |
|
Andrea Lynne Grooms
570 W. Sam Ridley Prkwy |
$68.31 | 315 | 259 |
|
Willie Melvin
515 Stonecrest Pkwy Ste 230 |
$20.10 | 331 | 278 |
|
Heather Phillips
741 President Pl |
$40.87 | 395 | 347 |
|
Daryl Clinton Madden
519 Enon Springs Rd E |
$7.86 | 424 | 217 |
|
Robert Bruce Dickinson
983 Nissan Dr |
$44.07 | 424 | 403 |
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
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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