Average Medicaid Office Visit Payments in Soddy Daisy, TN: $42.10
Avg. Paid
$42.10
Range
$19.34 – $61.95
Total Claims
50,827
Providers
20
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 Soddy Daisy, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shahla Amjad Kaukab
9089 Dayton Pike |
$48.48 | 23,675 | 16,703 |
|
Laura T Truelove
1507 Hotwater Rd |
$40.00 | 5,055 | 4,742 |
|
Danielle Sarah Voss
9325 Dayton Pike |
$51.76 | 4,424 | 3,640 |
|
Sonya Lashawn Johnson
9448 Dayton Pike |
$30.36 | 2,553 | 2,177 |
|
Yuri Sawa Mcclendon
9445 Dayton Pike |
$40.71 | 2,522 | 2,036 |
|
William Chalkley Whitmire
9453 Dayton Pike |
$22.62 | 1,924 | 1,441 |
|
Ashley Vanlandingham Platzer
210 Walmart Dr |
$30.73 | 1,867 | 1,488 |
|
Madeline Knott
9448 Dayton Pike |
$41.19 | 1,330 | 1,117 |
|
Amy Katherine Farlett
210 Walmart Dr |
$24.98 | 1,169 | 942 |
|
Abbey Roe Elverd
210 Walmart Dr |
$29.48 | 1,146 | 784 |
|
John D Bonner
9453 Dayton Pike |
$19.34 | 1,146 | 915 |
|
Alex Oleg Ronin
210 Walmart Dr |
$33.70 | 1,054 | 837 |
|
Krista Cowan
9448 Dayton Pike |
$37.43 | 673 | 526 |
|
Michael L Ascough
9389 Dayton Pike |
$29.27 | 586 | 554 |
|
Laura Paynter Hill
210 Walmart Drive |
$22.56 | 580 | 487 |
|
Brandon Edmondson
2027 Ell Rd |
$36.38 | 446 | 421 |
|
Chasen Kenneth Halcomb
10298 Walden St |
$61.95 | 305 | 303 |
|
Margaret Disheroon
8967 Dayton Pike |
$39.44 | 300 | 253 |
|
Danielle A Vandergriff
210 Walmart Drive |
$28.83 | 59 | 53 |
|
Joyce Mathai
9389 Dayton Pike |
$38.61 | 13 | 13 |
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 Soddy Daisy, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Soddy Daisy, TN is $42.10 per claim, based on 50,827 claims from 20 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 Soddy Daisy, TN?
There are 20 Medicaid providers offering Office Visit related services in Soddy Daisy, TN according to public payment data.
What is the price range for Office Visit in Soddy Daisy, TN?
Medicaid reimbursement for Office Visit in Soddy Daisy, TN ranges from $19.34 to $61.95 per claim, with an average of $42.10. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Soddy Daisy, TN
Dental Cleaning & Exam
Avg $29.63
77,157 claims
Vaccines & Immunizations
Avg $17.99
14,930 claims
Dental Filling
Avg $63.39
12,761 claims
Physical Therapy
Avg $17.37
10,981 claims
Hearing Test (Audiometry)
Avg $12.44
8,188 claims
Urinalysis & Urine Tests
Avg $1.62
7,872 claims
Emergency Room Visit
Avg $58.63
7,687 claims
Blood Work & Lab Tests
Avg $1.51
7,242 claims