Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sweetwater, TN: $34.04

Avg. Paid

$34.04

Range

$5.02 – $48.80

Total Claims

131,694

Providers

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 Sweetwater, TN

Provider	Avg. Paid	Claims	Patients
Syed Mohammad Amer 304 Church St	$44.53	22,145	19,966
Thomas Vance 304 Wright St	$30.48	13,352	10,375
Sigrid Rae Johnson 205 Summit St	$36.47	12,092	9,856
Kenya Kozawa 304 Wright St	$28.59	11,368	9,136
Marsha Renae Cagle 304 Wright St	$23.39	10,640	8,394
Wendy Nannette Saint Robbins 304 Church St	$46.15	10,041	8,632
Sweetie Sangeeta Krishen 304 Wright St	$43.65	9,348	7,295
Eric Christopher Poston 304 Church St	$17.83	7,876	6,449
Christopher S. Bowman 304 Wright St	$24.19	5,464	4,626
Kellie Collins Gallaher 304 Wright St	$35.04	5,273	4,079
Michele Lynn Tate 304 Wright St	$38.12	4,700	3,904
Laurence Oliver James 304 Wright St	$29.86	4,040	3,248
Christopher S Shamblin 304 Wright Street	$16.29	3,638	2,947
Robert Morris Belt 117 N Main St	$20.75	2,681	2,075
Jennifer Gallagher 791 New Highway 68 Ste 1	$43.64	1,823	1,638
Brian Christopher Hedrick 304 Wright St	$32.53	1,288	1,030
Hannah Marie Wells 791 New Highway 68 Ste 1	$48.80	1,072	1,015
George Vernon Pegram 304 Wright St	$24.90	880	606
Karen Lee Eller 304 Wright St	$36.86	864	745
Laura Marie Miller 304 Wright St	$43.38	811	695
Ashlin Martin Paz 304 Wright St	$35.64	695	596
John Robert Ameen 304 Church St	$37.10	476	386
Samuel Keenan 304 Wright St	$24.78	278	198
Thomas Stephen Evans 304 Church St	$16.58	260	221
Ronald R Cherry 304 Wright St	$23.53	170	161
Sherry Lee Ahlstrom 304 Wright St	$25.74	135	120
Christal Dawn Frerichs 304 Wright St	$17.53	86	68
Lori Younce 978 Highway 11 S	$23.35	51	43
Caroline Brown 791 New Highway 68 Ste 1	$39.90	45	39
David J Creutzinger 304 Church St	$14.65	35	24
Sweetwater Hospital Association 304 Wright St	$48.59	27	23
Kristina Grimes 304 Wright St	$41.59	26	24
Ben Dean Coffey 304 Church St	$5.02	14	12

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 Sweetwater, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sweetwater, TN is $34.04 per claim, based on 131,694 claims from 33 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 Sweetwater, TN?

There are 33 Medicaid providers offering Office Visit related services in Sweetwater, TN according to public payment data.

What is the price range for Office Visit in Sweetwater, TN?

Medicaid reimbursement for Office Visit in Sweetwater, TN ranges from $5.02 to $48.80 per claim, with an average of $34.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sweetwater, TN: $34.04

Providers Offering Office Visit in Sweetwater, TN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Sweetwater, TN

Blood Work & Lab Tests

Durable Medical Equipment (DME)

Physical Therapy

X-Ray

Vaccines & Immunizations

EKG / ECG (Electrocardiogram)

Emergency Room Visit

Urinalysis & Urine Tests