Average Medicaid Office Visit Payments in Talbott, TN: $46.68
Avg. Paid
$46.68
Range
$25.55 – $58.25
Total Claims
77,915
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 Talbott, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gregory James Perry
6350 W Andrew Johnson Hwy |
$53.84 | 148 | 144 |
|
Sobha Rani Karwan
6350 W Andrew Johnson Hwy |
$39.85 | 347 | 323 |
|
Charles Edwin Leonard
1171 Highway 11 E |
$30.22 | 671 | 588 |
|
Cherokee Health Systems
6350 W Andrew Johnson Hwy |
$25.55 | 684 | 554 |
|
Julie Roach Gray
6350 West Andrew Johnson Highway |
$45.39 | 934 | 750 |
|
Steven Gordon Gunderson
6890 W Andrew Johnson Hwy |
$31.60 | 1,074 | 940 |
|
Regina Nepomuceno Coleman
204 Shaver Dr |
$35.21 | 2,133 | 1,753 |
|
Blake Alexander Medley
204 Shaver Dr |
$32.27 | 2,462 | 2,129 |
|
Amy Marie Epling
6890 W Andrew Johnson Hwy |
$33.34 | 2,604 | 2,239 |
|
Lucinda Hicks
6890 West Andrew Johnson Highway |
$29.78 | 2,900 | 2,428 |
|
Rachel Rouse Dearing
204 Shaver Dr |
$36.67 | 3,894 | 3,211 |
|
Carole F Copenhaver
6350 W Andrew Johnson Hwy |
$37.96 | 3,897 | 3,404 |
|
Ryan K Rogers
204 Shaver Dr |
$36.51 | 5,094 | 4,256 |
|
Katherine Anne Wood Silva
6350 W Andrew Johnson Hwy |
$58.25 | 6,399 | 5,398 |
|
Floyd E Phillips
6890 W.A.J. Hwy |
$51.57 | 7,694 | 6,164 |
|
Angela Warden
6350 W Andrew Johnson Hwy |
$54.66 | 15,870 | 13,430 |
|
Michael Webb Hughes
6350 W Andrew Johnson Hwy |
$50.22 | 21,110 | 16,952 |
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 Talbott, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Talbott, TN is $46.68 per claim, based on 77,915 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 Talbott, TN?
There are 17 Medicaid providers offering Office Visit related services in Talbott, TN according to public payment data.
What is the price range for Office Visit in Talbott, TN?
Medicaid reimbursement for Office Visit in Talbott, TN ranges from $25.55 to $58.25 per claim, with an average of $46.68. 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 Talbott, TN
Case Management Services
Avg $5.70
153,955 claims
Behavioral & Mental Health Therapy
Avg $61.62
31,237 claims
Vaccines & Immunizations
Avg $12.84
31,133 claims
Psychiatric Evaluation
Avg $59.99
26,310 claims
Speech Therapy
Avg $28.19
12,643 claims
Physical Therapy
Avg $36.35
11,178 claims
Urinalysis & Urine Tests
Avg $1.88
8,098 claims
Blood Work & Lab Tests
Avg $2.09
6,840 claims