Average Medicaid Office Visit Payments in Tazewell, TN: $34.73
Avg. Paid
$34.73
Range
$14.00 – $81.22
Total Claims
166,749
Providers
24
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 Tazewell, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gary W. Brown
1582 N Broad St |
$36.87 | 37,993 | 28,436 |
|
Scott Matson
1720 Church St Ste 4 |
$33.76 | 37,298 | 15,136 |
|
Ronald Jc Fejeran
1442 N Broad St |
$33.16 | 20,566 | 16,981 |
|
Sadril Mohammad
1754 N Broad St |
$28.04 | 12,864 | 9,437 |
|
Amanda Suzanne Martin
951 N Broad St |
$29.94 | 8,080 | 6,442 |
|
Lillia Afton Zellers
951 N Broad St |
$31.23 | 6,816 | 5,591 |
|
Justin Wade Widner
1610 Tazewell Rd Ste 203 |
$60.38 | 5,649 | 4,643 |
|
Teresa A Rasmussen
1579 Tazewell Rd |
$37.35 | 4,782 | 3,945 |
|
Erika Benson
951 N Broad St |
$31.61 | 4,383 | 3,441 |
|
Haley Henard Debusk
424 N. Broad Street |
$26.12 | 4,349 | 3,197 |
|
Leann W Smith
951 N Broad St |
$33.03 | 4,198 | 3,567 |
|
Ashley Smallwood
1610 Tazewell Rd Ste 203 |
$45.04 | 3,772 | 3,213 |
|
Emily Minton
951 N Broad St |
$39.39 | 3,267 | 2,886 |
|
Kyler Vogel
209 Irish Cemetery Rd |
$14.00 | 3,029 | 1,957 |
|
Robert J Wilmoth
1610 Tazewell Rd |
$28.46 | 2,020 | 1,799 |
|
Amy Howe
1582 N Broad St Ste 2 |
$35.35 | 1,739 | 1,428 |
|
Kisandra Leigh Rickard
1610 Tazewell Road Suite 203 |
$81.22 | 1,526 | 1,355 |
|
Heather Hunley
951 N. Broad St |
$30.71 | 1,502 | 1,321 |
|
Jaykrishna Patel
209 Irish Cemetery Rd |
$25.35 | 1,016 | 801 |
|
Anna Noel Nerren
1754 N Broad St |
$26.73 | 703 | 510 |
|
Brittney Taylor Bailey
124 Highway 25E S Ste 2 |
$48.62 | 557 | 501 |
|
Michaela Lamae Edds
951 N Broad St |
$33.64 | 486 | 430 |
|
Carroll Everett Rose
1610 Tazewell Rd |
$29.40 | 141 | 123 |
|
Priscilla Cameron
150 Hester Ln |
$40.10 | 13 | 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 Tazewell, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tazewell, TN is $34.73 per claim, based on 166,749 claims from 24 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 Tazewell, TN?
There are 24 Medicaid providers offering Office Visit related services in Tazewell, TN according to public payment data.
What is the price range for Office Visit in Tazewell, TN?
Medicaid reimbursement for Office Visit in Tazewell, TN ranges from $14.00 to $81.22 per claim, with an average of $34.73. 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 Tazewell, TN
Ambulance Transport
Avg $26.95
120,831 claims
Durable Medical Equipment (DME)
Avg $17.45
43,251 claims
Blood Work & Lab Tests
Avg $2.59
35,341 claims
Vaccines & Immunizations
Avg $15.20
16,674 claims
Dental Cleaning & Exam
Avg $29.98
13,728 claims
Eye Exam
Avg $33.29
9,355 claims
Prescription Medications
Avg $0.53
6,035 claims
X-Ray
Avg $12.44
5,521 claims