Average Medicaid Office Visit Payments in Wartburg, TN: $36.28
Avg. Paid
$36.28
Range
$14.82 – $64.03
Total Claims
62,413
Providers
21
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 Wartburg, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Deborah Upchurch Howard
1236 Knoxville Hwy |
$14.82 | 20 | 13 |
|
Kimberly Rinks
950 Main St |
$32.19 | 62 | 49 |
|
Gregory Allen Casalenuovo
224 Old Mill Rd |
$29.58 | 69 | 52 |
|
Jennifer L Hoskins
1825 Knoxville Hwy |
$38.10 | 79 | 70 |
|
Morgan County Health Council Inc
224 Old Mill Road |
$42.23 | 115 | 95 |
|
Valerie Kim Tanner
1825 Knoxville Hwy |
$42.72 | 226 | 205 |
|
Kendra L Flowers
224 Old Mill Rd |
$19.45 | 329 | 243 |
|
Addie L Freytag
1236 Knoxville Hwy |
$32.13 | 503 | 453 |
|
Jonna Leeann Pittman
1010 Petit Ln |
$41.56 | 1,018 | 883 |
|
Tarrant Mehcole Mccarley
224 Old Mill Rd |
$30.71 | 1,524 | 1,318 |
|
Megan Whaley
224 Old Mill Rd |
$32.38 | 2,010 | 1,730 |
|
Christina Long
224 Old Mill Rd |
$28.50 | 2,497 | 2,143 |
|
Tina Louise Jackson
224 Old Mill Rd |
$28.87 | 2,762 | 2,374 |
|
Thomas G Allen
950 Main St Ste A |
$20.94 | 2,883 | 2,225 |
|
Caitlyn Davis
1825 Knoxville Hwy |
$51.79 | 2,966 | 2,674 |
|
April Michelle Barton
541 Wayne Colton Morgan Dr. |
$64.03 | 3,121 | 2,587 |
|
Family Medicine West Pllc
1236 Knoxville Hwy |
$29.16 | 3,377 | 3,021 |
|
Jonathan Ben Laymance
1825 Knoxville Hwy |
$36.97 | 4,070 | 3,184 |
|
Autum Marie Salsbury
1825 Knoxville Hwy |
$49.53 | 8,342 | 7,053 |
|
Angela Lynn Brown
224 Old Mill Rd |
$27.35 | 8,692 | 7,045 |
|
Sanjay P Thakur
1236 Knoxville Hwy |
$33.88 | 17,748 | 12,761 |
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 Wartburg, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wartburg, TN is $36.28 per claim, based on 62,413 claims from 21 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 Wartburg, TN?
There are 21 Medicaid providers offering Office Visit related services in Wartburg, TN according to public payment data.
What is the price range for Office Visit in Wartburg, TN?
Medicaid reimbursement for Office Visit in Wartburg, TN ranges from $14.82 to $64.03 per claim, with an average of $36.28. 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 Wartburg, TN
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Avg $3.02
16,231 claims
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Avg $61.26
15,395 claims
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Avg $22.77
8,909 claims
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Avg $22.54
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Avg $24.21
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Avg $23.36
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Avg $50.06
988 claims
X-Ray
Avg $5.58
734 claims