Average Medicaid Office Visit Payments in Waverly, TN: $41.20
Avg. Paid
$41.20
Range
$3.33 – $75.87
Total Claims
60,923
Providers
19
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 Waverly, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kristie Zimmerman
301 W Main St |
$51.61 | 10,800 | 8,721 |
|
Nestor Armando Ojeda
300 S Clydeton Rd |
$44.19 | 8,954 | 7,095 |
|
Christie Madge King-Patterson
215B Holly Lane |
$40.41 | 7,224 | 5,885 |
|
Mandi Nicole Beuerlein
1034 W Main St |
$22.47 | 6,543 | 4,968 |
|
Lawrence Richard Jackson
104 Hillwood Dr |
$26.15 | 4,417 | 3,627 |
|
Heather Blue Thompson
502 W Main St |
$29.26 | 3,893 | 2,949 |
|
Chelsa Frey
301 W Main St |
$53.93 | 3,876 | 3,284 |
|
Alexandria Lynnly Cole
300 S Clydeton Rd |
$35.74 | 3,850 | 3,028 |
|
Jeremy Gilliam Bradley
300 S Clydeton Rd |
$75.87 | 3,693 | 3,404 |
|
Amanda Deason
451 Highway 13 S |
$37.68 | 3,636 | 2,921 |
|
Bonnie Sue Judd
203 E Commerce St |
$31.89 | 2,583 | 1,911 |
|
Noel R Dominguez
209 West Main Street |
$32.36 | 1,065 | 935 |
|
Jennifer Lee Gerber
104 Hillwood Dr |
$3.33 | 146 | 128 |
|
Anneliese Wilsdorf
451 Highway 13 S |
$21.00 | 114 | 75 |
|
Lana Shoulders
301 W Main St |
$50.56 | 45 | 43 |
|
Karen Michelle Dixon
102 Hillwood Dr |
$21.97 | 36 | 29 |
|
Rebecca Loatwall
104 Fort Hill Rd |
$45.70 | 21 | 17 |
|
Sharon Krystal Beasley
209 W Main St |
$45.77 | 14 | 12 |
|
Tonya Michelle Reynoldson
215 Holly Ln |
$20.86 | 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 Waverly, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waverly, TN is $41.20 per claim, based on 60,923 claims from 19 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 Waverly, TN?
There are 19 Medicaid providers offering Office Visit related services in Waverly, TN according to public payment data.
What is the price range for Office Visit in Waverly, TN?
Medicaid reimbursement for Office Visit in Waverly, TN ranges from $3.33 to $75.87 per claim, with an average of $41.20. 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 Waverly, TN
Blood Work & Lab Tests
Avg $6.32
26,310 claims
Dental Cleaning & Exam
Avg $29.63
19,738 claims
Emergency Room Visit
Avg $78.31
16,081 claims
Vaccines & Immunizations
Avg $13.13
12,437 claims
Eye Exam
Avg $36.68
9,541 claims
Ambulance Transport
Avg $95.87
9,327 claims
Urinalysis & Urine Tests
Avg $2.34
4,921 claims
Hearing Test (Audiometry)
Avg $9.78
4,618 claims