Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Winchester, TN: $37.28

Avg. Paid

$37.28

Range

$2.83 – $75.38

Total Claims

283,740

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 Winchester, TN

Provider	Avg. Paid	Claims	Patients
Imhona Arnold Eko-Isenalumhe 2204 Cowan Hwy	$21.66	29,470	21,751
Jolanta Szczarkowska 155 Hospital Rd	$49.12	28,555	22,620
Nevindra N Mangru 155 Hospital Rd	$51.74	18,517	15,426
Connie Lou Bristol 2204 Cowan Hwy	$52.22	13,907	11,876
Brandy Denise Ballard 100 3Rd Ave Se	$28.38	13,422	10,696
Sherry Barstad 155 Hospital Rd Ste E	$50.40	13,106	11,076
Bryan C Myers 161 Shirley Dr	$39.31	11,052	8,350
Mary Delphine Heath 568 Hospital Rd	$50.10	11,007	9,499
William Jl Newton 2230 Cowan Hwy	$15.43	10,349	8,056
Mircea M Basaraba 155 Hospital Rd Ste G	$24.38	9,256	7,485
Karen Gayle Brazier 2230 Cowan Hwy	$26.01	9,188	6,922
Melissa Smith 1211 Dinah Shore Blvd	$41.71	8,813	7,929
Emily Kramer Prince 2401 Decherd Blvd	$52.93	7,110	5,173
Kou Wei Chiu 2020 Cowan Hwy	$26.63	6,648	5,257
Kevin E Thompson 81 Memorial Dr	$50.41	5,359	4,253
Nancy Yoakum Blevins 155 Hospital Rd	$75.38	4,626	3,832
Scott Darron Fowler 2230 Cowan Hwy	$28.04	4,137	3,097
Sherrie Lynn Smith 155 Hospital Rd Ste H	$27.55	4,132	3,282
Timothy Crater 2118 Cowan Hwy	$25.07	4,045	2,719
Ashley De Witt 155 Hospital Rd Ste C	$40.55	3,859	2,938
Sherry Lee 1211 Dinah Shore Blvd	$40.96	3,406	3,164
Terry Scott Holder 155 Hospital Rd	$43.57	3,366	2,878
Roderick Bryan Meese 186 Hospital Rd	$19.80	3,102	2,418
Courtney Jeannine Murray 161 Shirley Dr	$37.77	2,958	2,153
Candice Marie Kinney 100 3Rd Ave Se	$44.33	2,890	2,477
Sherri Lee Walker 1383 S College St	$21.93	2,801	2,064
Tinsae A Tollesa 378 Bell Dr W	$24.39	2,774	1,960
Jessica Leigh Mcneese 2050 Cowan Hwy	$23.77	2,620	2,162
Ephraim B Gammada 1509 Old Cowan Rd	$15.78	2,593	2,012
Frank G Rao 1383 S College St	$49.99	2,565	2,111
Brittany Lee Rhodes 2401 Decherd Blvd	$44.21	2,395	2,032
Michael G. Strickland 1894 Cowan Hwy	$19.52	2,350	1,693
Kelsey Purcell 185 Hospital Rd	$41.60	2,323	1,944
Clint W Selvage 2401 Decherd Blvd	$55.69	2,173	1,941
Heather Ann Hyden 183 Hospital Rd Ste A	$18.80	1,909	1,430
Ma Belinda Lu 185 Hospital Rd Ste J	$12.69	1,832	1,142
Tina Amacher 590 Cascade Dr	$27.47	1,755	1,479
Logan Curran Martin 1211 Dinah Shore Blvd	$60.01	1,677	1,486
Charles D Ganime 155 Hospital Rd	$30.03	1,595	1,318
Saharra D Jewell 161 Shirley Dr	$28.56	1,506	1,272
Tonia Gale Christian 411 Old Mill Rd	$28.31	1,448	1,138
Kaitlyn Martin 155 Hospital Rd Ste C	$49.02	1,442	1,183
Mary Mcclain 2118 Cowan Hwy	$27.53	1,266	1,025
Melody Harrison 161 Shirley Dr	$21.51	1,117	892
Katelyn Denise Walker 185 Hospital Rd Ste H	$21.32	1,096	862
Karen R Maze 186 Hospital Rd	$24.57	1,067	850
Lisa Renee Stone 2401 Decherd Blvd	$34.42	973	735
Timothy C Kuo 155 Hospital Rd Ste A	$52.10	954	893
Anisa I Nayeem 1383 S College St	$5.06	927	724
Bennett L Rudorfer 183 Hospital Rd Ste A	$22.71	864	757

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 Winchester, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Winchester, TN is $37.28 per claim, based on 283,740 claims from 73 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 Winchester, TN?

There are 73 Medicaid providers offering Office Visit related services in Winchester, TN according to public payment data.

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

Medicaid reimbursement for Office Visit in Winchester, TN ranges from $2.83 to $75.38 per claim, with an average of $37.28. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Winchester, TN: $37.28

Providers Offering Office Visit in Winchester, TN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Winchester, TN

Vaccines & Immunizations

Urinalysis & Urine Tests

Blood Work & Lab Tests

Emergency Room Visit

EKG / ECG (Electrocardiogram)

Ambulance Transport

Ultrasound

Prescription Medications