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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

73

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
Gina M Dado

155 Hospital Rd Ste C

$52.05 25 25
Damian T Szewczyk

83 Memorial Dr

$41.94 27 24
Michelle Katherine Bull

908 S Jefferson St

$11.04 80 57
Kurt A Shull

1025 S College St

$23.56 85 63
Kimberly Ann Perry

3651 Tullahoma Hwy

$24.35 96 92
Troy Andrew Hixson

83 Memorial Dr

$39.28 153 127
Deborah Denise Finch

2401 Decherd Blvd

$56.77 173 160
Lloyd Keith Brown

144 Hospital Rd

$14.79 182 169
Erica Edwards

83 Memorial Dr

$39.98 187 170
Complete Express Care, Llc

1211 Dinah Shore Blvd

$61.45 235 214
Kelly Beth Golden

1894 Cowan Hwy

$27.62 265 215
Helen Woodall

155 Hospital Rd

$13.74 270 171
Natalie Hollis Clem

155 Hospital Rd Ste C

$27.81 286 232
Eko Internal Medicine

2204 Cowan Hwy Ste B

$2.83 300 154
Kathryn Lynn Freeman

155 Hospital Rd

$41.30 320 260
Monica Kay Gann

2118 Cowan Hwy

$23.02 356 309
Leah Wilson Keith

1211 Dinah Shore Blvd

$44.12 392 356
Clive Anderson Wasson

83 Memorial Dr

$62.37 559 490
Shannon Foster

1385 S College St Ste 1

$31.09 646 494
Jason Cole Jackson

1211 Dinah Shore Blvd

$38.54 666 632
Ryan Bearer

2230 Cowan Hwy

$10.20 677 434
Alexis Rigazio

44 Anderton Dr

$36.16 687 594
Oscar Gonzalo Hernandez-Cano

1381 S College St

$12.61 771 565
Bennett L Rudorfer

183 Hospital Rd Ste A

$22.71 864 757
Anisa I Nayeem

1383 S College St

$5.06 927 724
Timothy C Kuo

155 Hospital Rd Ste A

$52.10 954 893
Lisa Renee Stone

2401 Decherd Blvd

$34.42 973 735
Karen R Maze

186 Hospital Rd

$24.57 1,067 850
Katelyn Denise Walker

185 Hospital Rd Ste H

$21.32 1,096 862
Melody Harrison

161 Shirley Dr

$21.51 1,117 892
Mary Mcclain

2118 Cowan Hwy

$27.53 1,266 1,025
Kaitlyn Martin

155 Hospital Rd Ste C

$49.02 1,442 1,183
Tonia Gale Christian

411 Old Mill Rd

$28.31 1,448 1,138
Saharra D Jewell

161 Shirley Dr

$28.56 1,506 1,272
Charles D Ganime

155 Hospital Rd

$30.03 1,595 1,318
Logan Curran Martin

1211 Dinah Shore Blvd

$60.01 1,677 1,486
Tina Amacher

590 Cascade Dr

$27.47 1,755 1,479
Ma Belinda Lu

185 Hospital Rd Ste J

$12.69 1,832 1,142
Heather Ann Hyden

183 Hospital Rd Ste A

$18.80 1,909 1,430
Clint W Selvage

2401 Decherd Blvd

$55.69 2,173 1,941
Kelsey Purcell

185 Hospital Rd

$41.60 2,323 1,944
Michael G. Strickland

1894 Cowan Hwy

$19.52 2,350 1,693
Brittany Lee Rhodes

2401 Decherd Blvd

$44.21 2,395 2,032
Frank G Rao

1383 S College St

$49.99 2,565 2,111
Ephraim B Gammada

1509 Old Cowan Rd

$15.78 2,593 2,012
Jessica Leigh Mcneese

2050 Cowan Hwy

$23.77 2,620 2,162
Tinsae A Tollesa

378 Bell Dr W

$24.39 2,774 1,960
Sherri Lee Walker

1383 S College St

$21.93 2,801 2,064
Candice Marie Kinney

100 3Rd Ave Se

$44.33 2,890 2,477
Courtney Jeannine Murray

161 Shirley Dr

$37.77 2,958 2,153

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.

Office Visit in Other Cities

Other Procedures in Winchester, TN