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
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 Winchester, TN
Vaccines & Immunizations
Avg $16.83
51,090 claims
Urinalysis & Urine Tests
Avg $1.06
49,422 claims
Blood Work & Lab Tests
Avg $2.93
44,076 claims
Emergency Room Visit
Avg $86.55
38,804 claims
EKG / ECG (Electrocardiogram)
Avg $7.30
24,065 claims
Ambulance Transport
Avg $26.12
17,624 claims
Ultrasound
Avg $52.54
15,591 claims
Prescription Medications
Avg $2.71
9,718 claims