Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Tennessee
| Provider | Medicare | Services |
|---|---|---|
| Nelson, Ronald MD | $46.45 | 265 |
| Griffith, Robert MD | $43.32 | 238 |
| Proudfit, Brittany FNP-C | $36.62 | 234 |
| Tanenbaum, Alan M.D. | $43.72 | 223 |
| Hamlen, Brandie ARNP | $37.05 | 194 |
| Patel, Purvisha MD | $42.15 | 166 |
| Linder, James MD | $49.83 | 164 |
| Nunes, Kathrin PAC | $34.49 | 155 |
| Booher, Patricia NURSE PRACTITIONER | $36.47 | 152 |
| Rotolo, Jessica PA-C | $31.67 | 149 |
| Church, Lauren PA | $32.09 | 147 |
| Teterina Mohammed, Evgeniya MD | $33.99 | 141 |
Tennessee Pricing in Context
In Tennessee, CPT code 99202 (New Patient Office Or Other Outpatient Visit, 15-29 Minutes) carries an average Medicare payment of $39.71 — 10% below the national benchmark of $44.18. 3.0K providers across the state submitted claims for this procedure in 2023, performing 20.9K total services. Individual payments in TN ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in Tennessee is $143.79, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Tennessee sits below the national Medicare average, commercial rates in the state may also run lower than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Office Visit procedures, the estimated commercial insurance price in Tennessee lands near $132.91, with self-pay cash prices typically around $85.90. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does New Patient Office Or Other Outpatient Visit, 15-29 Minutes cost in Tennessee?
The average Medicare payment for New Patient Office Or Other Outpatient Visit, 15-29 Minutes in Tennessee is $39.71, which is 10% below the national average of $44.18. Providers in TN typically bill $143.79 for this procedure.
What does New Patient Office Or Other Outpatient Visit, 15-29 Minutes cost with insurance in Tennessee?
With commercial insurance in Tennessee, New Patient Office Or Other Outpatient Visit, 15-29 Minutes costs an estimated $132.91. Without insurance, the estimated cash price is $85.90. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform New Patient Office Or Other Outpatient Visit, 15-29 Minutes in Tennessee?
3.0K providers in Tennessee billed Medicare for New Patient Office Or Other Outpatient Visit, 15-29 Minutes in 2023, performing 20.9K total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is New Patient Office Or Other Outpatient Visit, 15-29 Minutes cheaper in Tennessee than the national average?
Yes — New Patient Office Or Other Outpatient Visit, 15-29 Minutes costs 10% below the national average in Tennessee. The state average Medicare payment is $39.71 compared to $44.18 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.