Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent in Tennessee
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Tennessee
| Provider | Medicare | Services |
|---|---|---|
| Brewington, Stacy M.D. | $5.91 | 184 |
| Case, Robert M.D. | $5.89 | 179 |
| Iansmith, David MD PHD | $6.31 | 164 |
| Mcgrew, Frank MD | $5.79 | 121 |
| Szatkowski, Arie MD | $5.65 | 113 |
| Battaglia, Mariano M.D | $6.18 | 112 |
| Coppess, Mark MD | $5.44 | 102 |
| Dockery, Brian M.D. | $6.03 | 83 |
| Kraus, David MD | $5.85 | 68 |
| Samaha, Joseph MD | $5.80 | 66 |
| Gubin, Steven MD | $5.98 | 64 |
Tennessee Pricing in Context
In Tennessee, CPT code G0250 (Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent) carries an average Medicare payment of $5.95 — 5% below the national benchmark of $6.24. 169 providers across the state submitted claims for this procedure in 2023, performing 3.6K 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 $22.28, 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 Temporary Procedures procedures, the estimated commercial insurance price in Tennessee lands near $17.89, with self-pay cash prices typically around $12.37. 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 Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent cost in Tennessee?
The average Medicare payment for Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent in Tennessee is $5.95, which is 5% below the national average of $6.24. Providers in TN typically bill $22.28 for this procedure.
What does Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent cost with insurance in Tennessee?
With commercial insurance in Tennessee, Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent costs an estimated $17.89. Without insurance, the estimated cash price is $12.37. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent in Tennessee?
169 providers in Tennessee billed Medicare for Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent in 2023, performing 3.6K total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent cheaper in Tennessee than the national average?
Yes — Physician Review, Interpretation, And Patient Management Of Home Inr Testing For Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Testing Not Occurring More Frequent costs 5% below the national average in Tennessee. The state average Medicare payment is $5.95 compared to $6.24 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.