Average Medicaid Office Visit Payments in Clarksville, IN: $52.13
Avg. Paid
$52.13
Range
$0.81 – $92.06
Total Claims
130,146
Providers
52
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 Clarksville, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shawna Mathis
2205 Greentree N |
$37.54 | 12,182 | 10,302 |
|
Carly Rose Sperzel
2051 Clevidence Blvd Ste C |
$52.45 | 7,950 | 7,330 |
|
Steven J Goldstein
2051 Clevidence Blvd |
$45.50 | 7,509 | 6,511 |
|
Tresa V Ratterman
2051 Clevidence Blvd Ste C |
$64.48 | 7,420 | 6,255 |
|
Jill S Howell-Berg
2051 Clevidence Blvd Ste C |
$68.79 | 6,054 | 5,129 |
|
April L Stewart
2051 Clevidence Blvd Ste B |
$43.93 | 5,731 | 5,026 |
|
Jenna Nicole Sanders
2051 Clevidence Blvd Ste C |
$66.89 | 5,314 | 4,669 |
|
Patricia A Morgan
2051 Clevidence Blvd Ste C |
$66.50 | 5,139 | 4,510 |
|
Cyrus K Joshi
207 E Lewis And Clark Pkwy |
$30.91 | 4,950 | 3,189 |
|
Megan Elizabeth Psiones
2051 Clevidence Blvd Ste C |
$76.58 | 4,926 | 4,388 |
|
Heather R Mcdaniel
4601 Medical Plaza Way |
$42.53 | 4,189 | 3,032 |
|
Kayla Teives
305 E Lewis And Clark Pkwy |
$48.08 | 4,065 | 3,261 |
|
Sally Jane Wheeler
2051 Clevidence Blvd Ste C |
$71.51 | 3,881 | 3,505 |
|
Leah Welch
2051 Clevidence Blvd Ste B |
$37.26 | 3,548 | 3,240 |
|
Tiffany Lacole Hayes
2051 Clevidence Blvd |
$62.55 | 3,485 | 3,217 |
|
Richard M Spalding
2051 Clevidence Blvd |
$50.99 | 3,064 | 2,712 |
|
Danielle Conroy
2205 Greentree N |
$55.55 | 2,806 | 2,357 |
|
Keri A Baker
2051 Clevidence Blvd |
$51.29 | 2,622 | 2,263 |
|
Tina Marie Woodrome-Nethery
2205 Greentree N |
$52.31 | 2,463 | 2,081 |
|
Leigh Ann Nieto
2051 Clevidence Blvd Ste C |
$71.64 | 2,266 | 2,055 |
|
Kimberlee Annette Sickels
1020 Veterans Pkwy Ste 700 |
$44.62 | 2,205 | 1,560 |
|
Darra Dukes
2051 Clevidence Blvd Ste B |
$64.93 | 2,200 | 1,881 |
|
Alicia Sawyer
2205 Greentree N |
$49.74 | 2,191 | 1,841 |
|
Traci A Mccartney
2051 Clevidence Blvd |
$51.10 | 2,113 | 1,788 |
|
Lana Truesdell
2205 Greentree N |
$50.62 | 1,936 | 1,648 |
|
Rhonda Joan Hettinger
1615 Blackiston View Dr |
$68.93 | 1,893 | 1,535 |
|
Amy Bedan Poff
2051 Clevidence Blvd Ste B |
$46.85 | 1,853 | 1,590 |
|
Dava Helton
2051 Clevidence Blvd |
$30.27 | 1,802 | 1,625 |
|
Caitlin Michelle Rager
2205 Greentree N |
$59.44 | 1,611 | 1,351 |
|
Justin Hapka
1305 Veterans Pkwy Ste 900 |
$31.56 | 1,516 | 1,216 |
|
Suzanna M Schaefer
305 E Lewis And Clark Pkwy |
$56.32 | 1,327 | 1,028 |
|
Giavonne D Rondo-Hillman
1020 Veterans Pkwy Ste 700 |
$46.59 | 1,300 | 1,090 |
|
Patricia Lee Isaacs
2051 Clevidence Blvd Ste 1 |
$40.00 | 1,293 | 1,128 |
|
Sumit Som
2051 Clevidence Blvd Ste B |
$52.30 | 1,110 | 974 |
|
M. Saleem Seyal
1455 Cedar St Ste D |
$13.42 | 1,052 | 743 |
|
Courtney Tieree Samuels
2205 Greentree N |
$43.08 | 748 | 569 |
|
Hannah Dooley Robison
305 E Lewis And Clark Pkwy |
$54.69 | 675 | 607 |
|
Rosalind Scott Jessie
1205 Applegate Ln |
$35.03 | 654 | 393 |
|
Kimberly Jane Richmond
2205 Greentree N |
$41.54 | 612 | 454 |
|
Anita Louise Flohe
101 Potters Ln |
$50.83 | 447 | 384 |
|
Richard J Zupancic
815 Eastern Blvd |
$38.49 | 409 | 330 |
|
Emily Christine Foster
4601 Medical Plaza Way |
$32.11 | 327 | 223 |
|
Terry Lynn Humphries
4755 Highway 31 E |
$38.36 | 290 | 264 |
|
Micah Mariah Allen
305 E Lewis And Clark Pkwy |
$29.27 | 234 | 214 |
|
Elizabeth Ellen Osborne
220 E Lewis And Clark Pkwy |
$63.21 | 175 | 158 |
|
Philip Evan Ollis
1455 Cedar St Ste A |
$37.17 | 168 | 137 |
|
Wallace Dale Fox
1400 Main St Unit 177 |
$70.41 | 138 | 107 |
|
Laura Stivers
905 Eastern Blvd |
$28.71 | 106 | 82 |
|
Kimberly Staudt
2051 Clevidence Blvd Ste B |
$92.06 | 90 | 80 |
|
Grant Rubesh
516 E Lewis And Clark Pkwy |
$21.28 | 43 | 26 |
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 Clarksville, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clarksville, IN is $52.13 per claim, based on 130,146 claims from 52 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 Clarksville, IN?
There are 52 Medicaid providers offering Office Visit related services in Clarksville, IN according to public payment data.
What is the price range for Office Visit in Clarksville, IN?
Medicaid reimbursement for Office Visit in Clarksville, IN ranges from $0.81 to $92.06 per claim, with an average of $52.13. 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 Clarksville, IN
Substance Abuse Treatment
Avg $390.42
97,993 claims
Physical Therapy
Avg $36.83
69,501 claims
Vaccines & Immunizations
Avg $9.32
61,081 claims
Nursing Facility Care
Avg $9.66
52,050 claims
Eye Exam
Avg $43.72
40,088 claims
Durable Medical Equipment (DME)
Avg $22.50
39,635 claims
Blood Work & Lab Tests
Avg $5.36
38,671 claims
Chiropractic Care
Avg $18.37
32,781 claims