Average Medicaid Office Visit Payments in Clarksville, TN: $38.93
Avg. Paid
$38.93
Range
$0.00 – $241.51
Total Claims
826,270
Providers
311
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, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Barbara A Aquino
881 Professional Park Dr |
$45.76 | 35,109 | 27,607 |
|
Margaret Sue Rausch
111 Otis Smith Dr |
$11.99 | 33,358 | 2,383 |
|
Evan Witherington
511 8Th St |
$74.61 | 16,324 | 11,216 |
|
David Wesley Johnson
251 Hillcrest Dr |
$34.89 | 15,856 | 11,610 |
|
Satish D Prabhu
111 Otis Smith Dr |
$52.76 | 15,295 | 13,446 |
|
Jigar Kanubhai Shah
274 Clear Sky Ct |
$24.18 | 14,341 | 6,720 |
|
Elizabeth Edmister Hayes
511 8Th St |
$62.94 | 14,275 | 9,348 |
|
Dustin Ty Stuart
776 Weatherly Dr Ste B |
$18.10 | 13,438 | 10,294 |
|
Stacey Michelin
2269 Wilma Rudolph Blvd Ste 106 |
$33.33 | 13,435 | 10,078 |
|
Stacy Dycus
511 8Th St |
$53.70 | 12,547 | 7,267 |
|
Ramon Jongo Aquino
351 Dover Rd |
$29.49 | 11,596 | 9,297 |
|
Crystal Vernon
490 Dunlop Ln |
$49.34 | 10,955 | 9,540 |
|
Christie Lou Schumacher
511 8Th St |
$49.16 | 9,994 | 6,506 |
|
Brandy R Robertson
776 Weatherly Dr Ste B |
$21.43 | 9,641 | 7,265 |
|
Di'Net H. Sintim-Amoah
490 Dunlop Ln |
$46.98 | 9,575 | 8,549 |
|
Carlo L Pike
2690 Madison St |
$29.87 | 8,778 | 7,193 |
|
Jason C Mattern
787 Weatherly Dr |
$39.72 | 8,561 | 7,838 |
|
Cherilyn Anne White
490 Dunlop Ln |
$39.24 | 8,401 | 6,432 |
|
Jennifer Abelson
159 Darlene Dr Ste 240 |
$28.57 | 8,358 | 6,083 |
|
Ashley Walker
490 Dunlop Ln |
$45.17 | 8,189 | 7,406 |
|
Leann Stephanie Barnett
111 Otis Smith Dr |
$46.86 | 7,940 | 6,994 |
|
Lindsey Gendreau
490 Dunlop Ln |
$42.55 | 7,783 | 7,288 |
|
Angela Kay Allen
271 Med Park Dr |
$26.73 | 7,781 | 6,893 |
|
Elizabeth Anderson
511 8Th St |
$69.29 | 7,707 | 4,372 |
|
David G Johnston
490 Dunlop Ln |
$43.54 | 7,312 | 6,498 |
|
Katie Greene Pegram
490 Dunlop Ln |
$46.09 | 7,298 | 6,528 |
|
Jyotsna Padmaja Korivi
490 Dunlop Ln |
$44.81 | 7,043 | 5,516 |
|
Alyson Boone
881 Professional Park Dr |
$63.27 | 6,456 | 5,752 |
|
Cyree Collier
490 Dunlop Ln |
$39.31 | 6,193 | 4,718 |
|
Jaclyn M Perez
800 Weatherly Dr |
$54.05 | 6,191 | 5,402 |
|
Gale Evans Jackson
490 Dunlop Ln |
$35.10 | 6,047 | 4,950 |
|
Karissa V Shields
111 Otis Smith Dr |
$50.98 | 5,973 | 5,364 |
|
Elizabeth Kathleen Burton
511 8Th St |
$42.11 | 5,835 | 4,568 |
|
Jamie Renae Swaffer
111 Otis Smith Dr |
$44.48 | 5,817 | 5,085 |
|
Stephanie L Schultz
490 Dunlop Ln |
$44.74 | 5,794 | 5,212 |
|
Candise Belmont
103 Jefferson St Ste 100 |
$43.84 | 5,733 | 4,531 |
|
Lori Suzanne Solis
1100 Ted A Crozier Sr Blvd |
$62.75 | 5,643 | 5,163 |
|
Scarlett Nolan
2224 Madison St Ste B |
$48.81 | 5,583 | 4,371 |
|
Kara Coleman
1000 Highway 76 |
$26.38 | 5,506 | 4,776 |
|
James Paul Darke
490 Dunlop Ln |
$46.91 | 5,499 | 5,040 |
|
Sriram Krishnasamy
298 Clear Sky Ct |
$24.20 | 5,496 | 4,576 |
|
Brian Gavan
881 Professional Park Dr |
$17.15 | 5,479 | 4,766 |
|
Mary Desimone Gluff
490 Dunlop Ln |
$48.32 | 5,396 | 4,475 |
|
David Engler
800 Weatherly Dr |
$11.04 | 5,305 | 5,157 |
|
Edith Dean
1849 Madison St Ste F |
$2.49 | 5,279 | 3,428 |
|
Kimberly Dobbyn
291 Clear Sky Ct |
$63.60 | 5,224 | 3,045 |
|
Matthew David Truscello
135 Chesepeake Lane |
$20.68 | 4,978 | 3,126 |
|
Laurie A Harris-Ford
2199 Memorial Dr |
$46.73 | 4,977 | 4,358 |
|
Alexandra Popova
511 8Th St |
$47.71 | 4,967 | 3,313 |
|
Rebecca A Kerby
1690 Fort Campbell Blvd |
$46.03 | 4,885 | 3,627 |
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, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clarksville, TN is $38.93 per claim, based on 826,270 claims from 311 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, TN?
There are 311 Medicaid providers offering Office Visit related services in Clarksville, TN according to public payment data.
What is the price range for Office Visit in Clarksville, TN?
Medicaid reimbursement for Office Visit in Clarksville, TN ranges from $0.00 to $241.51 per claim, with an average of $38.93. 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, TN
Psychiatric Evaluation
Avg $70.29
365,051 claims
Blood Work & Lab Tests
Avg $3.41
312,498 claims
Emergency Room Visit
Avg $106.61
291,469 claims
Speech Therapy
Avg $42.19
270,999 claims
Vaccines & Immunizations
Avg $15.46
256,939 claims
Physical Therapy
Avg $29.39
253,980 claims
Dental Cleaning & Exam
Avg $30.00
231,779 claims
Ambulance Transport
Avg $54.47
119,946 claims