Average Medicaid Office Visit Payments in Columbia, TN: $37.81
Avg. Paid
$37.81
Range
$0.00 – $85.89
Total Claims
620,420
Providers
213
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 Columbia, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gibran B. Naddy
1707 Grove St |
$53.68 | 63,159 | 53,014 |
|
Indu Bali
1394 Hatcher Lane |
$4.39 | 27,037 | 3,720 |
|
Anthony Leon Smith
1600 Nashville Hwy |
$52.29 | 20,213 | 16,726 |
|
Mark A. Whitehead
1222 Trotwood Ave. |
$42.86 | 18,663 | 16,400 |
|
Margaret A Atkins
1600 Nashville Hwy |
$51.80 | 17,335 | 14,258 |
|
Richard Reams Powers
1605 Nashville Hwy |
$55.66 | 17,330 | 14,636 |
|
Laurie Tucker
1600 Nashville Hwy |
$52.67 | 16,703 | 13,900 |
|
Gretchen R Nelson
1040 N James Campbell Blvd |
$17.64 | 13,992 | 11,631 |
|
Daniel Anthony Powers
1600 Nashville Hwy Ste 100 |
$58.64 | 13,143 | 11,473 |
|
Carol Broadway
1600 Nashville Hwy |
$53.69 | 12,611 | 10,616 |
|
John G Garrett
1040 N James M Campbell Blvd Ste 108 |
$14.41 | 11,246 | 9,441 |
|
Lori Natalie Duncan
1600 Nashville Hwy |
$49.06 | 9,834 | 8,407 |
|
Richard P Smith
1600 Nashville Hwy |
$53.92 | 9,540 | 8,068 |
|
Miranda Dawn Wood
1222 Trotwood Ave |
$30.15 | 8,874 | 7,563 |
|
Lauren E. Wheeler
1600 Nashville Hwy |
$52.43 | 8,723 | 7,816 |
|
Tally S Cole
1223 Hatcher Ln |
$23.39 | 8,630 | 7,760 |
|
Katherine L Griffith
1600 Nashville Hwy |
$46.50 | 8,350 | 7,321 |
|
Reba J Mccoy
1222 Trotwood Ave |
$16.46 | 8,204 | 7,103 |
|
Thomas Wade Denney
1600 Nashville Hwy |
$53.46 | 7,919 | 6,752 |
|
Megan Imboden Galaske
1600 Nashville Hwy |
$53.06 | 7,854 | 6,328 |
|
Melanie Lord
1600 Nashville Hwy |
$49.45 | 7,775 | 6,804 |
|
Columbia Pediatric Clinic, Inc.
1222 Trotwood Ave |
$55.00 | 7,711 | 6,009 |
|
Madhu Srinivasamurthy Yelameli
1040 N. James Campbell Blvd. |
$15.55 | 7,646 | 6,259 |
|
Annie Elizabeth Smith
1600 Nashville Hwy |
$47.34 | 7,569 | 6,738 |
|
Giovanni Faccia
230 E James M Campbell Blvd Ste 102 |
$26.80 | 7,292 | 5,461 |
|
Jessica Barton Walker
1050 N James Campbell Blvd |
$42.36 | 6,933 | 6,247 |
|
Kari E. Reeves
1222 Medical Center Dr |
$58.46 | 6,084 | 4,303 |
|
Heather A Michalak
1600 Nashville Hwy |
$55.18 | 5,941 | 5,130 |
|
Elizabeth Brewer
1222 Medical Center Dr |
$39.30 | 5,823 | 3,537 |
|
Mark H Messenger
808 S James M Campbell Blvd |
$27.84 | 5,661 | 4,065 |
|
Rosemary E Davenport
1222 Trotwood Ave Ste 101 |
$15.29 | 5,579 | 4,094 |
|
Lindsey Gail Chapman
1222 Trotwood Ave |
$22.21 | 5,312 | 4,647 |
|
Laurie E Davis
1400 Hatcher Ln |
$16.28 | 5,196 | 3,998 |
|
Varun Choudary Dhulipala
808 S James M Campbell Blvd |
$29.34 | 5,142 | 3,761 |
|
Douglas B Young
1400 Hatcher Ln |
$17.85 | 5,018 | 4,229 |
|
John Spencer Jensen
1222 Trotwood Ave |
$28.66 | 4,969 | 4,274 |
|
Racheal M Howell
2150 Brookmeade Dr Ste 130 |
$47.05 | 4,866 | 3,695 |
|
Dayaker Reddy Mallipeddi
1222 Trotwood Avenue |
$22.97 | 4,660 | 3,953 |
|
David Brian Beck
1222 Trotwood Ave Ste 503 |
$23.16 | 4,328 | 3,739 |
|
Elizabeth Ann Null
1222 Trotwood Ave |
$36.35 | 4,018 | 3,020 |
|
Mary Renee Daniels
1222 Medical Center Dr |
$36.79 | 3,987 | 3,338 |
|
Mark Edward Merkel
1040 N James M Campbell Blvd Ste 108 |
$11.29 | 3,798 | 2,662 |
|
Erion Qamirani
1050 N James M Campbell Blvd Ste 200 |
$43.04 | 3,676 | 3,198 |
|
Barbara N Hinson
1222 Trotwood Ave |
$29.57 | 3,449 | 2,853 |
|
Amanda Lin Goke
927 North James Campbell Blvd., Suite 105 |
$25.34 | 3,391 | 2,659 |
|
Nicole Margaret Falls
1203 Trotwood Ave |
$36.28 | 3,380 | 2,462 |
|
Julie Sue Wood
854 W James Campbell Blvd |
$25.16 | 3,325 | 2,522 |
|
David M Turner
1114 W 7Th St |
$30.66 | 3,296 | 2,651 |
|
Richard D Kennedy
1609 Rosewood Dr |
$9.81 | 3,282 | 2,285 |
|
Elizabeth Farrell
820 Hickory Ridge Trl |
$33.08 | 3,267 | 2,480 |
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 Columbia, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Columbia, TN is $37.81 per claim, based on 620,420 claims from 213 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 Columbia, TN?
There are 213 Medicaid providers offering Office Visit related services in Columbia, TN according to public payment data.
What is the price range for Office Visit in Columbia, TN?
Medicaid reimbursement for Office Visit in Columbia, TN ranges from $0.00 to $85.89 per claim, with an average of $37.81. 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 Columbia, TN
Non-Emergency Medical Transportation
Avg $5.28
300,654 claims
Vaccines & Immunizations
Avg $15.50
251,821 claims
Ambulance Transport
Avg $25.44
241,269 claims
Blood Work & Lab Tests
Avg $3.57
164,680 claims
Emergency Room Visit
Avg $106.56
115,078 claims
X-Ray
Avg $5.08
106,260 claims
Dental Cleaning & Exam
Avg $28.87
91,595 claims
Pathology & Lab Services
Avg $22.68
58,361 claims