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 |
|---|---|---|---|
|
Amy Elizabeth Vertrees
1708 Alpine Dr |
$51.06 | 12 | 12 |
|
Daniel Davidson Oxley
832 Westover Dr Ste 200 |
$35.53 | 12 | 12 |
|
Mid-Tennessee Bone & Joint
1050 N James Campbell Blvd |
$31.46 | 13 | 13 |
|
Schelby Hanson Blair
854 W James M Campbell Blvd |
$46.86 | 13 | 12 |
|
Daniel W West
102 Blythewood Dr |
$12.58 | 13 | 12 |
|
Hope Reed
799 Fleming St |
$19.46 | 14 | 12 |
|
Anthony D. Khim
101 Berrywood Dr |
$1.06 | 14 | 12 |
|
Shaun C Corbin
927 N James Campbell Blvd |
$40.33 | 15 | 12 |
|
Stephen Edwin Parey
927 N James Campbell Blvd |
$0.00 | 16 | 12 |
|
James H. Marshall
1222 Trotwood Ave |
$16.07 | 16 | 15 |
|
Maury Regional Hospital Marshall Medical Center
854 W James M Campbell Blvd Ste 403 |
$0.00 | 19 | 17 |
|
Jennifer Ficke
1040 N James M Campbell Blvd Ste 101 |
$70.19 | 26 | 25 |
|
Carrie Conatser Marchman
808 Jenland Dr |
$28.78 | 28 | 27 |
|
Joanna Shepherd
1224 Trotwood Ave |
$20.00 | 31 | 27 |
|
Amy M Barnhill
1707 Grove St |
$25.09 | 36 | 31 |
|
John O. Simmons
1114 W 7Th St |
$28.71 | 37 | 32 |
|
Chad Mitchell Moss
832 Westover Dr Ste 200 |
$69.66 | 48 | 40 |
|
John Forstall
1222 Trotwood Ave Ste 503 |
$45.49 | 48 | 43 |
|
Peggy Leann King Schmidt
1609 Rosewood Dr |
$11.23 | 51 | 39 |
|
James Caleb Wallwork
1223 Hatcher Ln |
$20.94 | 55 | 38 |
|
Shawn N Gentry
1605 Nashville Hwy |
$2.54 | 55 | 41 |
|
Jordan Dana Rosenstein
1224 Trotwood Ave |
$71.97 | 61 | 61 |
|
Michele R Gibson-O'Grady
808 Jenland Dr |
$43.73 | 71 | 62 |
|
Jamie T Davis
1218 Trotwood Ave |
$41.40 | 76 | 68 |
|
Amanda Tilley
2150 Brookmeade Dr Ste 130 |
$55.61 | 77 | 77 |
|
Kelsey King-Hook
854 W James M Campbell Blvd Ste 403 |
$33.93 | 84 | 60 |
|
Andrea L Vanfleet
101 Berrywood Dr. |
$2.44 | 84 | 67 |
|
Tanika M. Pinn
1114 W 7Th St |
$63.57 | 92 | 78 |
|
Charles A Ball
854 W James Campbell Blvd |
$6.37 | 92 | 85 |
|
Joel David Kochanski
808 S James M Campbell Blvd |
$18.22 | 98 | 87 |
|
Sarath Gangavarapu
1001 N James Campbell Blvd |
$21.56 | 109 | 95 |
|
Anuj Aryal
506 N High St |
$28.78 | 120 | 117 |
|
David A Daniels
1218 Trotwood Ave |
$14.56 | 140 | 108 |
|
Robert Campbell
1222 Trotwood Ave Ste 601 |
$21.67 | 143 | 100 |
|
Madeline Cass
800 S James Campbell Blvd |
$35.42 | 143 | 123 |
|
Rodney A. Poling
1402 Rosewood Drive |
$6.30 | 157 | 139 |
|
Right Care Inc
2150 Brookmeade Dr Ste 130 |
$3.27 | 159 | 150 |
|
Kelly Baron Pickel
1050 N James M Campbell Blvd Ste 200 |
$56.65 | 167 | 143 |
|
Hannah Nicole Wuesthoff
808 Jenland Dr |
$46.55 | 169 | 145 |
|
Karen F Davis
808 Jenland Dr |
$34.11 | 169 | 152 |
|
Therese L Whitten
808 Jenland Dr |
$44.55 | 179 | 174 |
|
Taylor Marie Kirby Bush
1114 W 7Th St |
$37.53 | 179 | 145 |
|
Sandra Jean Harper
854 W. James Campbell Blvd |
$10.37 | 193 | 159 |
|
Lindsey Vallejo
816 S James Campbell Boulevard |
$47.13 | 194 | 157 |
|
Troy Robert Larson
1222 Trotwood Ave Ste 601 |
$33.51 | 214 | 170 |
|
Reiley Von Eilermann
2478 Nashville Hwy Ste A |
$33.43 | 220 | 172 |
|
Revrey Amey
2516 Pulaski Hwy |
$16.37 | 221 | 132 |
|
Jeannie Auville Seaborn
915 S Garden St |
$35.53 | 235 | 168 |
|
Wittaya Michael Sattasiri
808 S James M Campbell Blvd |
$14.27 | 245 | 221 |
|
James Grant Barr
854 W James Campbell Blvd |
$19.96 | 250 | 198 |
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