Average Medicaid Office Visit Payments in Cookeville, TN: $38.32
Avg. Paid
$38.32
Range
$0.00 – $149.06
Total Claims
1,005,828
Providers
316
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 Cookeville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pushpendra K Jain
225 N Willow Ave Ste 3 |
$27.06 | 79,425 | 51,926 |
|
Satya Narayan Chakrabarty
435 N Cedar Ave |
$47.71 | 74,577 | 58,943 |
|
Hunter A Stenzel
1080 Neal St Ste 103 |
$45.46 | 32,080 | 27,243 |
|
Wanda Faye Keagle
586 S Jefferson Ave Ste L |
$30.19 | 30,838 | 23,631 |
|
Donald R Atkinson
1200 S Willow Ave |
$34.19 | 25,039 | 21,105 |
|
Mary Caroline Loghry
150 N Willow Ave |
$47.23 | 21,933 | 19,389 |
|
Leslie Mooney Treece
150 N Willow Ave |
$45.36 | 20,242 | 18,104 |
|
Rexford Yao Agbenohevi
315 N Washington Ave |
$32.32 | 19,540 | 15,756 |
|
Daniel H Donovan
105 Cherry Ave |
$40.33 | 17,897 | 16,192 |
|
James Howard Batson
150 N Willow Ave |
$44.29 | 17,316 | 15,395 |
|
Lloyd Douglas Franklin
150 N Willow Ave |
$45.34 | 16,990 | 15,380 |
|
Christopher D Climaco
758 South Willow Avenue |
$52.28 | 15,138 | 13,716 |
|
Scarlett Erica Garland
225 N Willow Ave |
$58.27 | 14,573 | 12,239 |
|
Shannon Kaye Beaty
418 N Willow Ave |
$30.97 | 14,414 | 12,034 |
|
Linda A Gouker
562 W Main St |
$56.77 | 14,325 | 12,060 |
|
Donald Wesley Grisham
1100 England Dr |
$33.86 | 14,303 | 11,637 |
|
Miriaha D Reams
758 S Willow Ave |
$48.03 | 14,069 | 13,138 |
|
Maria Teresa Servida Ramos
758 S Willow Ave |
$59.61 | 13,926 | 11,757 |
|
Lisa R Pickett
758 S. Willow Ave., |
$49.42 | 13,701 | 12,639 |
|
Vickie Dian Brown
655 S Jefferson Ave |
$34.84 | 12,999 | 10,281 |
|
Whitney Lachele Matthews
851 S Willow Ave Ste 112 |
$15.45 | 12,653 | 9,717 |
|
Japheth F Harding
225 N Willow Ave |
$24.15 | 11,910 | 8,563 |
|
Pardeep K Sharma
221 N Oak Ave |
$19.14 | 11,780 | 8,300 |
|
Terann Birdwell
851 S Willow Ave Ste 112 |
$14.93 | 10,818 | 8,430 |
|
Michael Palma Casal
1080 Neal St. |
$40.50 | 10,120 | 7,934 |
|
Robin Sichala
435 N Cedar Ave |
$53.33 | 9,516 | 7,691 |
|
Kaitlyn Brooke Mashburn
1080 Neal St Ste 300 |
$55.84 | 9,066 | 7,541 |
|
Kimber Janine Logan
315 N Washington Ave |
$31.75 | 8,917 | 5,948 |
|
Sunanda Sadanandan
315 N Washington Ave Ste 260 |
$65.44 | 8,915 | 6,071 |
|
Jessie Lee Tompkins
435 N Cedar Ave |
$50.64 | 8,522 | 7,436 |
|
David M Mcafee
620 S Jefferson Ave |
$0.09 | 8,516 | 7,225 |
|
Aspen Mcdonald
435 N Cedar Ave |
$56.32 | 8,420 | 7,035 |
|
Blake Huddleston
340 N Cedar Ave |
$50.84 | 8,174 | 6,826 |
|
Tory A. Woodard
509 N Cedar Ave |
$23.10 | 7,699 | 7,080 |
|
Stacie Rothfus
562 W Main St |
$55.19 | 7,381 | 6,104 |
|
Christopher Delk
228 W 4Th St Ste 200 |
$49.95 | 7,091 | 5,812 |
|
Amber Gipson Matheney
278 Dry Valley Rd |
$49.27 | 6,660 | 4,842 |
|
Billy Derek Worley
105 S Willow Ave |
$74.09 | 6,568 | 5,461 |
|
Scott H Keith
100 W 4Th St |
$48.05 | 6,363 | 5,923 |
|
Jenny Kennedy Cooper
1330 Neal St Ste D |
$55.29 | 6,320 | 5,387 |
|
Anju Mendiratta
117 N Hickory Ave Ste 200 |
$10.57 | 6,297 | 4,127 |
|
Matthew J King
3300 Williams Enterprise Dr Ste 1 |
$30.73 | 6,291 | 5,243 |
|
Edith Ruchelle Steele
225 N Willow Ave Ste 3 |
$28.83 | 6,149 | 4,462 |
|
Ashlynn Taylor Butler
758 S Willow Ave |
$57.76 | 5,933 | 5,519 |
|
Charlie Jennifer Wilcox
225 N Willow Ave |
$43.04 | 5,670 | 4,636 |
|
Chet M Gentry
3300 Williams Enterprise Dr |
$28.34 | 5,443 | 4,141 |
|
Rohini Kasturi
406 N Whitney Ave Ste 3 |
$35.83 | 5,403 | 4,688 |
|
Erin L Rohman
100 W 4Th St |
$59.38 | 5,112 | 4,715 |
|
Austin Allen Rich
663 S Jefferson Ave |
$42.14 | 4,898 | 3,392 |
|
Jason C Gilbert
435 N Cedar Ave |
$53.62 | 4,833 | 4,223 |
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 Cookeville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cookeville, TN is $38.32 per claim, based on 1,005,828 claims from 316 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 Cookeville, TN?
There are 316 Medicaid providers offering Office Visit related services in Cookeville, TN according to public payment data.
What is the price range for Office Visit in Cookeville, TN?
Medicaid reimbursement for Office Visit in Cookeville, TN ranges from $0.00 to $149.06 per claim, with an average of $38.32. 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 Cookeville, TN
Home Health Visit
Avg $70.87
344,852 claims
Personal Care Services
Avg $124.74
336,719 claims
Vaccines & Immunizations
Avg $15.04
247,680 claims
Blood Work & Lab Tests
Avg $3.34
237,762 claims
Psychiatric Evaluation
Avg $39.29
214,740 claims
Ambulance Transport
Avg $28.54
201,109 claims
Dental Cleaning & Exam
Avg $29.79
194,191 claims
Physical Therapy
Avg $33.43
162,409 claims