Based on public Medicaid payment data.

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
Meiklejohn Dane Mckenzie 115 N Peachtree Ave	$14.16	13	12
Algis Petras Sidrys 1 Medical Center Blvd	$6.27	13	12
Audrey K Tolbert 345 W Broad St	$0.00	13	12
Gerald Todd Chapman 406 N Whitney Ave Ste 5	$15.32	13	13
Kenneth W Wood 315 N Washington Ave	$10.26	14	13
Infinity Family Practice Associates, Llc 1080 Neal St	$30.70	14	14
Angeli B Swallows 228 W 4Th St	$7.09	14	14
Nancy Sibley 215 W 6Th St	$25.76	15	14
Bert E Geer 100 W 3Rd St	$39.05	15	12
Jonas Vytas Sidrys 1 Medical Center Blvd	$20.47	15	12
Cheryl L Nabors 128 N Whitney Ave	$16.75	15	13
Crmc Mso Sub 1, Incorporated 228 W. 4Th Street	$13.84	18	15
Chike Magnus Nzerue 145 W 4Th St Ste 102	$10.53	18	12
James P Shaffer 145 W 4Th St Ste 201	$20.62	18	13
Zsachlayne Roguska 105 S Willow Ave	$94.86	19	19
Wendy Carmel Mcclain 109 W 6Th St	$18.97	21	13
Gary Alan Reynolds 228 West 4Th St	$24.51	26	25
Christopher C Russell 1 Medical Center Blvd	$52.59	26	25
Garrett Clark Shepherd 45 N Dixie Ave	$17.52	26	25
Ashley Danielle Coon 701 County Services Dr	$49.68	27	25
Brian Gregory Gerndt 203 N. Cedar Avenue	$32.61	27	24
Rohan Kataria 427 N Willow Ave Ste C	$9.52	29	27
Kayla Marie Foster 815 S Walnut Ave	$28.31	29	24
April Berry 406 N Whitney Ave Ste 5	$5.85	31	24
Mildred Sue Officer Dyer 135 W 3Rd St	$30.58	32	29
Katherine A Bertram 128 N Whitney Ave	$13.06	32	26
Vicky Dillon 225 N Willow Ave Ste 3	$31.90	36	36
Aaron Luther Bennett 1 Medical Center Blvd	$149.06	37	37
Caleb Hunter Savage 228 W 4Th St	$9.51	39	38
Lisa M Whiteaker 1120 Perimeter Park Dr	$3.83	40	40
Kaitlyn Casal Wilkinson 1080 Neal St Ste 200	$42.59	41	39
Carole Lynnett Rosenbaum 345 W Broad St Ste 2	$15.26	43	38
Richard Scott Hall 112 N Walnut Ave	$7.08	43	41
Jason Donald Easterday 320 N Oak Ave	$16.76	44	26
Mark Allen Clapp 315 N Washington Ave	$17.36	46	45
Margaux Maynard 1101 Neal St	$42.42	47	40
Idowu Osaretin Uzzi 1 Medical Center Blvd	$1.09	50	45
Natalie Alonzo 340 N Cedar Ave	$20.47	55	41
Christopher Parish Dill 315 N Washington Ave Ste 175	$6.90	56	44
Maria Cada 441 E Broad St Ste E	$29.98	57	51
Melissa M Ptak 225 N Willow Ave Ste 3	$32.81	57	51
Benjamin Thomas Aaron 768 S Willow Ave Ste A	$57.14	58	51
Thuy T Ngo 315 N Washington Ave	$3.23	61	58
Jenifer Jill Stevens 105 Cherry Ave	$29.85	61	60
Abigail Rose Thornton 1101 Neal St	$37.34	64	50
Cedric Morris Palmer 128 N Whitney Ave	$29.71	65	51
Lori Ann Thomas-Steward 753 Humble Dr Ste B	$2.79	72	51
Brittany Michelle Arnold 150 N Willow Ave	$41.15	74	73
State Of Tennessee 701 County Services Dr	$47.15	77	72
Stuart Ross 1225 S Willow Ave	$10.19	78	37

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.

Average Medicaid Office Visit Payments in Cookeville, TN: $38.32

Providers Offering Office Visit in Cookeville, TN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Ambulance Transport

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Physical Therapy