Average Medicaid Office Visit Payments in Gallatin, TN: $40.54
Avg. Paid
$40.54
Range
$0.80 – $77.92
Total Claims
388,382
Providers
142
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 Gallatin, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ferdinand S Espeleta
1525 Hunt Club Blvd |
$59.55 | 35,376 | 31,784 |
|
Megan Nicole Tackett
648 Hartsville Pike |
$52.77 | 14,371 | 12,329 |
|
Victoria Rae Rundus
648 Hartsville Pike |
$51.62 | 11,279 | 9,703 |
|
Sherrill A Barkey
1078 S Water Ave |
$21.59 | 11,030 | 9,222 |
|
Katrina Aardema
1525 Hunt Club Blvd Ste 600A |
$46.26 | 10,972 | 10,117 |
|
Jo Ann Cook Collins
648 Hartsville Pike |
$57.14 | 10,880 | 10,221 |
|
Alyson A Wills
648 Hartsville Pike |
$57.46 | 10,678 | 9,962 |
|
Christie M. Goodman
405 Steam Plant Rd Ste 200 |
$24.10 | 10,600 | 8,044 |
|
Robert Winslow Caughey
300 Steam Plant Rd Ste 410 |
$28.57 | 10,356 | 6,991 |
|
Christine Crabtree
648 Hartsville Pike |
$53.94 | 9,339 | 8,646 |
|
Stephanie Lynn Urell
425 E Main St |
$25.84 | 9,233 | 7,453 |
|
Emily Cooksey Hawkinson
648 Hartsville Pike |
$49.94 | 9,214 | 7,799 |
|
Christy Costanza
332 Sumner Hall Dr |
$43.85 | 9,108 | 6,217 |
|
Jamie M Boggs
405 Steam Plant Rd Ste 200 |
$24.65 | 8,936 | 6,998 |
|
Jonathan Scott Huitink
648 Hartsville Pike |
$45.35 | 8,823 | 6,574 |
|
Christopher Graham Frazier
323 Steam Plant Rd |
$17.56 | 7,608 | 4,611 |
|
Amanda Barton
300 Steam Plant Rd. |
$35.12 | 7,344 | 5,350 |
|
Anne C Hensley
648 Hartsville Pike |
$50.30 | 6,048 | 5,499 |
|
Sinnamon Waugh
1005 Union School Rd |
$43.68 | 5,955 | 5,321 |
|
Jason L Kastner
648 Hartsville Pike |
$54.68 | 5,870 | 5,360 |
|
Miranda Annette Green
323 Steam Plant Rd |
$48.13 | 5,855 | 4,892 |
|
Anil S. Nachnani
110 Saint Blaise Rd Ste 200 |
$25.58 | 5,671 | 4,439 |
|
Subir Guha
608 Commons Dr |
$17.17 | 5,267 | 3,716 |
|
Tanzila Arzu Bashar
648 Hartsville Pike |
$49.26 | 5,074 | 4,614 |
|
Samuel J Murray
648 Hartsville Pike |
$54.06 | 4,968 | 4,598 |
|
Michelle Pitts
405 Steam Plant Rd Ste 200 |
$19.86 | 4,937 | 4,106 |
|
Jenna Gunselman
608 Commons Dr |
$25.52 | 4,887 | 3,563 |
|
Jasmine Geisinger
648 Hartsville Pike |
$51.33 | 4,863 | 4,388 |
|
Richard Alan Bennett
437 E Main St |
$35.60 | 4,807 | 3,996 |
|
Justin Reno
300 Steam Plant Rd. |
$33.69 | 4,506 | 3,489 |
|
Charles N Spencer
648 Hartsville Pike |
$53.12 | 4,199 | 3,863 |
|
Lindsey B Long
1501 Hunt Club Blvd |
$37.72 | 3,868 | 3,430 |
|
John Kerwin Trussell
437 E Main St |
$39.84 | 3,620 | 3,090 |
|
William G Glover
300 Steam Plant Rd. |
$33.76 | 3,584 | 2,735 |
|
Enrique Eduardo Cardenas Ramos
1720 Nashville Pike Ste 100 |
$38.58 | 3,501 | 3,298 |
|
Megan Michele Mccauley
225 Big Station Camp Blvd |
$46.59 | 3,418 | 2,790 |
|
Benjamin N Leven
332 Sumner Hall Dr |
$54.57 | 3,373 | 2,233 |
|
Jeffrie C Kindred
225 Big Station Camp Blvd |
$27.39 | 3,346 | 2,630 |
|
Kelly Bornefeld
225 Big Station Camp Blvd Ste 206 |
$45.16 | 3,256 | 2,660 |
|
Courtney E. Dickens
405 Steam Plant Rd Ste 200 |
$35.69 | 3,191 | 2,623 |
|
Ryann Senger
225 Big Station Camp Blvd Ste 204 |
$51.75 | 2,900 | 2,698 |
|
Raymond B Demoville
1525 Hunt Club Blvd Ste 100 |
$36.40 | 2,692 | 2,329 |
|
Dianna L Shipley
225 Big Station Camp Blvd |
$25.13 | 2,625 | 2,110 |
|
Megan Elizabeth Mason
110 Saint Blaise Rd Ste 200 |
$23.49 | 2,621 | 2,046 |
|
Kathryn Shelton Murphy
490 Ryan Ave |
$40.78 | 2,587 | 2,301 |
|
Joju Mathews Joseph
270 East Main Street |
$11.25 | 2,585 | 2,016 |
|
Marcus Edward Thompson
225 Big Station Camp Blvd Ste 206 |
$33.47 | 2,538 | 1,866 |
|
Lucy Jayne Barrow
179 Hancock St Ste 300 |
$20.00 | 2,400 | 1,662 |
|
Henry S Lau
110 Saint Blaise Rd Ste 200 |
$32.27 | 2,358 | 1,807 |
|
Benjamin P. Debelak
253 W Main St |
$39.53 | 2,258 | 1,832 |
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 Gallatin, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gallatin, TN is $40.54 per claim, based on 388,382 claims from 142 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 Gallatin, TN?
There are 142 Medicaid providers offering Office Visit related services in Gallatin, TN according to public payment data.
What is the price range for Office Visit in Gallatin, TN?
Medicaid reimbursement for Office Visit in Gallatin, TN ranges from $0.80 to $77.92 per claim, with an average of $40.54. 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 Gallatin, TN
Dental Cleaning & Exam
Avg $30.26
153,814 claims
Vaccines & Immunizations
Avg $18.16
126,457 claims
Emergency Room Visit
Avg $100.84
101,829 claims
Blood Work & Lab Tests
Avg $3.76
91,320 claims
Ambulance Transport
Avg $50.71
88,640 claims
Psychiatric Evaluation
Avg $70.81
75,442 claims
Nursing Facility Care
Avg $10.56
58,672 claims
Physical Therapy
Avg $21.85
55,556 claims