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Based on public Medicaid payment data.

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
Kymberly Brooke Moyer

1529 Hunt Club Blvd Ste 100

$60.41 12 12
Nicholas J Dantzker

300 Steam Plant Rd Ste 300

$42.73 13 13
Melissa K. Walton-Shirley

300 Steam Plant Rd

$23.83 14 14
Brittany Carlson

140 Thorne Blvd

$16.26 28 25
Hermogenes P Battad

300 Steam Plant Rd

$20.74 29 28
Susan M Anderson

831B Nashville Pike

$29.70 32 25
Daniel Ramirez

405 Steam Plant Rd

$4.42 35 29
Kimberly Jean Snyder

880 Greenlea Blvd Ste E

$46.98 48 41
Jenna Bailey

2011 Nashville Pike

$35.41 53 48
Kelly S Barry

300 Steam Plant Rd Ste 300

$27.55 59 50
Haven Butler

2011 Nashville Pike

$39.95 60 56
Goodloe Summers Chaffin

556 Hartsville Pike Ste 200

$34.17 61 54
Taylor Reece

225 Big Station Camp Blvd Ste 206

$18.38 70 63
Michael E Green

854 Lone Oak Drive

$8.80 76 63
Adam James

225 Big Station Camp Blvd

$46.45 79 59
Rodney Brandon Mewbourne

300 Steam Plant Rd Ste 470

$21.15 80 52
Marshal Heath

110 Saint Blaise Rd Ste 200

$47.86 88 70
Antonio Drew Schefano

555 Hartsville Pike

$50.64 90 71
Jacob Halum Basham

648 Hartsville Pike

$60.93 93 91
Sandy Dean

2011 Nashville Pike

$37.95 99 73
Right Care Family Practice Pllc

425 E Main St

$17.70 102 81
Chukwunweike John Nwosu

300 Steam Plant Rd Ste 310

$21.48 106 87
Moore Life Healthcare, Pc

253 W Main St

$66.53 115 88
Britton J Churchman

1010 Roger Reese Rd

$61.25 115 85
Kaylee Woodall Mayberry

225 Big Station Camp Blvd

$58.29 123 101
Vivek Y Narain

405 Steam Plant Rd

$0.80 124 111
Gladys R. Gregory

1207 Churchill Dr

$7.88 128 111
Chelsey Carolina Molina

110 Saint Blaise Rd Ste 200

$20.24 135 100
Reece Nathaniel Rickertsen

336 Sumner Hall Dr

$38.37 138 121
Kaetlyn Tharp

1531 Hunt Club Blvd Ste 100

$41.72 151 137
Chanler Korte

879 Greenlea Blvd Ste 103

$38.10 172 145
Lauren Baughman Swartwood

253 W Main St Ste 731

$50.36 200 178
Jennifer Melick

1531 Hunt Club Blvd Ste 320

$57.33 201 171
Andrea L. Martin-Willie

300 Steam Plant Rd Ste 300

$13.67 207 153
Brian K Reed

300 Steam Plant Rd Ste 470

$40.09 310 243
Michael David Phillips

300 Steam Plant Rd Ste 300

$18.11 311 226
Brian Edward Koch

270 E Main St Ste 300

$27.48 312 248
Kaley A Bevel

225 Big Station Camp Blvd Ste 206

$42.65 316 232
Nancy Z Bradbury

1531 Hunt Club Blvd

$53.37 328 296
Rafid J Hussein

300 Steam Plant Rd Ste 450

$36.01 332 302
Jennifer Denise Brewer

110 Saint Blaise Rd Ste 200

$47.39 337 272
Madeline R Ellis

214 E Main St Ste 100

$49.32 350 333
Doris Appiah

225 Big Station Camp Blvd Ste 206

$53.53 372 239
Stephen Matthew Rose

270 E Main St

$26.25 375 283
Amber Nicole Fox

710 Nashville Pike

$36.67 389 256
Emily Bowman Prow

1156 Nashville Pike

$25.35 395 230
Donald O. Ezuteh

300 Steam Plant Rd.

$37.16 408 349
Stephen V Bennett

300 Steam Plant Rd

$24.15 439 377
Ashley H Harbison

300 Steam Plant Rd Ste 310

$47.30 469 401
Madison Avery Webb

300 Stream Plant Rd

$40.18 507 443

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

Other Procedures in Gallatin, TN