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
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