Average Medicaid Office Visit Payments in Goodlettsville, TN: $42.87
Avg. Paid
$42.87
Range
$0.00 – $100.60
Total Claims
102,144
Providers
44
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 Goodlettsville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Patrick Anderson
314 Bluebird Dr |
$37.40 | 21,702 | 17,107 |
|
Christine Weaver Hunley
3103 Business Park Cir Ste 100 |
$48.75 | 7,901 | 7,140 |
|
Suzanne L. Field
807 Meadowlark Ln |
$94.83 | 7,737 | 6,367 |
|
Shelley Chamberlain
204 Bluebird Dr |
$35.73 | 6,643 | 5,142 |
|
Sara J Patterson
3103 Business Park Cir Ste 100 |
$55.64 | 5,833 | 5,187 |
|
Joan W White
807 Meadowlark Ln |
$48.21 | 5,433 | 4,560 |
|
Mary Heather Johnson
3103 Business Park Cir Ste 100 |
$50.95 | 5,426 | 4,844 |
|
Sarah A. Motorny
687 Long Hollow Pike |
$20.62 | 4,870 | 2,140 |
|
Nihar Ranjan Saha
815 Wren Rd |
$15.84 | 3,502 | 3,075 |
|
Dina H Mishu
3103 Business Park Cir Ste 100 |
$48.01 | 3,385 | 3,052 |
|
Mary Catherine Dundon
3103 Business Park Cir Ste 100 |
$48.79 | 3,354 | 3,033 |
|
Felix Dapo Adetunji
815 Wren Rd |
$15.12 | 3,340 | 2,982 |
|
Robert Guy Ferland
3024 Business Park Cir |
$23.11 | 3,047 | 2,613 |
|
Eric Avent
206 Bluebird Dr |
$40.05 | 2,536 | 1,717 |
|
Megan Alison Settle
401 Windsor Green Ct Ste 101 |
$25.99 | 2,412 | 1,880 |
|
John Boyd
824 Wren Rd |
$35.09 | 2,093 | 1,736 |
|
Leeanna Faith Copeland
3103 Business Park Cir Ste 100 |
$57.98 | 1,676 | 1,525 |
|
Donald A Spisak
401 Windsor Green Ct Ste 101 |
$21.30 | 1,604 | 1,323 |
|
Sherry D. Miller
123 Northcreek Blvd |
$26.13 | 1,249 | 1,047 |
|
Samantha Noel Craighead
401 Windsor Green Ct Ste 101 |
$42.93 | 1,212 | 1,092 |
|
Joy R Grimes
913 Conference Dr Ste 103 |
$83.02 | 1,006 | 724 |
|
Codye D Singleton
430 Long Hollow Pike |
$36.62 | 944 | 581 |
|
Marie C Kelly
110 Glancy St |
$38.24 | 745 | 234 |
|
Wanda J Hart
105B Memorial Dr |
$45.66 | 656 | 581 |
|
James J Botsko
740 Conference Dr |
$34.65 | 604 | 493 |
|
Dahlia Haddad
520 Rivergate Pkwy |
$29.52 | 558 | 444 |
|
Tennessee Voices For Children
500 Professional Park Dr |
$31.90 | 427 | 350 |
|
Ronald Ian Mcdermott
824 Wren Rd |
$26.40 | 336 | 278 |
|
Tyler Singleton
430 Long Hollow Pike |
$33.09 | 320 | 283 |
|
Ashly Ann Roby Parker
900 Conference Dr |
$100.60 | 250 | 232 |
|
Advanced Diagnostic Imaging, Pc
3024 Business Park Cir |
$2.05 | 219 | 179 |
|
Phillip A Wines
900 Conference Dr |
$13.71 | 214 | 157 |
|
Joseph Parker
520 Rivergate Pkwy |
$11.72 | 197 | 159 |
|
Emmitt Ray Claud
201 Bluebird Dr |
$32.16 | 143 | 126 |
|
James C Loden
520 Rivergate Parkway |
$6.37 | 123 | 90 |
|
Beth Adelle Smith
110 Glancy St |
$15.83 | 92 | 81 |
|
Dionne Nance
123 Northcreek Blvd |
$32.31 | 84 | 82 |
|
Kristen Grace Kaser
401 Windsor Green Ct Ste 101 |
$16.81 | 76 | 58 |
|
Katie Ann Mills
520 Rivergate Pkwy |
$7.49 | 64 | 49 |
|
Cynthia L Boskind
740 Conference Dr |
$26.83 | 32 | 24 |
|
Emily Evans
520 Rivergate Pkwy |
$20.48 | 32 | 24 |
|
Diane Simone Mcdermott
824 Wren Rd |
$18.16 | 29 | 24 |
|
Keith H Loven
201 Bluebird Dr |
$4.42 | 22 | 15 |
|
Cynthia Strother Terry
5364 Lickton Pike |
$0.00 | 16 | 12 |
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 Goodlettsville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Goodlettsville, TN is $42.87 per claim, based on 102,144 claims from 44 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 Goodlettsville, TN?
There are 44 Medicaid providers offering Office Visit related services in Goodlettsville, TN according to public payment data.
What is the price range for Office Visit in Goodlettsville, TN?
Medicaid reimbursement for Office Visit in Goodlettsville, TN ranges from $0.00 to $100.60 per claim, with an average of $42.87. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Goodlettsville, TN
X-Ray
Avg $3.64
152,703 claims
Non-Emergency Medical Transportation
Avg $0.00
95,482 claims
Dental Cleaning & Exam
Avg $28.56
89,977 claims
Ambulance Transport
Avg $33.35
66,377 claims
CT Scan (Computed Tomography)
Avg $23.53
49,062 claims
Vaccines & Immunizations
Avg $20.02
37,294 claims
Psychiatric Evaluation
Avg $37.25
17,540 claims
Dental Filling
Avg $78.01
16,724 claims