Average Medicaid Office Visit Payments in Hendersonville, TN: $32.29
Avg. Paid
$32.29
Range
$0.00 – $450.94
Total Claims
367,290
Providers
158
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 Hendersonville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stacy Lane
262 New Shackle Island Rd |
$11.49 | 65,490 | 4,336 |
|
Brad P Wilson
353 New Shackle Island Rd Ste 148C |
$21.29 | 18,828 | 15,783 |
|
Jennifer E Moore
100 Springhouse Ct |
$46.10 | 10,914 | 9,153 |
|
Saagar B Karlekar
262 New Shackle Island Rd |
$56.63 | 10,802 | 9,858 |
|
Debra A Hannah
131 Saundersville Rd |
$35.20 | 9,351 | 7,114 |
|
Elisabeth Beale Radish
410 N Parrish Pl Ste 2000 |
$35.86 | 9,132 | 6,992 |
|
Laura Michelle Bowling
262 New Shackle Island Rd Ste 203 |
$54.41 | 8,842 | 7,964 |
|
Christopher Travis Puckett
320 New Shackle Island Rd |
$22.50 | 7,946 | 6,058 |
|
Lea Ann Lund
100 Springhouse Ct |
$44.63 | 7,927 | 6,674 |
|
Crystal Hudson
105 Glen Oak Blvd |
$22.63 | 7,819 | 5,739 |
|
Denise F Stuart
262 New Shackle Island Rd |
$57.09 | 7,695 | 7,100 |
|
Catherine Wiggleton
262 New Shackle Island Rd |
$53.19 | 7,398 | 6,597 |
|
Clyde O Southwell
102 Wessington Pl |
$33.67 | 7,239 | 5,991 |
|
Tena Simmons
262 New Shackle Island Rd |
$52.79 | 7,177 | 6,525 |
|
Julie Moore
131 Saundersville Rd |
$17.83 | 6,789 | 4,647 |
|
David R Hudson
100 Springhouse Ct |
$41.99 | 6,547 | 5,689 |
|
Mohammad Farooq Ali
242 Indian Lake Blvd |
$37.19 | 6,358 | 5,132 |
|
Cynthia Jayne Stevens
117 Maple Row Blvd |
$58.98 | 6,340 | 4,991 |
|
Jennifer B Holzen
100 Springhouse Ct |
$49.42 | 6,322 | 5,434 |
|
Take Care Health Tennessee, P. C.
198 E Main St |
$43.98 | 5,858 | 5,094 |
|
Paul J. Leavitt
353 New Shackle Island Rd Ste 140C |
$5.43 | 5,701 | 3,823 |
|
William S Johnson
100 Springhouse Ct |
$45.62 | 5,656 | 4,614 |
|
Mallory Harless Gann
264 New Shackle Island Rd Ste 107 |
$39.75 | 5,339 | 4,576 |
|
Maria Corazon Villareal Benitez-Brauer
625 E Main St |
$46.35 | 5,217 | 4,164 |
|
Jung H. Lee
353 New Shackle Island Rd |
$16.12 | 4,989 | 4,082 |
|
William Brent Nason
353 New Shackle Island Rd Ste 221B |
$39.27 | 4,825 | 3,836 |
|
Chelsea Strobel Norton
262 New Shackle Island Rd Ste 203 |
$55.98 | 4,118 | 3,787 |
|
Anthony Vernon Dallas
211 Indian Lake Blvd |
$13.11 | 4,093 | 2,917 |
|
Cheryl Lynn Gazley
353 New Shackle Island Rd |
$17.80 | 3,860 | 3,481 |
|
Carol Lynne Medley
353 New Shackle Island Road |
$31.88 | 3,704 | 3,077 |
|
Margaret Wing-Yan Mann
105 Maple Row Blvd |
$62.63 | 3,481 | 3,193 |
|
Kelly Tabor
102 Wessington Pl |
$22.24 | 3,371 | 2,730 |
|
Amanda Nicole Mason
353 New Shackle Island Rd Ste 201A |
$28.49 | 3,369 | 2,862 |
|
Robert J Krauth
114 Saundersville Rd |
$38.07 | 3,239 | 2,613 |
|
Catherine Nicole Dickinson
174 Saundersville Rd Ste 302 |
$52.35 | 3,147 | 2,508 |
|
Tracy Q. Callister
353 New Shackle Island Rd |
$23.40 | 3,015 | 2,529 |
|
Margaret Logan
353 New Shackle Island Rd Ste 148C |
$15.24 | 2,687 | 2,288 |
|
Gary Wayne Yawn
353 New Shackle Island Rd Ste 300C |
$21.23 | 2,565 | 2,082 |
|
Starcey Megan Bacon
211 Indian Lake Blvd Ste C |
$41.87 | 2,455 | 2,350 |
|
Jennifer Wise
114 Saundersville Rd |
$40.06 | 2,428 | 1,908 |
|
Nicholas J. Lippolis
353 New Shackle Island Rd |
$21.59 | 2,403 | 2,001 |
|
Albert Frederick Koch
353 New Shackle Island Rd Ste 300C |
$25.11 | 2,392 | 2,034 |
|
Paul Edward Kudelko
353 New Shackle Island Rd |
$21.75 | 2,295 | 1,852 |
|
Helen R Cavasin
353 New Shackle Island Rd |
$41.03 | 2,203 | 1,853 |
|
Shawn Adam Brady
100 Springhouse Ct Ste 200 |
$29.77 | 2,177 | 1,926 |
|
Amy Baccetti
114 Saundersville Rd |
$48.84 | 2,145 | 1,734 |
|
Emily Cecil
114 Saundersville Rd |
$47.66 | 2,066 | 1,766 |
|
Donald J Russo
353 New Shackle Island Rd |
$22.67 | 2,051 | 1,694 |
|
Phaythoune Chothmounethinh
114 Saundersville Rd |
$35.23 | 2,008 | 1,647 |
|
Christopher Hall
625 Johnny Cash Blvd Ste 3 |
$20.12 | 1,886 | 1,515 |
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 Hendersonville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hendersonville, TN is $32.29 per claim, based on 367,290 claims from 158 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 Hendersonville, TN?
There are 158 Medicaid providers offering Office Visit related services in Hendersonville, TN according to public payment data.
What is the price range for Office Visit in Hendersonville, TN?
Medicaid reimbursement for Office Visit in Hendersonville, TN ranges from $0.00 to $450.94 per claim, with an average of $32.29. 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 Hendersonville, TN
Emergency Room Visit
Avg $148.37
114,731 claims
Blood Work & Lab Tests
Avg $1.91
95,181 claims
Vaccines & Immunizations
Avg $20.63
77,825 claims
Dental Cleaning & Exam
Avg $28.30
67,214 claims
EKG / ECG (Electrocardiogram)
Avg $4.18
66,187 claims
Nursing Facility Care
Avg $17.64
54,554 claims
Physical Therapy
Avg $34.04
52,636 claims
Psychiatric Evaluation
Avg $43.53
42,894 claims