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 |
|---|---|---|---|
|
Eric Ting-Kin Yim
353 New Shackle Island Rd |
$34.54 | 12 | 12 |
|
John D Valentine
107 Glen Oak Blvd Ste 201A |
$67.03 | 12 | 12 |
|
Oyedotun Oyewole
919 W Main St Ste M5 |
$68.02 | 13 | 12 |
|
Amy Elizabeth Bailey
109 Hazel Path Ste 4 |
$29.20 | 13 | 13 |
|
Salimah Jones
118 Otter Glenn Dr |
$44.83 | 14 | 12 |
|
Bryan W Lapinski
501 Saundersville Rd |
$31.77 | 15 | 13 |
|
Mcclain Elise Maiolo
166 E Main St # A |
$13.02 | 15 | 12 |
|
Caroline Mauldin
125A Haven St |
$32.52 | 15 | 12 |
|
Gregg Andrew Motz
353 New Shackle Island Rd Ste 141C |
$29.79 | 18 | 12 |
|
Cortney M Bryant
501 Saundersville Rd |
$15.75 | 22 | 14 |
|
Emily Rose Moody
386 W Main St Ste 104 |
$37.02 | 27 | 25 |
|
Kelly C Simkins
353 New Shackle Island Rd Ste 341C |
$41.16 | 27 | 24 |
|
Lindsey Marie Potter
501 Saundersville Rd |
$78.32 | 28 | 26 |
|
Gallatin Womens Center, P.C.
107 Glen Oak Blvd Ste 101 |
$0.00 | 29 | 19 |
|
Karen Tabitha Briggs
129 Haven St Ste C2 |
$45.63 | 31 | 26 |
|
Sundararajan Venkatesh
353 New Shackle Island Rd Ste 249C |
$10.16 | 31 | 26 |
|
Roxanne M Valentino
113 Maple Row Blvd Ste B |
$49.97 | 31 | 25 |
|
Terry Lynn Witherington
107 Glen Oak Blvd. |
$31.02 | 31 | 26 |
|
Sabrina A Briggs
129 Indian Lake Rd |
$52.33 | 47 | 32 |
|
Brittany Radtke
1010 Glenbrook Way |
$54.41 | 48 | 35 |
|
Clayton Thomas Anderson
353 New Shackle Island Rd |
$27.00 | 60 | 45 |
|
Guru Padmakar Medam
264 New Shackle Island Rd Ste 107 |
$14.49 | 62 | 55 |
|
Jillian Kathleen Belt
102 Indian Lake Rd |
$38.37 | 66 | 63 |
|
Michaela Rose Stolarz
237 E Main St |
$28.65 | 72 | 65 |
|
Derek Scott Peveler
313 E Main St |
$26.20 | 80 | 67 |
|
Melissa Lynn Lambert
190D Saundersville Rd Ste 2005 |
$29.93 | 81 | 75 |
|
Katharine Mariah Peel
237 E Main St |
$42.52 | 83 | 69 |
|
Daniel Lee Phillips
501 Saundersville Rd |
$17.91 | 85 | 53 |
|
Courtney Frensley
102 Indian Lake Rd |
$40.52 | 86 | 64 |
|
Rebecca Grace Cross
501 Saundersville Rd |
$34.94 | 96 | 82 |
|
Marshall R Johnson
355 New Shackle Island Rd |
$27.92 | 96 | 76 |
|
Lindsay Caroline Bowman Baldwin
353 New Shackle Island Rd Ste 221B |
$30.83 | 106 | 76 |
|
Kalie Faulkner
139 Maple Row Blvd Ste 100 |
$35.41 | 108 | 100 |
|
Jill Rene Whitlock
131 Saundersville Rd |
$450.94 | 112 | 112 |
|
Neetha George
100 Glen Oak Blvd |
$35.37 | 114 | 103 |
|
Laura F Mcclure Barnes
353 New Shackle Island Rd |
$42.63 | 117 | 96 |
|
Tamie Babb
353 New Shackle Island Rd |
$33.07 | 118 | 97 |
|
Peter B Kroll
353 New Shackle Island Rd |
$3.56 | 118 | 95 |
|
Sarah Elizabeth Ryan
132 Maple Row Blvd Ste 550 |
$16.85 | 119 | 86 |
|
Christopher Paul Ashley
501 Saundersville Rd |
$30.75 | 122 | 98 |
|
Jana Reichenberger
264 New Shackle Island Rd Ste 107 |
$95.55 | 122 | 115 |
|
Robert P Fogolin
353 New Shackle Island Rd |
$40.69 | 129 | 93 |
|
Bailey Paige Glover
410 N Parrish Pl Ste 2000 |
$39.84 | 130 | 127 |
|
Katherine Blane Stewart
353 New Shackle Island Rd Ste 300C |
$21.13 | 130 | 103 |
|
Anesthesia Services Associates Pllc
131 Saundersville Road |
$8.99 | 130 | 128 |
|
Lisa Allen
198 E Main St |
$52.84 | 131 | 111 |
|
Clayton Robert Walker
353 New Shackle Island Rd Ste 148C |
$17.08 | 142 | 116 |
|
Scott Alan Hande
107 Glen Oak Blvd |
$24.01 | 148 | 131 |
|
Margarete Dorris
211 Indian Lake Blvd Ste A |
$39.92 | 150 | 132 |
|
Rachel Tougher
100 Glen Oak Blvd |
$37.36 | 155 | 140 |
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