Average Medicaid Office Visit Payments in Hermitage, TN: $39.12
Avg. Paid
$39.12
Range
$5.73 – $829.31
Total Claims
250,984
Providers
135
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 Hermitage, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Walter Scott Dube
302 Old Lebanon Dirt Rd Ste 200 |
$32.50 | 10,306 | 7,982 |
|
Brian C Beatty
5653 Frist Blvd Ste 237 |
$31.46 | 10,020 | 7,891 |
|
Richard Y Pak
3939 Central Pike |
$33.48 | 9,107 | 7,060 |
|
John Scott Major
3939 Central Pike |
$29.92 | 8,982 | 6,848 |
|
Elizabeth Heather Fairbank
3786 Central Pike |
$49.78 | 8,960 | 8,253 |
|
Abigail Elyse Schachter
Childrens Medical Group |
$48.51 | 8,775 | 8,006 |
|
James Charles Anderson
3901 Central Pike Ste 251 |
$51.18 | 8,576 | 7,673 |
|
Amanda Sher Fallos
3939 Central Pike |
$30.98 | 8,477 | 7,051 |
|
Matthew H Milligan
3939 Central Pike |
$34.97 | 8,288 | 5,862 |
|
Shea Wilson Allen
3901 Central Pike Ste 500 |
$28.82 | 8,229 | 6,538 |
|
Viviana A Lavin
3901 Central Pike Ste 251 |
$50.98 | 7,590 | 6,572 |
|
Kimberly M Rosdeutscher
3786 Central Pike |
$47.02 | 7,534 | 6,944 |
|
Abigail Leigh Jennings
3901 Central Pike Ste 251 |
$43.82 | 6,940 | 6,164 |
|
Roger P Sherman
4777 Andrew Jackson Pkwy Ste 102 |
$29.11 | 6,452 | 2,375 |
|
Beatriz Collada
3901 Central Pike Ste 251 |
$43.53 | 5,854 | 4,932 |
|
Thomas Carroll
5114 Old Hickory Blvd Ste 201 |
$19.01 | 5,162 | 4,102 |
|
Kathryn Pentico
3786 Central Pike Ste 130 |
$42.27 | 5,148 | 4,646 |
|
Jaimee Lynn Arroyo
5045 Old Hickory Blvd Ste 203 |
$39.58 | 5,038 | 4,077 |
|
Lori Gravens
5651 Frist Blvd |
$29.08 | 4,507 | 3,170 |
|
Danielle Leigh Lalonde
3901 Central Pike Ste 251 |
$46.69 | 4,322 | 3,760 |
|
Anna R Laurence
3901 Central Pike Ste 500 |
$33.24 | 4,137 | 3,346 |
|
William Travis Cain
5045 Old Hickory Blvd |
$80.84 | 3,999 | 3,205 |
|
Shahana Huda
5651 Frist Blvd |
$30.47 | 3,726 | 2,787 |
|
Shan-Ren Zhou
5651 Frist Blvd |
$29.40 | 3,599 | 3,130 |
|
Beverly Janet Andrews
4849 Peninsula Pointe Dr |
$57.54 | 3,372 | 2,960 |
|
Caprice M Craig
302 Old Lebanon Dirt Rd Ste 200 |
$24.92 | 3,351 | 2,216 |
|
Mindi Hamby
3939 Central Pike |
$38.65 | 3,206 | 2,441 |
|
Robert Bernard Gaston
3939 Central Pike |
$21.20 | 3,186 | 2,452 |
|
Robert David Todd
5651 Frist Blvd Ste 200 |
$18.46 | 2,977 | 2,652 |
|
Meera M Gandhi
3901 Central Pike Ste 500 |
$74.45 | 2,930 | 2,709 |
|
Cristina M Burks
5651 Frist Blvd 712 |
$34.64 | 2,920 | 2,115 |
|
Muhammad Asad
5651 Frist Blvd Ste 603 |
$22.30 | 2,865 | 2,350 |
|
Anna Katrina Manneschmidt
3786 Central Pike Ste 130 |
$44.37 | 2,572 | 2,398 |
|
Elizabeth Vance Randolph
3786 Central Pike |
$44.57 | 2,414 | 2,161 |
|
Taura L Long
4777 Andrew Jackson Pkwy |
$39.03 | 2,166 | 1,671 |
|
Tiffany Feltman Meals
5651 Frist Blvd |
$31.36 | 2,008 | 1,535 |
|
Getu Assefa
5651 Frist Blvd Ste 603 |
$26.58 | 1,987 | 1,605 |
|
Travonda Davis Pirtle
5651 Frist Blvd Ste 712 |
$30.73 | 1,710 | 1,334 |
|
Chirag Jitendra Amin
5653 Frist Blvd |
$35.95 | 1,654 | 1,217 |
|
Amber Shea Carroll
5653 Frist Blvd Ste 630 |
$53.78 | 1,634 | 1,471 |
|
Margreete Gaye Johnston
3901 Central Pike |
$51.41 | 1,586 | 1,398 |
|
Lauren Rhea Miller
5651 Frist Blvd Ste 713 |
$28.58 | 1,569 | 1,221 |
|
Onika Langford
3901 Central Pike Ste 500 |
$31.92 | 1,543 | 1,123 |
|
Frank Kurzynske
5653 Frist Blvd |
$9.96 | 1,517 | 1,132 |
|
Whitney Rodriguez
5544 Old Hickory Blvd |
$103.25 | 1,450 | 1,415 |
|
Madeline Kellie Locke
5045 Old Hickory Blvd Ste 203 |
$42.08 | 1,436 | 1,227 |
|
Darby Cook Sangrey
5045 Old Hickory Blvd Ste 203 |
$33.99 | 1,428 | 1,228 |
|
Keaton Allmaras
5651 Frist Blvd Ste 200 |
$44.93 | 1,389 | 1,093 |
|
Rachel Chamberlin
3901 Central Pike Ste 351 |
$40.16 | 1,361 | 1,147 |
|
Sunil C Kaza
5651 Frist Blvd Ste 603 |
$17.44 | 1,323 | 1,082 |
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 Hermitage, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hermitage, TN is $39.12 per claim, based on 250,984 claims from 135 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 Hermitage, TN?
There are 135 Medicaid providers offering Office Visit related services in Hermitage, TN according to public payment data.
What is the price range for Office Visit in Hermitage, TN?
Medicaid reimbursement for Office Visit in Hermitage, TN ranges from $5.73 to $829.31 per claim, with an average of $39.12. 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 Hermitage, TN
Blood Work & Lab Tests
Avg $2.10
97,053 claims
Vaccines & Immunizations
Avg $20.37
80,954 claims
Emergency Room Visit
Avg $136.86
69,500 claims
Dental Cleaning & Exam
Avg $34.26
67,780 claims
Physical Therapy
Avg $18.23
66,357 claims
Home Health Visit
Avg $85.83
60,669 claims
Personal Care Services
Avg $134.36
55,918 claims
EKG / ECG (Electrocardiogram)
Avg $3.82
53,397 claims