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 |
|---|---|---|---|
|
Kristen Cagle
226 Jackson Meadows Dr |
$37.53 | 12 | 12 |
|
Rachel Martin Mchenry
5653 Frist Blvd |
$18.54 | 12 | 12 |
|
Michael S Ladouceur
5651 Frist Blvd |
$18.22 | 12 | 12 |
|
Shawn Cooke
4402 Lebanon Pike |
$40.00 | 12 | 12 |
|
Summit Obstetrics And Women'S Health, Pllc
5653 Frist Blvd Ste 237 |
$53.38 | 12 | 12 |
|
Steven Dale Head
3901 Central Pike Ste 353 |
$42.64 | 13 | 12 |
|
Rachel Keiper
5544 Old Hickory Blvd |
$41.45 | 13 | 13 |
|
Maci Michelle Koehner
5651 Frist Blvd |
$20.20 | 24 | 13 |
|
Tarek Galal Elalayli
5651 Frist Blvd |
$36.17 | 25 | 24 |
|
Harold Delane Thompson
3515 Central Pike Suite 102 |
$46.89 | 25 | 24 |
|
Pierre Kindall Berry
3901 Central Pike Ste 500 |
$40.80 | 27 | 14 |
|
Stephanie Brewer
302 Old Lebanon Dirt Rd Ste 301 |
$23.64 | 28 | 26 |
|
Sara Elizabeth Hari
5653 Frist Blvd |
$10.90 | 34 | 25 |
|
Christopher Taleghani
5653 Frist Blvd |
$34.23 | 37 | 33 |
|
Sarah Lynn Nehring
5651 Frist Blvd Ste 516 |
$39.19 | 41 | 30 |
|
Jeffrey S Hurless
3901 Central Pike Ste 353 |
$26.64 | 42 | 40 |
|
Kaitlynn Hafeli
3901 Central Pike Ste 351 |
$58.32 | 45 | 43 |
|
Kastarr High
5544 Old Hickory Blvd |
$44.49 | 52 | 42 |
|
Sameer Sood
3901 Central Pike Ste 500 |
$83.59 | 56 | 37 |
|
Victor Boyd Deaton
5544 Old Hickory Blvd |
$34.38 | 58 | 54 |
|
Kesha Russaw Rushing
4761 Andrew Jackson Pkwy |
$77.46 | 61 | 60 |
|
Shelby M Vogel
5653 Frist Blvd Ste 332 |
$24.46 | 71 | 55 |
|
Joshua Ethen Doyle
3939 Central Pike |
$26.31 | 73 | 62 |
|
Anne E Eyler
5653 Frist Blvd Ste 630 |
$31.43 | 103 | 91 |
|
Aswathi Chandran
5653 Frist Blvd |
$56.53 | 107 | 103 |
|
Bradford James Matthews
5045 Old Hickory Blvd Ste 200 |
$50.18 | 108 | 103 |
|
Jeremy Krider
5655 Frist Blvd |
$829.31 | 120 | 108 |
|
Stefanie Floyd
5045 Old Hickory Blvd Ste 203 |
$32.85 | 127 | 103 |
|
Ashley E Myatt
5653 Frist Blvd |
$23.00 | 133 | 83 |
|
Ronak Navin Shah
5653 Frist Blvd Ste 236 |
$11.53 | 134 | 111 |
|
Matthew King
5651 Frist Blvd Ste 200 |
$28.37 | 135 | 110 |
|
Jennifer Denise Atkinson
5544 Old Hickory Blvd |
$45.61 | 137 | 111 |
|
Jordan Miller
5045 Old Hickory Blvd Ste 203 |
$42.14 | 143 | 126 |
|
Tif Siragusa
302 Old Lebanon Dirt Rd Ste 301 |
$23.96 | 159 | 138 |
|
Sean B Kaminsky
5651 Frist Blvd Ste 200 |
$18.35 | 168 | 100 |
|
Jessica Jernigan
5544 Old Hickory Blvd |
$27.16 | 170 | 118 |
|
David Scott Fortune
3901 Central Pike Ste 351 |
$43.25 | 171 | 155 |
|
Robert Marshall Dimick
5651 Frist Boulevard |
$34.20 | 177 | 146 |
|
Pragya Shrestha
3810 Central Pike Ste 201 |
$121.29 | 192 | 184 |
|
Bridgett Bolding Middleton
3939 Central Pike |
$31.60 | 200 | 167 |
|
Malcom E Baxter
5651 Frist Blvd Ste 200 |
$47.07 | 206 | 174 |
|
Paul A Abbey
5653 Frist Blvd Ste 731 |
$23.78 | 207 | 153 |
|
Klhee Bang
4402 Lebanon Pike |
$31.81 | 210 | 176 |
|
Justin E Morgan
3901 Central Pike Ste 351 |
$52.01 | 214 | 192 |
|
Kristen Elizabeth Kerr
5651 Frist Blvd Ste 603 |
$26.83 | 223 | 191 |
|
Candace A Whitley
3901 Central Pike |
$5.73 | 234 | 165 |
|
Jonathan Andrew Hoda
5651 Frist Blvd Ste 603 |
$25.28 | 241 | 202 |
|
Todd Dorfman
5651 Frist Blvd Ste 603 |
$20.86 | 245 | 208 |
|
Grady Lee Bryant
3901 Central Pike Ste 351 |
$41.26 | 247 | 199 |
|
Gregory D. Witters
4777 Andrew Jackson Parkway |
$29.06 | 262 | 195 |
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
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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