Average Medicaid Office Visit Payments in Lebanon, TN: $38.42
Avg. Paid
$38.42
Range
$0.00 – $96.06
Total Claims
343,010
Providers
132
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 Lebanon, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charles Andrew Jordan
1029 W Main St |
$51.26 | 51,407 | 44,400 |
|
Thomas Scott Baker
1423 W Baddour Pkwy |
$6.97 | 20,958 | 18,042 |
|
Thomas A Kowal
228 W Main St Ste B |
$39.80 | 13,400 | 10,109 |
|
Willard Mahlon West
1425 W Baddour Pkwy |
$24.79 | 10,655 | 8,663 |
|
Stephen Harmon Claycomb
1029 W Main St |
$45.42 | 10,536 | 9,388 |
|
Brandy Nicole Tomlinson
1407 W Baddour Pkwy |
$50.81 | 9,352 | 8,181 |
|
Bernard T Sy
1407 W Baddour Pkwy |
$32.30 | 8,867 | 7,622 |
|
George William Robertson
1407 W Baddour Pkwy |
$41.81 | 8,535 | 7,709 |
|
Roy C. Terry
1420 W Baddour Pkwy Ste 100 |
$23.23 | 7,933 | 6,191 |
|
Samuel John Crutcher
1407 W Baddour Pkwy |
$29.17 | 7,444 | 6,419 |
|
Deanna Britton Brown
920 S Hartmann Dr Ste 200 |
$45.19 | 7,235 | 6,191 |
|
Sabitha Sunderrao Hudek
324 N Maple St |
$30.15 | 6,860 | 3,948 |
|
Anycare Llc
702 S Cumberland St |
$56.41 | 6,452 | 5,646 |
|
Hannah Elizabeth Cassetty
115 Winwood Dr Ste 105 |
$41.30 | 5,802 | 4,064 |
|
Daisy May Walker
1128 N Castle Heights Ave |
$44.19 | 5,638 | 5,002 |
|
Christine Corpuz Kowal
1407 W Baddour Pkwy |
$51.13 | 5,638 | 4,700 |
|
Julie Malkowski Hamar
1616 W Main St Ste 102 |
$46.17 | 5,290 | 3,865 |
|
Tabitha Anne Casilli
920 S Hartmann Dr Ste 200 |
$44.62 | 5,238 | 4,562 |
|
Christopher Scott Benac
430 W Main St |
$21.38 | 4,675 | 3,479 |
|
Samuel R. Orr
920 S Hartmann Dr Ste 200 |
$43.53 | 4,545 | 4,094 |
|
Angela Marie Fitzpatrick
103 Physicians Way Ste 120 |
$51.21 | 4,460 | 3,618 |
|
James D Peyton
115 Winwood Dr |
$30.53 | 4,287 | 3,273 |
|
Keri Lynn Raymond
1423 W Baddour Pkwy |
$51.68 | 4,258 | 3,630 |
|
Danielle Deslauriers Stamps
217 E High St Ste 200 |
$31.20 | 4,178 | 3,429 |
|
Samantha Smith
101 Physicians Way Ste 111 |
$40.55 | 4,147 | 3,271 |
|
Kimberly Keller
1616 W Main St |
$57.24 | 4,111 | 3,395 |
|
Donna Woodall Lett
920 S Hartmann Dr Ste 200 |
$42.42 | 4,056 | 3,640 |
|
Robert C Woods
100 Physicians Way |
$17.05 | 4,001 | 3,128 |
|
Deon Tolliver
217 E High St Ste 200 |
$34.51 | 4,000 | 3,110 |
|
Michael D Hill
1404 Winter Dr |
$46.96 | 3,986 | 3,339 |
|
Modupe Olusegun Kehinde
1424 Baddour Pkwy |
$19.94 | 3,744 | 3,376 |
|
Amanda Jane Colson
1670 W Main St |
$47.90 | 3,418 | 2,711 |
|
Joshua Mcwaters
1035 S Hartmann Dr |
$43.47 | 3,401 | 2,575 |
|
Barbara Baker Byrnes
6650 Eastgate Blvd Ste 104 |
$56.59 | 3,346 | 2,907 |
|
Andre C Olivier
100 Physicians Way |
$21.46 | 3,292 | 2,512 |
|
Nicki Renee Perkins
1419 W Baddour Pkwy |
$43.07 | 3,195 | 2,678 |
|
Callie Sloan Tuggle
201 Signature Pl Ste 103 |
$41.71 | 3,168 | 2,352 |
|
Robert Joseph Jantz
706 Cadet Ct |
$12.28 | 3,043 | 2,372 |
|
Charles B Lanning
1421 W Baddour Pkwy |
$28.63 | 2,949 | 2,461 |
|
Rachel Rannefors
1420 W Baddour Pkwy Ste 210 |
$66.75 | 2,887 | 2,674 |
|
Suzanne M Shimaitis
702 S Cumberland St |
$42.01 | 2,856 | 2,567 |
|
Gary G. Gallant
920 S Hartmann Dr Ste 110 |
$19.64 | 2,534 | 1,497 |
|
Roger E Mckinney
1407 W Baddour Pkwy |
$14.96 | 2,466 | 2,129 |
|
Donald W Nuessle
1029 W Main St |
$52.15 | 2,453 | 2,224 |
|
Ashley Anderson Mccormack
1670 W Main St Ste 140 |
$29.19 | 2,372 | 1,917 |
|
Vanessa Trapani Santana
201 Signature Pl Ste 103 |
$96.06 | 2,099 | 1,973 |
|
Vaishali Patel
702 S Cumberland St |
$51.20 | 2,085 | 1,945 |
|
Bancroft Oquinn
1405 West Baddour Parkway |
$54.11 | 2,075 | 1,915 |
|
Mark Bailey
217 E High St Ste 200 |
$25.42 | 1,974 | 1,412 |
|
Willard F Gailbreath
1420 W Baddour Pkwy Ste 100 |
$35.14 | 1,879 | 1,432 |
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 Lebanon, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lebanon, TN is $38.42 per claim, based on 343,010 claims from 132 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 Lebanon, TN?
There are 132 Medicaid providers offering Office Visit related services in Lebanon, TN according to public payment data.
What is the price range for Office Visit in Lebanon, TN?
Medicaid reimbursement for Office Visit in Lebanon, TN ranges from $0.00 to $96.06 per claim, with an average of $38.42. 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 Lebanon, TN
Vaccines & Immunizations
Avg $13.12
136,090 claims
Dental Cleaning & Exam
Avg $29.97
103,308 claims
Physical Therapy
Avg $33.88
90,978 claims
Speech Therapy
Avg $39.74
87,857 claims
Blood Work & Lab Tests
Avg $3.15
81,997 claims
Emergency Room Visit
Avg $117.54
62,947 claims
Ambulance Transport
Avg $44.61
62,162 claims
Non-Emergency Medical Transportation
Avg $4.83
42,341 claims