Average Medicaid Office Visit Payments in Livingston, TN: $36.69
Avg. Paid
$36.69
Range
$1.73 – $57.78
Total Claims
126,295
Providers
30
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 Livingston, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Billie Lou Melton
5751 Bradford Hicks Dr |
$1.73 | 13 | 12 |
|
Greg Hargis
5751 Bradford Hicks Dr |
$14.86 | 90 | 81 |
|
Mark D Nowell
310 Oak St |
$36.10 | 291 | 275 |
|
Melissa Crumley
817 W Main St |
$23.71 | 391 | 330 |
|
Rachel Renee Davidson
5880 Bradford Hicks Dr |
$40.10 | 400 | 274 |
|
Lindy Lee Lynn
700 W Main St |
$32.65 | 500 | 413 |
|
Andrea M Humphrey
529 Medical Dr |
$34.09 | 627 | 514 |
|
Christopher D Nahm
700 W Main St |
$40.28 | 706 | 587 |
|
Robert Joseph Adams
5751 Bradford Hicks Dr |
$43.20 | 711 | 643 |
|
William K Sutton
529 Medical Dr |
$39.66 | 724 | 602 |
|
Holly N Pendel
802 W Main St |
$32.09 | 725 | 633 |
|
Lillian T Robertson
403 E University Street |
$18.59 | 873 | 700 |
|
Timothy Philip Klepper
502 W Main St |
$18.10 | 1,154 | 903 |
|
Mary Leah Webb
5751 Bradford Hicks Dr |
$23.65 | 1,393 | 1,021 |
|
Anna Margaret Williams
4120 Bradford Hicks Dr |
$30.06 | 2,068 | 1,799 |
|
Nicholas Clough
5751 Bradford Hicks Dr |
$27.72 | 2,205 | 1,734 |
|
Kendra Simonds
817 W Main St |
$50.43 | 2,334 | 1,879 |
|
Cynthia Karabeth Cahill
109 E Court Sq |
$26.40 | 3,260 | 2,606 |
|
Jacinda Marie Delk
500 W Main St |
$45.71 | 4,039 | 3,406 |
|
Amelia Aguiar
817 W Main St |
$57.78 | 4,435 | 4,065 |
|
Martha Jeanne Moore
500 W Main St |
$27.61 | 5,052 | 3,744 |
|
Dawn Michelle Barlow
500 W Main St |
$23.46 | 5,973 | 4,199 |
|
Lindsey Myers
4120 Bradford Hicks Dr |
$52.56 | 6,613 | 5,329 |
|
Joshua Aaron Cooper
4120 Bradford Hicks Dr |
$38.66 | 6,700 | 5,316 |
|
Kenneth Lee Colburn
4120 Bradford Hicks Dr |
$39.76 | 9,660 | 6,966 |
|
Kelli Carr
500 W Main St |
$46.73 | 9,925 | 8,596 |
|
Courtney Lynn Cummings
500 W Main St |
$30.55 | 10,343 | 8,004 |
|
John R Clough
5751 Bradford Hicks Dr |
$35.55 | 11,531 | 8,340 |
|
Michael Thomas Cox
500 W Main St |
$16.50 | 15,748 | 10,951 |
|
Mark Taylor Langenberg
500 W Main St |
$49.95 | 17,811 | 15,305 |
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 Livingston, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Livingston, TN is $36.69 per claim, based on 126,295 claims from 30 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 Livingston, TN?
There are 30 Medicaid providers offering Office Visit related services in Livingston, TN according to public payment data.
What is the price range for Office Visit in Livingston, TN?
Medicaid reimbursement for Office Visit in Livingston, TN ranges from $1.73 to $57.78 per claim, with an average of $36.69. 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 Livingston, TN
Blood Work & Lab Tests
Avg $2.25
78,078 claims
Non-Emergency Medical Transportation
Avg $4.13
68,619 claims
Emergency Room Visit
Avg $81.69
47,056 claims
Ambulance Transport
Avg $42.63
39,896 claims
Dental Cleaning & Exam
Avg $28.93
38,901 claims
Physical Therapy
Avg $40.36
32,134 claims
Vaccines & Immunizations
Avg $19.48
19,180 claims
Durable Medical Equipment (DME)
Avg $18.56
18,221 claims