Average Medicaid Office Visit Payments in Madison, TN: $33.97
Avg. Paid
$33.97
Range
$3.23 – $114.16
Total Claims
107,200
Providers
48
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 Madison, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laura Mckinney
1200 Gallatin Pike S |
$53.24 | 34 | 28 |
|
Eric Petersen
1200 Gallatin Pike S |
$30.66 | 45 | 40 |
|
Chassity Jones
601 W Due West Ave |
$22.91 | 66 | 57 |
|
Julie Pickering
1200 Gallatin Pike S |
$51.16 | 66 | 59 |
|
Alanna Lumar Beane
601 W Due West Ave |
$39.14 | 72 | 42 |
|
Judy Book
1200 Gallatin Pike S |
$35.36 | 109 | 96 |
|
Ianna Gray
2009 Gallatin Pike N |
$16.28 | 110 | 84 |
|
Lisa Heap
921 Hospital Dr |
$47.19 | 113 | 103 |
|
Lenora Allyn Brasel
601 W Due West Ave |
$19.11 | 121 | 91 |
|
Laura R Holt
510 Hospital Dr Ste 260 |
$35.59 | 133 | 99 |
|
Gregory S Jeon
607 W Due West Ave Ste 122 |
$5.59 | 176 | 149 |
|
Stephanie W Vaughn
1616 Gallatin Rd N |
$40.15 | 185 | 170 |
|
Linda Marie Wade
601 W Due West Ave |
$29.82 | 196 | 139 |
|
Kimberly Rivers
601 W Due West Ave |
$39.98 | 356 | 310 |
|
Marcus Min
607 W Due West Ave |
$3.23 | 369 | 344 |
|
Patricia F Robinson
200 Gleaves St |
$43.71 | 379 | 344 |
|
Allison Renee Jenney
1200 Gallatin Pike S |
$13.54 | 576 | 498 |
|
Caroline Nguyen
601 W Due West Ave |
$32.28 | 686 | 589 |
|
Laura A. Kurata Ling
2009 Gallatin Pike N |
$114.16 | 699 | 599 |
|
Peter Joseph Sears
601 W Due West Ave |
$32.87 | 702 | 572 |
|
Demiana Attallah
1200 Gallatin Pike S |
$45.25 | 926 | 797 |
|
Pamela Illesca
601 W Due West Ave |
$47.69 | 967 | 780 |
|
Sara Habibian
1210 Briarville Rd |
$31.95 | 970 | 871 |
|
Chris L Kromer
168 Cude Ln |
$28.58 | 1,102 | 815 |
|
Lana C Hirsch
601 W Due West Ave |
$33.56 | 1,202 | 1,033 |
|
Robert Joseph Kanaby
306 W Due West Ave |
$41.86 | 1,212 | 1,045 |
|
Mary Rachel Prisco
601 W Due West Ave |
$39.17 | 1,279 | 1,034 |
|
Carmen April
1994 Gallatin Pike N |
$18.92 | 1,321 | 1,100 |
|
Mary Kathryn Oliver
200 Gleaves St |
$38.87 | 1,323 | 1,093 |
|
Yalonda N Parrish
1200 Gallatin Pike S |
$25.71 | 1,364 | 1,161 |
|
Karen B Duffy
1210 Briarville Road |
$6.37 | 1,366 | 867 |
|
Susan Leigh Algood
200 Gleaves Street |
$55.90 | 1,434 | 1,342 |
|
William Taggart
2003 Gallatin Pike N |
$57.39 | 1,688 | 1,427 |
|
Mene Sugage Zua
1308 Briarville Rd |
$25.36 | 1,830 | 1,425 |
|
Ma Irene D Abillar
601 W Due West Ave |
$6.61 | 1,874 | 1,773 |
|
Sue St Clair
620 Gallatin Pike S |
$31.25 | 1,927 | 1,695 |
|
Ophelia Sam Harvey
601 W Due West Ave |
$40.90 | 1,928 | 1,552 |
|
Darrell G Arnett
1205 S Graycroft Ave |
$11.70 | 2,336 | 1,761 |
|
Robert Anthony Carver
1719 Gallatin Pike N |
$29.36 | 2,343 | 1,576 |
|
Tony A Freeman
1210 Briarville Rd |
$26.67 | 3,285 | 2,545 |
|
Windle Hogue Morgan
223 Madison St |
$9.49 | 3,656 | 2,947 |
|
Irene Bean
913 Gallatin Pike S |
$40.55 | 3,907 | 3,400 |
|
Antonio Lee Eddings
106 E Due West Ave |
$29.63 | 5,125 | 4,263 |
|
Yovondya F. Cutler
607 W Due West Ave Ste 97 |
$36.38 | 5,688 | 3,698 |
|
Harry Joseph Bonnaire
607 W Due West Ave Ste 102 |
$36.67 | 10,131 | 7,868 |
|
Beverly Davidson
1037 E Old Hickory Blvd |
$23.01 | 11,196 | 8,783 |
|
Bert Allen Hartman
620 Gallatin Pike S |
$49.61 | 13,627 | 9,499 |
|
Shindana L. Feagins
607 W Due West Ave Ste 113 |
$35.63 | 17,000 | 12,171 |
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 Madison, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Madison, TN is $33.97 per claim, based on 107,200 claims from 48 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 Madison, TN?
There are 48 Medicaid providers offering Office Visit related services in Madison, TN according to public payment data.
What is the price range for Office Visit in Madison, TN?
Medicaid reimbursement for Office Visit in Madison, TN ranges from $3.23 to $114.16 per claim, with an average of $33.97. 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 Madison, TN
Non-Emergency Medical Transportation
Avg $2.95
300,991 claims
Dental Cleaning & Exam
Avg $29.39
212,045 claims
Psychiatric Evaluation
Avg $79.32
94,569 claims
Ambulance Transport
Avg $9.56
83,272 claims
Dental Filling
Avg $77.64
38,679 claims
Speech Therapy
Avg $43.91
32,814 claims
Blood Work & Lab Tests
Avg $2.69
23,633 claims
Tooth Extraction
Avg $61.43
13,202 claims