Average Medicaid Office Visit Payments in Mount Juliet, TN: $43.48
Avg. Paid
$43.48
Range
$2.11 – $124.61
Total Claims
83,104
Providers
40
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 Mount Juliet, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jimmy Wayne Cheeks
754 N Mount Juliet Rd |
$44.66 | 8,975 | 6,288 |
|
Charles Robert Kaelin
4998 Crossings Cir Ste 200 |
$48.48 | 8,918 | 7,057 |
|
Ashok K Mehta
151 Adams Ln |
$26.48 | 8,399 | 6,838 |
|
Latoya Denise Hopkins
401 S Mount Juliet Rd |
$31.76 | 7,394 | 6,001 |
|
Allen Ervin Tate
2685 N Mount Juliet Rd |
$30.73 | 6,309 | 4,633 |
|
Don A Gibson
325 Old Pleasant Grove Rd |
$124.61 | 4,342 | 3,874 |
|
Zachary V. Coller
5002 Crossings Cir |
$47.65 | 4,245 | 3,449 |
|
Kimbel David Shepherd
2025 N Mount Juliet Rd Ste 200 |
$42.77 | 3,480 | 3,103 |
|
Candyce Poteet
2494 N Mount Juliet Rd Ste 400 |
$37.05 | 3,116 | 2,354 |
|
Chelsea M Sparkman
5003 Crossing Cir |
$25.62 | 2,909 | 2,272 |
|
Sarah Catherine Guisinger
4998 Crossings Cir Ste 200 |
$48.60 | 2,713 | 2,623 |
|
Megan Partridge Stauffer
5002 Crossing Circle |
$84.02 | 2,321 | 2,167 |
|
British Bates
2494 N Mount Juliet Rd Ste 400 |
$34.05 | 2,151 | 1,775 |
|
Lauren Williams Cole
2025 N Mount Juliet Rd Ste 200 |
$41.63 | 2,079 | 1,872 |
|
Mercy Jaramillo
1417 Fairview Drive |
$36.50 | 2,055 | 1,504 |
|
Jennifer Elaine Cox
2025 N Mount Juliet Rd |
$75.94 | 1,995 | 1,689 |
|
Mckenna P. Krebs
5003 Crossings Cir Ste 200 |
$14.40 | 1,780 | 1,397 |
|
Andrea D Knight
1097 Weston Dr Ste B |
$41.00 | 1,524 | 1,273 |
|
Christina Lee Mountain
5002 Crossings Cir |
$38.82 | 1,478 | 1,243 |
|
Sarah Arneal
100 Legacy Pointe Blvd |
$2.11 | 1,369 | 1,232 |
|
Megan C Jones
5002 Crossing Circle |
$48.66 | 1,002 | 886 |
|
Curry Lee Dudley
5000 Crossings Cir |
$18.18 | 751 | 635 |
|
Ronda Clark
45 W Caldwell St Ste A |
$34.78 | 522 | 435 |
|
David Chad Hitchcock
5000 Crossings Cir |
$15.76 | 499 | 384 |
|
Rachel Katherine Watson
2636 N Mount Juliet Rd |
$2.55 | 477 | 277 |
|
Katelyn Elizabeth Roxanne Weber
5003 Crossings Cir Ste 103 |
$68.23 | 456 | 403 |
|
Daniel B Seeley
5000 Crossings Cir |
$19.03 | 405 | 335 |
|
Carly Brooke Hummel
40 W Caldwell St |
$28.52 | 395 | 235 |
|
Brittany Harper
5002 Crossings Cir Ste 260 |
$43.72 | 286 | 253 |
|
Emily R Bunn
3500 N Mount Juliet Rd |
$57.92 | 221 | 202 |
|
Nicole Stroop
3578 N Mount Juliet Rd |
$33.36 | 141 | 101 |
|
Jade M Skinner
2025 N Mount Juliet Rd |
$55.18 | 124 | 109 |
|
Tennessee Sports Medicine, Pc
4998 Crossings Cir Ste 200 |
$47.16 | 92 | 83 |
|
Billy John Kim
660 S Mount Juliet Rd Ste 230 |
$5.23 | 50 | 40 |
|
Brian Peterson
401 S Mount Juliet Rd |
$26.04 | 32 | 32 |
|
David S Knapp
106 Grey Pl |
$24.33 | 32 | 29 |
|
Bisrat Micael Mengistu
401 S Mount Juliet Rd |
$39.62 | 18 | 17 |
|
Michael J Trimble
40 W Caldwell St Ste 100 |
$40.82 | 18 | 14 |
|
Kalynn Camacho
401 S Mount Juliet Rd |
$27.75 | 17 | 15 |
|
Katherine W Jones
2025 N Mount Juliet Rd |
$30.48 | 14 | 13 |
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 Mount Juliet, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Juliet, TN is $43.48 per claim, based on 83,104 claims from 40 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 Mount Juliet, TN?
There are 40 Medicaid providers offering Office Visit related services in Mount Juliet, TN according to public payment data.
What is the price range for Office Visit in Mount Juliet, TN?
Medicaid reimbursement for Office Visit in Mount Juliet, TN ranges from $2.11 to $124.61 per claim, with an average of $43.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Mount Juliet, TN
Dental Cleaning & Exam
Avg $29.71
108,252 claims
Physical Therapy
Avg $46.14
37,286 claims
Dental Filling
Avg $68.99
25,654 claims
Home Health Visit
Avg $108.60
20,794 claims
Speech Therapy
Avg $39.77
15,170 claims
Tooth Extraction
Avg $67.05
13,089 claims
Psychiatric Evaluation
Avg $30.51
12,220 claims
Blood Work & Lab Tests
Avg $2.59
8,215 claims