Average Medicaid Office Visit Payments in Mt Juliet, TN: $36.54
Avg. Paid
$36.54
Range
$2.75 – $95.44
Total Claims
87,423
Providers
38
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 Mt Juliet, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amanda Larson
40 W Caldwell St Ste 200 |
$27.06 | 11,969 | 9,476 |
|
Latisha Milberger
40 W Caldwell St Ste 200 |
$23.74 | 11,496 | 9,125 |
|
Lora Ann Deckard-Smart
660 S Mount Juliet Rd Ste 130 |
$32.51 | 5,979 | 3,868 |
|
Bailey Mcneese
108 Providence Trl |
$43.84 | 5,339 | 4,229 |
|
Neil Edward Kirshner
2025 N Mount Juliet Rd Ste 200 |
$45.49 | 4,991 | 4,401 |
|
Amy E Taylor
2025 N Mount Juliet Rd Ste 200 |
$39.33 | 3,947 | 3,666 |
|
Emma Pierce
650 S Mount Juliet Rd Ste 100 |
$32.20 | 3,838 | 3,142 |
|
Andrew Ryan Alsentzer
2025 N Mount Juliet Rd Ste 200 |
$42.56 | 3,746 | 3,434 |
|
Michael Powell Mccutchen
108 Providence Trl |
$38.76 | 3,695 | 2,983 |
|
Wendy Lynne Hitch
2025 N Mount Juliet Rd Ste 200 |
$42.83 | 3,614 | 3,266 |
|
Leslie Jane Daschner
108 Providence Trl |
$73.08 | 3,291 | 2,822 |
|
Ashleigh Ames
5003 Crossings Cir Ste 200 |
$24.30 | 2,900 | 2,229 |
|
Deepak Mehrotra
2025 N Mount Juliet Rd Ste 200 |
$42.89 | 2,834 | 2,488 |
|
Michelle Sonnichsen-Kumm
3500 N Mount Juliet Rd Ste 201 |
$57.24 | 2,765 | 2,172 |
|
Erika Kollar
620 S Mount Juliet Rd |
$57.30 | 2,263 | 2,079 |
|
Tiffany Nicole Guerrieri
3500 N Mount Juliet Rd Ste 201 |
$51.34 | 1,569 | 1,362 |
|
Sonya Lavet Butler
2636 N Mount Juliet Rd |
$2.75 | 1,543 | 777 |
|
Peninnah Kumar
2628 N Mount Juliet Rd |
$23.78 | 1,489 | 1,085 |
|
Nicholas Spetko
108 Providence Trl |
$44.68 | 1,331 | 1,096 |
|
Allyson E Somers
2025 N Mount Juliet Rd Ste 200 |
$40.81 | 1,261 | 1,115 |
|
Janet C Pelmore
1097 Weston Dr Ste 6 |
$13.11 | 1,125 | 826 |
|
Bradley Martin Collins
401 S Mount Juliet Rd |
$49.31 | 981 | 826 |
|
Lucas M Bryant
660 S Mount Juliet Rd Ste 120 |
$47.29 | 945 | 829 |
|
James Wilder Eby
77 Belinda Pkwy Ste 201 |
$16.97 | 803 | 668 |
|
Valarie Dalton
3500 N Mount Juliet Rd |
$40.31 | 784 | 684 |
|
Joseph Edwin Lindahl
5000 Crossings Cir |
$36.50 | 720 | 580 |
|
Karen M Norwood
1984 Providence Pkwy Ste 201-103 |
$28.73 | 389 | 326 |
|
Mandy Kay Gentry
660 S Mount Juliet Rd Ste 130 |
$21.49 | 340 | 294 |
|
Bruce E Mclaughlin
754 N Mount Juliet Rd |
$47.36 | 333 | 232 |
|
Allison Garton Boehm
325 Old Pleasant Grove Rd |
$42.53 | 288 | 236 |
|
Brigin Lynette Seger
3500 N Mount Juliet Rd |
$23.48 | 248 | 199 |
|
Christopher Braxton
660 S Mount Juliet Rd Ste 230 |
$62.40 | 236 | 220 |
|
Tod Raymond Bushman
660 S Mount Juliet Rd Ste 230 |
$12.94 | 207 | 167 |
|
Vijay Pethkar
780 North Mt Juliet Rd |
$12.78 | 57 | 49 |
|
Sarina Atul Desai
401 S Mount Juliet Rd |
$26.20 | 43 | 39 |
|
Thomas David Catron
660 S Mount Juliet Rd Ste 200 |
$95.44 | 28 | 24 |
|
Jefferson Tyler Watson
660 S Mount Juliet Rd Ste 230 |
$13.45 | 19 | 18 |
|
Adrianna Maria Cannone
40 W Caldwell St Ste 100 |
$25.82 | 17 | 12 |
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 Mt Juliet, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mt Juliet, TN is $36.54 per claim, based on 87,423 claims from 38 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 Mt Juliet, TN?
There are 38 Medicaid providers offering Office Visit related services in Mt Juliet, TN according to public payment data.
What is the price range for Office Visit in Mt Juliet, TN?
Medicaid reimbursement for Office Visit in Mt Juliet, TN ranges from $2.75 to $95.44 per claim, with an average of $36.54. 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 Mt Juliet, TN
Dental Cleaning & Exam
Avg $28.22
86,147 claims
Physical Therapy
Avg $39.47
47,461 claims
Dental Filling
Avg $68.85
22,178 claims
Speech Therapy
Avg $55.67
16,262 claims
Blood Work & Lab Tests
Avg $6.72
14,213 claims
Vaccines & Immunizations
Avg $31.47
7,602 claims
Tooth Extraction
Avg $58.67
6,003 claims
Eye Exam
Avg $42.07
5,903 claims