Average Medicaid Office Visit Payments in Nashville, NC: $46.41
Avg. Paid
$46.41
Range
$29.04 – $61.07
Total Claims
43,417
Providers
16
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 Nashville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shandal S Emanuel
107 W Nashville Dr Ste A |
$51.59 | 9,080 | 7,293 |
|
Broderick Cande Bello
102 S Eastpointe Ave |
$42.09 | 7,013 | 5,776 |
|
Godfried A Arthur
102 S Eastpointe Ave |
$47.12 | 5,132 | 4,360 |
|
Catherine Margaret Melin
155 Nashville Commons Dr |
$29.04 | 4,063 | 2,592 |
|
Lynn M Joyner
155 Nashville Commons Dr |
$52.87 | 3,433 | 3,004 |
|
Haley Judd Frazier
107 W Nashville Dr Ste A |
$47.86 | 2,322 | 1,878 |
|
Wayne Paul Tamberelli
107 W Nashville Dr Ste A |
$40.82 | 2,189 | 1,531 |
|
Janice Maria Helm
102 S Eastpointe Ave |
$46.85 | 1,941 | 1,600 |
|
Paul Villere Bondy
102 S Eastpointe Ave |
$43.95 | 1,839 | 1,484 |
|
Jennifer Jones Wells
102 S Eastpointe Ave |
$57.91 | 1,836 | 1,528 |
|
Joanna Dauber
155 Nashville Commons Dr |
$57.54 | 1,069 | 917 |
|
Heather Glover
102 S Eastpointe Ave |
$54.79 | 1,055 | 952 |
|
Ervin L Phipps
155 Nashville Commons Dr |
$39.11 | 813 | 688 |
|
Heather Hanes Davis
107 W Nashville Dr Ste A |
$42.83 | 728 | 595 |
|
Christina Mccartney Bulluck
102 S Eastpointe Ave |
$48.27 | 457 | 376 |
|
Jodi L. Miller
155 Nashville Commons Dr |
$61.07 | 447 | 408 |
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 Nashville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nashville, NC is $46.41 per claim, based on 43,417 claims from 16 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 Nashville, NC?
There are 16 Medicaid providers offering Office Visit related services in Nashville, NC according to public payment data.
What is the price range for Office Visit in Nashville, NC?
Medicaid reimbursement for Office Visit in Nashville, NC ranges from $29.04 to $61.07 per claim, with an average of $46.41. 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 Nashville, NC
Speech Therapy
Avg $41.34
54,068 claims
Dental Cleaning & Exam
Avg $30.98
50,975 claims
Dental Filling
Avg $100.38
20,492 claims
Vaccines & Immunizations
Avg $13.53
20,354 claims
Physical Therapy
Avg $41.11
18,803 claims
Case Management Services
Avg $145.48
16,541 claims
Blood Work & Lab Tests
Avg $3.54
6,706 claims
Hearing Test (Audiometry)
Avg $3.29
4,523 claims