Average Medicaid Office Visit Payments in Nashville, TN: $46.51
Avg. Paid
$46.51
Range
$0.00 – $566.63
Total Claims
4,188,840
Providers
2,789
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, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David E Beck
3601 The Vanderbilt Clinic |
$43.31 | 12 | 12 |
|
Joshua Wayne Donegan
3443 Dickerson Pike Ste 680 |
$51.98 | 12 | 12 |
|
Nadia Syed
3601 The Vanderbilt Clinic |
$41.85 | 12 | 12 |
|
Sarah Jayne Graves
3601 The Vanderbilt Clinic |
$11.94 | 12 | 12 |
|
Alissa Swearingen
3443 Dickerson Pike Ste 270 |
$32.61 | 12 | 12 |
|
Douglas H Brown
300 20Th Ave N Ste 302 |
$39.08 | 12 | 12 |
|
Alan Hoang
3601 The Vanderbilt Clinic |
$121.06 | 12 | 12 |
|
Alexandra Diez-Arguelles Haines
2000 Church St |
$32.04 | 12 | 12 |
|
Irina Gagua
4230 Harding Pike Ste 500 |
$51.37 | 12 | 12 |
|
Margaret Helen Sanford
3601 The Vanderbilt Clinic |
$72.24 | 12 | 12 |
|
Julie B Barnes
3601 The Vanderbilt Clinic |
$5.58 | 12 | 12 |
|
Christine A. Galluzzi
3601 The Vanderbilt Clinic |
$62.19 | 12 | 12 |
|
Jan Delozier
3601 The Vanderbilt Clinic |
$1.89 | 12 | 12 |
|
Lauren Goodson Moody
3601 The Vanderbilt Clinic |
$50.24 | 12 | 12 |
|
Laura A. Maxwell
7087 Highway 70 S |
$38.66 | 12 | 12 |
|
Behin Inglis Barahimi
3601 The Vanderbilt Clinic |
$14.78 | 12 | 12 |
|
Francesca Rosaria Bagnato
3601 The Vanderbilt Clinic |
$40.68 | 12 | 12 |
|
Michael H Hochman
3601 The Vanderbilt Clinic |
$38.48 | 12 | 12 |
|
John M Boone
3601 The Vanderbilt Clinic |
$15.58 | 12 | 12 |
|
Shicara Irvin
926 Main St |
$135.93 | 12 | 12 |
|
Tanya J Carr-Malone
3801 Hillsboro Rd |
$37.23 | 12 | 12 |
|
Kristin Leonard
3601 The Vanderbilt Clinic |
$116.63 | 12 | 12 |
|
Kimberly Moore Ezell
3601 The Vanderbilt Clinic |
$64.64 | 12 | 12 |
|
Cecelia Nally Theobald
3601 The Vanderbilt Clinic |
$4.38 | 12 | 12 |
|
David Isaacs
3601 The Vanderbilt Clinic |
$90.71 | 12 | 12 |
|
Audrey Elizabeth Gale
3715 Hillsboro Pike |
$34.65 | 12 | 12 |
|
Matthew Coleman
417 Welshwood Dr |
$28.73 | 12 | 12 |
|
Jayashree Rani Nathan
1005 Dr. D.B. Todd Jr. Blvd. |
$32.74 | 12 | 12 |
|
Walter Morgan
3601 Tvc |
$146.75 | 12 | 12 |
|
Justin Michael Gregory
11136 Doctors Office Tower |
$96.85 | 12 | 12 |
|
Sarah Stacy
3601 The Vanderbilt Clinic |
$35.71 | 12 | 12 |
|
Susan Eades Mackey
1212 Belle Meade Blvd |
$40.29 | 12 | 12 |
|
Benjamin Acheampong
3601 |
$97.13 | 12 | 12 |
|
Juan Carlos Salazar
3601 The Vanderbilt Clinic |
$110.77 | 12 | 12 |
|
Nichole Johnson
2200 Childrens Way # Way7 |
$106.40 | 12 | 12 |
|
Manish Kumar Sethi
3601 The Vanderbilt Clinic |
$25.66 | 13 | 12 |
|
Luenda Pearl Perkins
3601 The Vanderbilt Clinic |
$28.82 | 13 | 12 |
|
Tamsin Marie Lewis
3601 The Vanderbilt Clinic |
$0.00 | 13 | 13 |
|
Alison Nemeth Miller
3601 Tvc |
$41.85 | 13 | 12 |
|
Kendra Faucett
113 Bear Trak |
$27.99 | 13 | 12 |
|
Nicole Dellise
2400 Patterson St Ste 502 |
$25.05 | 13 | 12 |
|
Britt Avanti Stone
3601 The Vanderbilt Clinic |
$15.55 | 13 | 13 |
|
Tony L Smith
3601 The Vanderbilt Clinic |
$63.10 | 13 | 13 |
|
Prince Kannankeril
3601 The Vanderbilt Clinic |
$87.47 | 13 | 12 |
|
Erica Maldonado Pahua
3601 The Vanderbilt Clinic |
$6.92 | 13 | 13 |
|
Melinda New
3601 The Vanderbilt Clinic |
$50.42 | 13 | 13 |
|
Marina Abraham
3320 Perimeter Hill Dr |
$64.74 | 13 | 13 |
|
Scott Parker
3601 The Vanderbilt Clinic |
$17.21 | 13 | 13 |
|
Latasha Todd
719 Thompson Ln |
$35.24 | 13 | 13 |
|
Natalie Johnson Hall
1500 21St Ave S |
$9.53 | 13 | 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 Nashville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nashville, TN is $46.51 per claim, based on 4,188,840 claims from 2789 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, TN?
There are 2789 Medicaid providers offering Office Visit related services in Nashville, TN according to public payment data.
What is the price range for Office Visit in Nashville, TN?
Medicaid reimbursement for Office Visit in Nashville, TN ranges from $0.00 to $566.63 per claim, with an average of $46.51. 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, TN
Blood Work & Lab Tests
Avg $8.25
7,785,390 claims
Case Management Services
Avg $197.77
5,117,343 claims
Emergency Room Visit
Avg $115.01
1,887,270 claims
X-Ray
Avg $6.44
1,428,718 claims
Vaccines & Immunizations
Avg $12.95
1,374,325 claims
Urinalysis & Urine Tests
Avg $2.86
953,202 claims
Psychiatric Evaluation
Avg $58.51
924,083 claims
Non-Emergency Medical Transportation
Avg $4.97
909,897 claims