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Based on public Medicaid payment data.

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
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
Sarah Stacy

3601 The Vanderbilt Clinic

$35.71 12 12
Walter Morgan

3601 Tvc

$146.75 12 12
Justin Michael Gregory

11136 Doctors Office Tower

$96.85 12 12
Benjamin Acheampong

3601

$97.13 12 12
Susan Eades Mackey

1212 Belle Meade Blvd

$40.29 12 12
Juan Carlos Salazar

3601 The Vanderbilt Clinic

$110.77 12 12
Nichole Johnson

2200 Childrens Way # Way7

$106.40 12 12
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
Tammy Michelle Baxter

2400 Patterson St

$22.05 13 12
Derek A Damin

3601 The Vanderbilt Clinic

$42.63 13 13
Mollie Anderson Chartoff

1211 Medical Center Dr

$34.89 13 13
Alexander J Kaminski

1911 Glen Echo Rd

$21.50 13 12
Samantha Minkin

3601 The Vanderbilt Clinic

$27.11 13 12
Alison Elizabeth Dodd

3601 The Vanderbilt Clinic

$37.40 13 12
Scott Lawrence Zuckerman

3601 The Vanderbilt Clinic

$31.68 13 13
Jocelyn Decker

1900 Belmont Blvd

$66.60 13 12
William Anderson Spickard

3601 Tvc

$0.98 13 12
Cindy Ann Desio

3601 The Vanderbilt Clinic

$20.32 13 13
Rohan Hitendra Mandaliya

4230 Harding Pike Ste 530

$159.10 13 13
Manhal Izzy

3601 The Vanderbilt Clinic

$45.08 13 13
Kyle Thomas Brooks

3601 The Vanderbilt Clinic

$5.21 13 13
Meagan Sara Keefe

3601 The Vanderbilt Clinic

$88.17 13 12
Lauren Prats Porras

3601 The Vanderbilt Clinic

$29.42 13 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 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

Other Procedures in Nashville, TN