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
Community Care Health Network Llc 424 Church St Ste 220	$93.40	84,183	33,653
Minuteclinic Diagnostic Of Tennessee Pc 3715 Hillsboro Rd	$41.29	67,787	57,564
Said Attoussi 476 Harding Pl	$47.28	27,210	22,552
Harshila R Patel 626 Brentwood East Dr	$41.69	26,567	22,097
Ashlee Lewis 2500 Charlotte Ave	$12.68	23,737	1,765
Rafael Leonardo Prieto 3443 Dickerson Pike Ste 730	$21.22	23,716	19,059
Eric Francis Stiles 397 Wallace Rd	$50.95	20,829	18,469
Joseph Sanfilippo 4901 Nolensville Pike	$42.93	20,183	18,616
Margaret Anne Gunning 330 Wallace Rd	$55.10	19,725	17,254
Fawwaz A Alkayyali 393 Wallace Rd Ste A302	$39.96	19,211	15,622
Cheryl Mcgary Cobb 1500 21St Ave S Ste 2200	$3.00	18,430	13,876
Amy E Ward 926 Main St	$21.48	18,028	9,738
Nazneen Ahmed 6901 Lenox Village Dr	$45.67	17,550	15,453
Kiabe S Supuwood-Allen 1921 Ransom Pl	$66.52	17,243	12,707
Edward O Osuigwe 2400 Patterson St	$20.87	15,639	13,292
Cornelia R Graves 300 20Th Ave N	$47.36	15,513	9,267
Gregory Lee Gannon 1921 Ransom Pl	$43.17	15,321	12,456
Alicia Marie Krawczak 4901 Nolensville Pike	$45.48	14,831	13,551
Jian Wei 5431 Edmondson Pike	$44.40	14,785	12,380
Aida Negash 2222 State St Ste C	$20.41	14,744	11,187
Afc Physicians Of Tennessee, Pc 6606 Charlotte Pike	$6.80	14,570	6,799
Scott Blair Coffey 1412 County Hospital Rd	$43.50	14,160	11,775
Deanne J Threapleton 2222 State St Ste C	$20.13	14,107	10,656
Mental Health Cooperative, Inc 275 Cumberland Bnd	$7.90	14,013	10,362
Andrea Lynn Hayes 501 28Th Ave N	$29.50	13,938	9,526
Latisha Wright Pike 1921 Ransom Pl	$46.74	13,624	10,555
Michael Howard Gold 2000 Richard Jones Rd	$30.14	13,600	11,160
Adam Sisko 275 Cumberland Bnd	$24.40	13,587	11,458
Larryl C Spearmon 617 S 8Th St	$52.16	13,563	12,486
Monica Satterwhite 2004 Hayes St Ste 655	$20.56	13,440	11,439
Centerstone Of Tennessee, Inc. 1921 Ransom Pl	$47.74	13,041	10,889
Melvin W. Lightford 131 French Landing Dr	$24.87	13,039	10,152
Ben Hunter Butler 3601 The Vanderbilt Clinic	$51.69	12,979	10,166
Susan Elaine Dauwalder 1211 21St Avenue South	$39.16	12,674	11,118
Evangeline Kittos Walker 275 Cumberland Bnd	$21.76	12,354	10,188
Morgan Evans 275 Cumberland Bnd	$24.05	12,322	9,988
John T. Adewumi 2201 Murphy Ave Ste 220	$23.74	11,957	9,432
Songmin Cai 10 Knolls Pl	$43.33	11,776	9,097
Ehab Joseph Hana 6130 Nolensville Rd	$55.33	11,666	9,836
Heather Renee Lehmann 3601 The Vanderbilt Clinic	$55.40	11,608	10,512
Vanderbilt University Medical Center 1601 23Rd Ave S	$0.57	11,583	7,556
Roderick I Bahner 3443 Dickerson Pike	$27.54	11,561	6,590
Timothy Thomas 3601 The Vanderbilt Clinic	$134.12	11,496	10,417
Jamie Amber Thompson 3320 Perimeter Hill Dr	$21.57	11,474	9,393
Alan Edward Roach 5505 Edmondson Pike	$49.15	11,426	9,979
Amanda Jurls 2400 White Ave	$68.25	11,399	8,059
Kathrine Ann Tucker 300 20Th Ave N Ste 600	$21.70	11,186	8,595
Jessica Danielle Parker 2222 State St Ste C	$22.85	11,098	8,394
Kristi Deanne Duffield 2004 Hayes St Ste 655	$21.61	11,070	9,585
Julie C Stinson-Reynolds 510 Recovery Rd	$25.88	10,922	7,154

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.

Average Medicaid Office Visit Payments in Nashville, TN: $46.51

Providers Offering Office Visit in Nashville, TN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Nashville, TN

Blood Work & Lab Tests

Case Management Services

Emergency Room Visit

X-Ray

Vaccines & Immunizations

Urinalysis & Urine Tests

Psychiatric Evaluation

Non-Emergency Medical Transportation