Average Medicaid Office Visit Payments in Pulaski, TN: $35.20
Avg. Paid
$35.20
Range
$7.05 – $87.30
Total Claims
155,670
Providers
32
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 Pulaski, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Clement Aluyi
1119 E College St Ste 1 |
$32.45 | 48,508 | 33,954 |
|
Katy Lynn Garner
1119 E College St |
$27.74 | 14,455 | 11,733 |
|
Samantha Roper Cox
912 W College St |
$41.31 | 12,675 | 10,844 |
|
Lisa Ann Weaver
104 Ivy Ln |
$20.77 | 9,189 | 6,395 |
|
Cara Giles
1414 W College St |
$52.20 | 8,494 | 7,291 |
|
Sara Beth Bush
1255 E College St Ste 100 |
$44.37 | 6,917 | 5,354 |
|
Leslie Nicole Bedford
912 W College St |
$35.25 | 6,064 | 4,961 |
|
Sumitra Patel
1002 Brindley Dr |
$47.95 | 5,362 | 3,404 |
|
Shannon M Heard
181 Bre Ave Ste C |
$47.02 | 5,086 | 4,462 |
|
Elizabeth Raznick Phillips
1150 E College St |
$34.98 | 4,731 | 3,939 |
|
Constance Sabrina Long
912 W College St |
$37.18 | 4,116 | 3,513 |
|
Stephanie Tucker
1150 E College St |
$27.32 | 3,934 | 3,283 |
|
Stephanie L Hamrick
1002 Brindley Dr |
$42.11 | 3,470 | 2,930 |
|
Cara Riley
1255 E College St |
$49.57 | 3,402 | 2,486 |
|
Kathy Cohen
1150 E College St |
$27.35 | 2,496 | 1,985 |
|
Holly Clem
215 S Cedar Ln |
$33.25 | 2,332 | 1,594 |
|
Jerry Stephen Beasley
1119 E College St |
$32.75 | 2,128 | 1,587 |
|
Terri-Lynn Philpott
181 Bre Ave Ste C |
$32.60 | 1,890 | 1,372 |
|
Wynn Gynecology & Obstetrics, Pllc
1255 E College St |
$43.63 | 1,717 | 1,582 |
|
Charles Douglas Haney
215 S Cedar Ln |
$7.05 | 1,664 | 1,461 |
|
Melissa Monroe
1119 E College St Ste 3 |
$28.19 | 1,634 | 1,110 |
|
Janet S Graham
Pulaski Pain Management & Adult Health Care |
$25.18 | 1,359 | 1,110 |
|
Wanda G Moore
1414 W College St |
$32.78 | 900 | 610 |
|
Christina Holt
1119 E College St Ste 1 |
$29.72 | 688 | 582 |
|
Brett Aric Nelson
1255 E College St |
$87.30 | 575 | 441 |
|
Leann D Gordon
1275 E College St Ste 1 |
$37.72 | 466 | 389 |
|
Kelly B Pickett
215 S Cedar Ln |
$10.92 | 423 | 361 |
|
Stephen R Savage
1119 East College Street |
$32.49 | 268 | 208 |
|
Louise A Hawkins
625 W Madison St |
$29.93 | 251 | 209 |
|
Erica Lynn Blocker
215 S Cedar Ln |
$14.60 | 216 | 174 |
|
Selina Grace Holley
215 S Cedar Ln |
$14.73 | 145 | 100 |
|
Robyn Thigpen
181 Bre Ave Ste C |
$13.35 | 115 | 78 |
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 Pulaski, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pulaski, TN is $35.20 per claim, based on 155,670 claims from 32 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 Pulaski, TN?
There are 32 Medicaid providers offering Office Visit related services in Pulaski, TN according to public payment data.
What is the price range for Office Visit in Pulaski, TN?
Medicaid reimbursement for Office Visit in Pulaski, TN ranges from $7.05 to $87.30 per claim, with an average of $35.20. 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 Pulaski, TN
Emergency Room Visit
Avg $80.19
45,335 claims
Blood Work & Lab Tests
Avg $3.75
42,295 claims
Psychiatric Evaluation
Avg $38.82
27,487 claims
Ambulance Transport
Avg $61.05
27,395 claims
Substance Abuse Treatment
Avg $88.40
17,887 claims
Urinalysis & Urine Tests
Avg $2.50
17,472 claims
Dental Cleaning & Exam
Avg $29.86
13,233 claims
Physical Therapy
Avg $16.45
12,852 claims