Average Medicaid Office Visit Payments in Spring Hill, TN: $66.33
Avg. Paid
$66.33
Range
$4.64 – $72.63
Total Claims
222,500
Providers
25
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 Spring Hill, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Raymond Michael Brewer
3001 Reserve Blvd Ste 200 |
$28.15 | 30 | 27 |
|
Colby Wisdom
2070 Wall St |
$35.59 | 30 | 28 |
|
Kinsey Trent Huner
5221 Port Royal Rd Ste 200 |
$41.98 | 53 | 48 |
|
Beshoy W. Khalil
5073 Columbia Pike Ste 230 |
$37.44 | 54 | 46 |
|
Candice E Lewis
3098 Campbell Station Pkwy |
$72.55 | 88 | 81 |
|
Brandi Alexis Lafleur
5073 Main St Ste 100 |
$30.52 | 118 | 108 |
|
Beth Ann Bradshaw
4035 Haversack Dr |
$36.52 | 194 | 184 |
|
Claude Edward Shackelford
3098 Campbell Station Pkwy |
$53.64 | 283 | 249 |
|
Benjamin Hayes
3098 Campbell Station Pkwy Ste A201 |
$4.64 | 314 | 245 |
|
Anna M Herring
5421 Main St |
$47.23 | 352 | 288 |
|
Cynthia Evans
2946 Burtonwood Dr |
$5.03 | 391 | 280 |
|
Stephanie K Fennema
3813 Old Port Royal Rd N |
$38.46 | 441 | 404 |
|
Jennifer K Mallory
4886 Port Royal Rd Ste 150 |
$40.61 | 863 | 719 |
|
Corley Brothers
5073 Main St |
$31.96 | 899 | 773 |
|
Meredith Anne Copley
3001 Reserve Blvd Ste 201 |
$49.84 | 1,088 | 914 |
|
Perry Albert Carlson
5073 Columbia Pike |
$49.15 | 1,408 | 1,190 |
|
Jennifer Jo Wright
5073 Columbia Pike |
$37.80 | 1,411 | 1,096 |
|
Rachael Neudecker
4900 Port Royal Rd |
$52.63 | 1,435 | 1,323 |
|
Augusta Dunse Henderson
5073 Columbia Pike Ste 230 |
$31.68 | 1,559 | 1,135 |
|
Ryan Richard Sullivan
1229 Reserve Blvd |
$34.29 | 1,635 | 1,463 |
|
Shavonne F Morgan
5221 Port Royal Rd Ste 200 |
$47.00 | 2,984 | 2,690 |
|
David Farnen
5073 Columbia Pike Ste 230 |
$21.39 | 3,985 | 2,506 |
|
Brian Masterson
5073 Main St Ste 140 |
$41.03 | 11,022 | 8,381 |
|
Rennee Nagra Dhillon
5073 Main St |
$46.37 | 13,405 | 10,479 |
|
Fast Pace Medical Clinic Pllc
3813 Old Port Royal Rd N |
$72.63 | 178,458 | 154,094 |
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 Spring Hill, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Spring Hill, TN is $66.33 per claim, based on 222,500 claims from 25 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 Spring Hill, TN?
There are 25 Medicaid providers offering Office Visit related services in Spring Hill, TN according to public payment data.
What is the price range for Office Visit in Spring Hill, TN?
Medicaid reimbursement for Office Visit in Spring Hill, TN ranges from $4.64 to $72.63 per claim, with an average of $66.33. 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 Spring Hill, TN
Physical Therapy
Avg $33.13
25,237 claims
Dental Cleaning & Exam
Avg $27.60
22,055 claims
Speech Therapy
Avg $42.38
20,335 claims
Eye Exam
Avg $37.14
18,174 claims
Prescription Medications
Avg $0.64
17,370 claims
Emergency Room Visit
Avg $156.66
13,371 claims
Urinalysis & Urine Tests
Avg $0.58
10,414 claims
Psychiatric Evaluation
Avg $45.09
9,587 claims