Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Franklin, IN: $55.01

Avg. Paid

$55.01

Range

$12.10 – $105.11

Total Claims

126,162

Providers

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 Franklin, IN

Provider	Avg. Paid	Claims	Patients
Derrick L. Hasenour 55 N Milford Dr	$65.04	10,915	8,439
Veronica Mosier 55 N Milford Dr	$59.73	10,125	7,810
Thomas James Small 1101 W Jefferson St	$76.78	7,624	6,385
Keith W Cushing 1159 W Jefferson St Ste 206	$59.25	6,456	5,336
Edgar Martinez 1125 W Jefferson St	$35.21	5,606	4,128
Aimee Hamm 600 Ironwood Dr Ste M	$46.23	5,056	3,988
John E Montgomery 1159 W Jefferson St Ste 304	$67.81	4,323	3,930
Lori S. Fishburn 55 N Milford Dr	$39.49	4,258	3,259
John P Norris 1125 W Jefferson St Ste S200	$45.01	2,851	2,168
Teresa Krupka 1125 W Jefferson St	$50.09	2,808	2,337
Martin E Turner 116 Tracy Miles Rd Ste 200	$54.79	2,766	2,316
Debra J. Holmes 1101 W Jefferson St Ste T	$45.48	2,693	2,110
Glenda Kay Wendling 55 N Milford Dr	$33.85	2,596	2,046
James K Friedlander 116 Tracy Miles Rd Ste 200	$47.61	2,440	1,955
Brenda Adamson 970 N Morton St	$53.59	2,415	2,226
Michael D Young 1155 W Jefferson St Ste 202	$55.90	2,348	1,894
Daniel B Salvas 1159 W Jefferson St Ste 302	$39.27	2,184	1,745
Robert D Kavelman 1155 W Jefferson St Ste 101	$52.22	2,155	1,801
Amber B Bray 1159 W Jefferson St Ste 304	$60.66	2,153	1,703
Dawn T Zapinski 990 E State Road 44	$46.57	2,122	1,837
Jenny Anne Lee 1159 W Jefferson St Ste 101	$61.56	1,968	1,527
Stephen F Eberwine 1159 W Jefferson St Ste 102	$60.90	1,886	1,534
Andrew A Houston 990 E State Road 44	$42.69	1,828	1,550
Ali M Akmal 1125 W Jefferson St	$71.63	1,806	1,524
Elisha Marie Hart 990 E State Road 44	$47.87	1,733	1,428
David A Kristo 1155 W Jefferson Street	$64.43	1,677	1,435
Matthew Christopher Feeney 55 N Milford Dr	$57.42	1,630	1,302
Deborah Jane Armstrong 18 E State Road 44	$65.50	1,620	1,486
Mckenna Marie Velchek 1155 W Jefferson St Ste 202	$63.90	1,515	1,255
Craig A Moorman 1101 W Jefferson St Ste T	$44.33	1,443	1,146
Pratikshya Karki 1159 W Jefferson St Ste 304	$71.01	1,437	1,203
John P Wiseman 1155 W Jefferson St Ste 101	$55.45	1,437	1,235
Christine Dhiman Bhinder 1159 W Jefferson St Ste 204	$39.78	1,380	1,199
Alisa Elaine Schrump 2085 Acorn Blvd	$42.96	1,300	1,037
Jill Hippenmeyer 1155 W Jefferson St Ste 101	$72.52	1,270	1,106
Joshua Clay Fisher 1125 W Jefferson St	$38.35	1,184	918
Lena Grunloh 990 E State Road 44	$64.62	1,107	941
Amanda Lee Wheatley 970 N Morton St	$54.58	1,058	830
Rebecca Hawkins 2085 Acorn Blvd	$53.98	959	811
Heather L Andrews 1125 W Jefferson St Ste S200	$78.15	926	772
Donna L O'Daniel 55 N Milford Dr	$58.94	905	767
Maggie Doty Lewis 1155 W Jefferson St	$43.50	838	707
James Pease 990 E State Road 44	$21.45	770	603
John M Walker 990 E State Road 44	$79.43	736	631
Alexandru N Nitu 990 E State Road 44	$56.39	724	564
Tara Treatment Center Inc 6231 South Us Highway 31	$16.86	697	337
Joseph Kenny 1125 W Jefferson St	$55.34	663	560
Carrie A. Smith 1125 W Jefferson St	$63.19	621	518
Christopher Zee-Cheng 1125 W Jefferson St Ste 201	$83.41	611	524
Karen Marie Carpenter 10 Highland Ave	$53.72	594	490

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 Franklin, IN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Franklin, IN is $55.01 per claim, based on 126,162 claims from 82 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 Franklin, IN?

There are 82 Medicaid providers offering Office Visit related services in Franklin, IN according to public payment data.

What is the price range for Office Visit in Franklin, IN?

Medicaid reimbursement for Office Visit in Franklin, IN ranges from $12.10 to $105.11 per claim, with an average of $55.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Franklin, IN: $55.01

Providers Offering Office Visit in Franklin, IN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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