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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

82

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
Brian P. Murphy

990 E State Road 44

$68.55 12 12
Grant C Walker

1155 W Jefferson St Ste 202

$28.01 13 12
Libby K Sisson

1155 W Jefferson St Ste 101

$105.11 15 12
Diana Mae Haymond

1125 W Jefferson St Ste S200

$63.03 15 15
Samantha Julie Weaver

951 N Main St

$42.35 15 14
Nicholas David Vornehm

1155 W Jefferson St Ste 102

$82.82 15 14
Wayne Snyder

990 E State Road 44

$35.10 23 12
Peter Gar-Jun Chan

1125 W Jefferson St Ste 201

$88.80 29 25
Elmer Curtis Harris

1025 N Main St

$50.60 35 30
Orthopaedic Care Center Under Johnson Memorial Hospital

1125 W Jefferson St Ste 200

$60.50 37 33
Jessica Nicholson

970 N Morton St

$25.08 55 51
Susan R Stormzamd-Murphy

1155 W Jefferson St Ste 101

$75.52 55 48
Taylor Schaub

55 N Milford Dr

$50.10 81 75
James Timothy Deppe

1155 W Jefferson St

$21.96 85 81
Sydney Logsdon

970 N Morton St

$12.10 85 72
Isam Hasan Habib

1155 W Jefferson St Ste 202

$39.81 103 98
Jennifer D Blevins

970 N Morton St

$32.23 111 83
Shreya Patel

1155 W Jefferson St

$53.45 162 147
Carrie Lynn Sullivan

198 E Jefferson St

$57.05 171 150
Kathleen Marion

1125 W Jefferson St

$22.99 192 165
Ronald A Bennett

990 E State Road 44

$37.45 197 154
Gaston Dana

1155 W Jefferson St Ste 202

$28.63 228 168
Cassandra Schwach

1125 W Jefferson St

$35.16 261 226
David Gerard Vanremortel

2085 Acorn Blvd

$65.84 329 310
Hannah Fielding Rhea

1155 W Jefferson St Ste 101

$73.92 349 291
Neelima Ghanta

1155 W Jefferson St Ste 202

$51.06 370 339
Rebecca Irene Smock

990 E State Road 44

$78.28 401 337
Tabitha Ann Johnson

990 E State Road 44

$57.86 440 357
Johnson Memorial Hospital

1125 W Jefferson St

$71.65 472 376
Amy M Dippel

1155 W Jefferson St Ste 101

$33.03 486 254
George Mitchell Cornett

990 E State Road 44

$24.33 519 420
Scott Mcclarren Benjamin

1159 W Jefferson St

$17.97 584 454
Karen Marie Carpenter

10 Highland Ave

$53.72 594 490
Christopher Zee-Cheng

1125 W Jefferson St Ste 201

$83.41 611 524
Carrie A. Smith

1125 W Jefferson St

$63.19 621 518
Joseph Kenny

1125 W Jefferson St

$55.34 663 560
Tara Treatment Center Inc

6231 South Us Highway 31

$16.86 697 337
Alexandru N Nitu

990 E State Road 44

$56.39 724 564
John M Walker

990 E State Road 44

$79.43 736 631
James Pease

990 E State Road 44

$21.45 770 603
Maggie Doty Lewis

1155 W Jefferson St

$43.50 838 707
Donna L O'Daniel

55 N Milford Dr

$58.94 905 767
Heather L Andrews

1125 W Jefferson St Ste S200

$78.15 926 772
Rebecca Hawkins

2085 Acorn Blvd

$53.98 959 811
Amanda Lee Wheatley

970 N Morton St

$54.58 1,058 830
Lena Grunloh

990 E State Road 44

$64.62 1,107 941
Joshua Clay Fisher

1125 W Jefferson St

$38.35 1,184 918
Jill Hippenmeyer

1155 W Jefferson St Ste 101

$72.52 1,270 1,106
Alisa Elaine Schrump

2085 Acorn Blvd

$42.96 1,300 1,037
Christine Dhiman Bhinder

1159 W Jefferson St Ste 204

$39.78 1,380 1,199

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.

Office Visit in Other Cities

Other Procedures in Franklin, IN