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
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 Franklin, IN
Blood Work & Lab Tests
Avg $5.77
73,635 claims
Physical Therapy
Avg $16.11
68,864 claims
Substance Abuse Treatment
Avg $322.02
49,286 claims
Eye Exam
Avg $38.10
48,355 claims
Emergency Room Visit
Avg $88.89
48,093 claims
Speech Therapy
Avg $38.77
44,161 claims
X-Ray
Avg $19.78
32,563 claims
Psychiatric Evaluation
Avg $21.11
28,762 claims