Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Franklin, KY: $37.12

Avg. Paid

$37.12

Range

$0.00 – $50.04

Total Claims

171,455

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, KY

Provider	Avg. Paid	Claims	Patients
John Anthony Gardner 1112 S Main St Ste 7	$30.04	15,990	14,314
Loria Marie Mckinney 1112 S Main St	$39.03	8,873	4,406
Amanda Michelle Johnson 1112 S Main St	$42.63	8,472	7,897
Monica Blair 1020 S Main St	$27.93	8,376	6,462
Ashley Griffin 1112 S Main St	$41.00	8,251	7,298
Shafia Rubeen 1030 Brookhaven Road	$33.28	7,611	6,457
Jennifer Parrott 1112 S Main St	$43.47	7,111	6,703
Salita Danise Hogan 1020 S Main St	$31.01	6,887	5,965
Karuna Ghanta Reddy 1112 S Main St	$50.04	6,598	5,328
Elizabeth G. Walkup 119 Memorial Dr	$40.15	6,415	5,601
Tonya Leann Simpson 1112 S Main St	$42.86	5,957	5,654
Brittanie Karoline Mccoy 1112 S Main St	$30.47	5,894	4,335
Sam Persad 730 North Main Street	$38.03	5,317	4,652
Tara S. Perdue 119 Memorial Dr	$39.90	5,154	4,594
John V. Adams 119 Memorial Dr	$43.49	5,058	4,043
Jennifer L Delk 1112 S Main St	$40.98	4,884	4,289
Kimberlee G Sliger 119 Memorial Dr	$41.44	4,634	4,118
Robert T. Wesley 1112 S Main St	$45.09	3,735	3,367
Darby D Carter 1112 S Main St	$41.22	3,640	3,195
James Allred 1030 Brookhaven Rd	$38.61	3,567	3,156
Dzenana Kadric 1112 S Main St	$38.36	3,549	3,361
Nomathamsanqa Moyo-Peters 1020 S Main St	$40.57	3,278	2,826
Diana Marie Wooden 408 Oakridge Ln	$28.21	3,142	2,891
Leslie Ellis 1112 S Main St	$36.15	2,628	2,483
Deborah Settle 2320 Bowling Green Rd	$14.99	2,568	2,047
Brian Kyle Macy 1020 S Main St	$47.82	2,358	2,128
Ayme Jo Rowland 1112 S Main St	$42.51	2,174	1,774
Jamie Bunch Jarboe 1100 Brookhaven Rd Ste 103	$32.88	2,104	1,772
David C Napier 1020 S Main St	$41.34	2,104	1,754
Samantha Jo Dorris 1112 S Main St	$37.66	1,882	1,790
Lee Alexander Compton 403 N College St	$33.54	1,716	1,291
Dane Donald Heinze 1248 Nashville Rd	$16.93	1,614	1,099
Roy L Long 1112 S Main St	$37.61	1,588	1,277
Dwight Howell Sutton 208 S Main St	$19.81	1,554	870
Jamie Elizabeth Cannon 1112 S Main St	$42.38	1,375	1,186
Jaime L Duvall 1020 S Main St	$40.31	1,255	1,072
Andrea M Broughton 1112 S Main St Ste 7	$26.65	1,106	998
Rebekah Boyland 1475 Nashville Rd	$34.19	1,092	918
Dana A. Osborne 119 Memorial Dr	$27.28	762	649
Megan L. Kepley 1112 S Main St Ste 7	$24.39	712	639
Sunni Dae Carver-Gregory 1112 S Main St	$42.24	219	204
Lindsey Whiteman Brooks 1020 S Main St	$42.48	109	93
Steven Lee Compton 403 N College St	$34.84	81	67
Jack K Patterson 208 South Main	$0.00	47	36
James Fred Buckner 1300 Bluegrass Rd	$32.86	14	12

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, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Franklin, KY is $37.12 per claim, based on 171,455 claims from 45 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, KY?

There are 45 Medicaid providers offering Office Visit related services in Franklin, KY according to public payment data.

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

Medicaid reimbursement for Office Visit in Franklin, KY ranges from $0.00 to $50.04 per claim, with an average of $37.12. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Franklin, KY: $37.12

Providers Offering Office Visit in Franklin, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Franklin, KY

Blood Work & Lab Tests

Emergency Room Visit

Substance Abuse Treatment

Psychiatric Evaluation

X-Ray

Eye Exam

Speech Therapy

Physical Therapy