Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Franklin, MA: $47.02

Avg. Paid

$47.02

Range

$8.65 – $138.77

Total Claims

54,691

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, MA

Provider	Avg. Paid	Claims	Patients
George Lynn Hardman 38 Pond St	$33.02	12,965	12,291
Kyle Leigh Lanciani 1280 W Central St Ste 101	$68.54	4,350	2,876
Nanci Otrando 38 Pond St	$73.07	3,475	2,986
Leigh Ellen Larkin Dobbs 9 Summer St Unit 205	$46.16	2,862	2,492
Mary Joyce Lyons 835 W Central St	$33.21	2,783	2,582
Tarsha Marie Huftalen 9 Summer St	$25.37	2,456	2,392
Luis Albert Carreiro 440 E Central St	$35.28	2,275	2,229
James A Anderson 184 W Central St	$33.08	2,212	1,855
Kenneth Farrell Sperber 440 E Central St	$51.87	2,171	2,033
Julia Margaret Feldman 750 Union St	$28.56	2,079	2,036
Glen Edward Ollis 1280 W Central St Ste 301	$81.84	1,683	1,601
Agnieszka K. Buniowska-Popiolek 1280 W Central St Ste 301	$41.50	1,669	1,609
Rahul J Sawant 770 Pond St	$114.75	1,507	1,423
Jonathan H. Andersen 1280 W Central St Ste 202	$44.04	1,276	1,249
Samuel H Snyder 1280 W Central St	$38.67	1,009	993
Jessica Rachael Carroll 1280 W Central St Ste 202	$36.31	818	789
Anne Michelle Valente 9 Summer St Unit 205	$87.04	796	716
Margaret Preissler 835 W Central St	$49.47	730	692
Gary Coles 440 E Central St	$57.10	659	628
Thorley E. Cook 440 E Central St	$53.75	653	620
Vidya Dixit 1280 W Central St Ste 301	$41.61	636	620
Thomas G Conley 1280 West Central Street	$36.42	608	583
Evandra C Williams 38 Pond St Ste 101	$61.78	605	546
Magdalen Flynn 1280 W Central St Ste 101	$59.54	518	507
Imad H Khan 835 W Central St	$53.84	466	450
Lisa Banian 440 E Central St	$49.71	342	323
Polina Paskaleva 440 E Central St Ste 102	$30.88	321	315
Richard J. Daly 693 E Central St	$39.13	314	301
Matthew Jonathan Okscin 1280 W Central St Ste 301	$9.93	273	267
Suzanne Ragonese 1280 W Central St Ste 301	$51.39	269	259
Theresa M Russo 1280 W Central St Ste 201	$55.76	261	256
Linda Gifford Degeus 1280 W Central St Ste 201	$58.84	260	248
William J Sweet 1280 W Central St Ste 201	$56.64	245	221
Daniel Paul Swineford 184 W Central St	$28.15	166	161
Kelly Mastroianni 1280 W Central St Ste 101	$8.65	154	153
Metro West Center For Well Being, Llc 195 Main St Ste 2	$138.77	138	83
Lisa J Abbondanza 1280 W Central St Ste 202	$38.89	135	127
Kimberly Duarte 9 Summer St Unit 302	$32.65	108	106
Darrolyn M Mccarroll 620 Washington St	$60.72	85	66
Sharon M. Mullane 440 E Central St	$58.99	79	66
Julia Elizabeth Kenney 9 Summer St	$24.95	66	62
Maria Romanoff Rand 111 E Central St	$58.92	56	52
Mary Kay Myers 1280 W Central St Ste 302	$37.84	32	30
Shannon Ellis 1280 W Central St Ste 301	$9.10	30	28
Eric P Kohler 440 E Central St	$46.14	29	28
Nancy P Russell 440 E Central St	$52.82	15	14
Elyssar Saad 1280 W Central St Ste 301	$46.83	14	13
Carrie L D'Angelo Franklin Pedi. & Adoles. Care	$67.26	13	12
Kristin Grace Miller 835 W Central St	$51.08	13	13
Jordan Nicole Manzotti 1280 W Central St	$9.01	12	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, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Franklin, MA is $47.02 per claim, based on 54,691 claims from 50 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, MA?

There are 50 Medicaid providers offering Office Visit related services in Franklin, MA according to public payment data.

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

Medicaid reimbursement for Office Visit in Franklin, MA ranges from $8.65 to $138.77 per claim, with an average of $47.02. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Franklin, MA: $47.02

Providers Offering Office Visit in Franklin, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Home Health Visit