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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

50

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
Jordan Nicole Manzotti

1280 W Central St

$9.01 12 12
Kristin Grace Miller

835 W Central St

$51.08 13 13
Carrie L D'Angelo

Franklin Pedi. & Adoles. Care

$67.26 13 12
Elyssar Saad

1280 W Central St Ste 301

$46.83 14 13
Nancy P Russell

440 E Central St

$52.82 15 14
Eric P Kohler

440 E Central St

$46.14 29 28
Shannon Ellis

1280 W Central St Ste 301

$9.10 30 28
Mary Kay Myers

1280 W Central St Ste 302

$37.84 32 30
Maria Romanoff Rand

111 E Central St

$58.92 56 52
Julia Elizabeth Kenney

9 Summer St

$24.95 66 62
Sharon M. Mullane

440 E Central St

$58.99 79 66
Darrolyn M Mccarroll

620 Washington St

$60.72 85 66
Kimberly Duarte

9 Summer St Unit 302

$32.65 108 106
Lisa J Abbondanza

1280 W Central St Ste 202

$38.89 135 127
Metro West Center For Well Being, Llc

195 Main St Ste 2

$138.77 138 83
Kelly Mastroianni

1280 W Central St Ste 101

$8.65 154 153
Daniel Paul Swineford

184 W Central St

$28.15 166 161
William J Sweet

1280 W Central St Ste 201

$56.64 245 221
Linda Gifford Degeus

1280 W Central St Ste 201

$58.84 260 248
Theresa M Russo

1280 W Central St Ste 201

$55.76 261 256
Suzanne Ragonese

1280 W Central St Ste 301

$51.39 269 259
Matthew Jonathan Okscin

1280 W Central St Ste 301

$9.93 273 267
Richard J. Daly

693 E Central St

$39.13 314 301
Polina Paskaleva

440 E Central St Ste 102

$30.88 321 315
Lisa Banian

440 E Central St

$49.71 342 323
Imad H Khan

835 W Central St

$53.84 466 450
Magdalen Flynn

1280 W Central St Ste 101

$59.54 518 507
Evandra C Williams

38 Pond St Ste 101

$61.78 605 546
Thomas G Conley

1280 West Central Street

$36.42 608 583
Vidya Dixit

1280 W Central St Ste 301

$41.61 636 620
Thorley E. Cook

440 E Central St

$53.75 653 620
Gary Coles

440 E Central St

$57.10 659 628
Margaret Preissler

835 W Central St

$49.47 730 692
Anne Michelle Valente

9 Summer St Unit 205

$87.04 796 716
Jessica Rachael Carroll

1280 W Central St Ste 202

$36.31 818 789
Samuel H Snyder

1280 W Central St

$38.67 1,009 993
Jonathan H. Andersen

1280 W Central St Ste 202

$44.04 1,276 1,249
Rahul J Sawant

770 Pond St

$114.75 1,507 1,423
Agnieszka K. Buniowska-Popiolek

1280 W Central St Ste 301

$41.50 1,669 1,609
Glen Edward Ollis

1280 W Central St Ste 301

$81.84 1,683 1,601
Julia Margaret Feldman

750 Union St

$28.56 2,079 2,036
Kenneth Farrell Sperber

440 E Central St

$51.87 2,171 2,033
James A Anderson

184 W Central St

$33.08 2,212 1,855
Luis Albert Carreiro

440 E Central St

$35.28 2,275 2,229
Tarsha Marie Huftalen

9 Summer St

$25.37 2,456 2,392
Mary Joyce Lyons

835 W Central St

$33.21 2,783 2,582
Leigh Ellen Larkin Dobbs

9 Summer St Unit 205

$46.16 2,862 2,492
Nanci Otrando

38 Pond St

$73.07 3,475 2,986
Kyle Leigh Lanciani

1280 W Central St Ste 101

$68.54 4,350 2,876
George Lynn Hardman

38 Pond St

$33.02 12,965 12,291

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.

Office Visit in Other Cities

Other Procedures in Franklin, MA