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
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, MA
Substance Abuse Treatment
Avg $13.68
118,057 claims
Podiatry (Foot Care)
Avg $4.96
59,348 claims
Dental Cleaning & Exam
Avg $42.09
31,891 claims
Behavioral & Mental Health Therapy
Avg $98.27
31,658 claims
Physical Therapy
Avg $14.19
16,616 claims
Ambulance Transport
Avg $100.86
8,469 claims
Nursing Facility Care
Avg $7.41
7,691 claims
Home Health Visit
Avg $74.22
7,465 claims