Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Franklin, NC: $59.04

Avg. Paid

$59.04

Range

$0.00 – $507.14

Total Claims

89,381

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, NC

Provider	Avg. Paid	Claims	Patients
Kevin J Foley 316 W Main St	$66.77	18,982	13,883
Vicente Jose Hill Riverview White Oak St	$18.61	18,849	4,947
Marrissa C Pelletier 427 Harrison Ave	$81.08	15,550	13,091
Patti Ann Sparling 316 W Main St	$30.25	3,917	3,081
Sheryl Lynn Gravelle-Camelo 427 Harrison Ave	$82.86	3,581	3,257
John T Krempecki 144 Holly Springs Park Dr	$33.07	2,536	1,601
Nicole Rene Lappin 3271 Georgia Rd	$64.21	2,326	1,597
Jeremy Wade Hutson 55 Holly Springs Park Dr	$57.06	1,939	1,622
Tina E. Coffey 190 Riverview St	$48.54	1,873	1,744
Jacob Alan Jennings 120 Riverview St	$40.50	1,753	1,436
Caroline Elizabeth Morris 55 Holly Springs Park Dr	$43.45	1,687	1,330
Clayton Houston Davis 55 Medical Park Dr Ste 118	$47.42	1,542	1,328
Elizabeth Ann Leadbetter 3195 Old Murphy Rd	$63.55	1,523	1,005
Deborah Anne Gregory 190 Riverview St	$507.14	1,228	1,162
Jason Douglas Creel 36 Westgate Plz	$55.49	1,204	794
Allison Joy Smith 1830 Lakeside Dr	$79.60	1,090	1,014
Angela Riccio 55 Holly Springs Park Dr	$57.72	995	727
Sandy Niemczyk Howard 674 Highlands Rd	$69.07	938	738
Mark E. Lawrence 102 Thomas Heights Rd	$33.94	872	576
Versi Mal Aruwani 55 Medical Park Dr	$16.26	780	482
Mh Angel Medical Center, Lllp 124 One Center Court	$15.92	743	497
Donald A Dewhurst 1830 Lakeside Dr	$67.35	725	521
Jim Thomas Long 120 Riverview St	$7.51	722	574
Lillia T Laplace 55 Medical Park Dr	$28.12	705	498
Gretchen Reibold 10 One Center Ct	$187.03	418	400
Mark H Moriarty 56 Medical Park Dr	$62.26	401	376
Hannah Praise Caplinger 121 Riverview St	$45.22	399	236
Kelly Marie Ware 19 Smoky Mountain Dr	$17.90	375	234
Adam W Burrell 121 Riverview St	$59.62	354	302
William Judson Handley 55 Holly Springs Park Dr	$27.13	332	275
Kathie B Supik 106 Frogtown Lane	$97.42	269	251
Ewa Anna Susfal 55 Holly Springs Park Dr	$34.46	244	218
Katrina Anderson Casiday 9 Edgewood Ave	$11.58	168	86
Steven Reagan 190 Riverview St	$28.04	82	76
Benedicta Nyarkoa Pongo 55 Holly Springs Park Dr	$67.89	73	64
Elizabeth Hileman 190 Riverview St	$50.34	59	57
Blue Ridge Community Health Services, Inc. 674 Highlands Rd	$0.00	41	40
Gustav C Wilde 161 Iotla Street	$33.84	40	28
Chastity Takoma Edwards 56 Medical Park Dr	$36.88	24	18
Lindsey Dolezal Koach 1830 Lakeside Dr	$15.16	22	13
Cindy Lee Pierson 190 Riverview St	$0.00	20	13

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, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Franklin, NC is $59.04 per claim, based on 89,381 claims from 41 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, NC?

There are 41 Medicaid providers offering Office Visit related services in Franklin, NC according to public payment data.

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

Medicaid reimbursement for Office Visit in Franklin, NC ranges from $0.00 to $507.14 per claim, with an average of $59.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Franklin, NC: $59.04

Providers Offering Office Visit in Franklin, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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