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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Franklin, OH: $39.63

Avg. Paid

$39.63

Range

$0.21 – $120.06

Total Claims

59,145

Providers

35

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, OH

Provider Avg. Paid Claims Patients
Alan J Ullman

333 Conover Dr Ste B

$21.22 10,319 5,561
Jennifer Feldman

333 Conover Dr

$22.90 10,095 5,491
Christopher M Boy

3290 Village Dr

$63.96 7,954 7,468
Elizabeth Robinson

333 Conover Dr Ste B

$22.91 3,454 1,903
Janna Starkey

333 Conover Dr Ste E

$39.08 3,077 2,847
Joshua J Ordway

8401 Claude Thomas Rd

$53.07 2,223 2,006
Andrea Tewell

909 E 2Nd St

$47.16 1,900 1,780
Talbert House Health Center

333 Conover Dr

$0.21 1,741 1,518
Christopher M Roberson

3481 South Dixie Highway

$42.71 1,480 1,353
Joseph A Solomito

5275 State Route 122 Ste 200

$50.64 1,444 1,331
Richard L Chamberlain

909 E. Second St.

$47.41 1,434 1,328
Shannon Burkhart

100 Kettering Way Ste 100

$45.73 1,356 1,292
Michelle Eakins

5275 State Route 122 Ste 100

$49.61 1,303 1,225
Himad Ullah Khan Khattak

5275 State Route 122 Ste 200

$52.44 1,302 1,161
Kathleen J Shinada

730 Hillcrest Ave

$120.06 1,301 1,199
William J Andrew

200 Medical Center Dr

$44.89 1,276 1,115
Mouhamad Abdallah

5275 State Route 122 Ste 200

$45.42 1,268 1,158
Juan C Reina

200 Medical Center Dr

$44.31 1,258 1,111
Josephine Elrod

909 E. Second St.

$49.58 750 692
Charles L Hageman

200 Medical Center Dr

$45.06 742 669
Heather Pfeffer Hilkowitz

200 Medical Center Dr

$45.46 690 618
Michael J Robertson

5275 State Route 122 Ste 100

$54.76 553 505
Weston R Mangold

1275 E 2Nd St

$78.06 537 535
Gregory W Siewny

200 Medical Center Dr

$43.09 507 446
Kelsey Mariah Matthews

100 Kettering Way Ste 100

$49.30 439 419
Casey Renee Boyce

200 Medical Center Dr

$45.24 416 384
Stephen Roy Pledger

5900 Long Meadow Dr

$58.07 87 82
Dana Leanne Demmitt

8401 Claude Thomas Rd Ste 21D

$44.69 51 40
Jennifer Margaret Smail

5900 Long Meadow Dr

$59.53 40 36
Atrium Medical Center

1 Medical Center Dr

$15.08 38 34
Daniel Biddinger

8401 Claude Thomas Rd Ste 21D

$66.00 31 26
Rebecca E Malott

5275 State Route 122 Ste 200

$23.29 28 25
Nathan L Beebe

333 Conover Dr

$38.43 27 24
Jordan Rochelle Mccracken

5275 State Route 122 Ste 100

$48.01 12 12
Shraddha Srivastava

5275 Oh-122

$66.14 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, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Franklin, OH is $39.63 per claim, based on 59,145 claims from 35 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, OH?

There are 35 Medicaid providers offering Office Visit related services in Franklin, OH according to public payment data.

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

Medicaid reimbursement for Office Visit in Franklin, OH ranges from $0.21 to $120.06 per claim, with an average of $39.63. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

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