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 |
|---|---|---|---|
|
Shraddha Srivastava
5275 Oh-122 |
$66.14 | 12 | 12 |
|
Jordan Rochelle Mccracken
5275 State Route 122 Ste 100 |
$48.01 | 12 | 12 |
|
Nathan L Beebe
333 Conover Dr |
$38.43 | 27 | 24 |
|
Rebecca E Malott
5275 State Route 122 Ste 200 |
$23.29 | 28 | 25 |
|
Daniel Biddinger
8401 Claude Thomas Rd Ste 21D |
$66.00 | 31 | 26 |
|
Atrium Medical Center
1 Medical Center Dr |
$15.08 | 38 | 34 |
|
Jennifer Margaret Smail
5900 Long Meadow Dr |
$59.53 | 40 | 36 |
|
Dana Leanne Demmitt
8401 Claude Thomas Rd Ste 21D |
$44.69 | 51 | 40 |
|
Stephen Roy Pledger
5900 Long Meadow Dr |
$58.07 | 87 | 82 |
|
Casey Renee Boyce
200 Medical Center Dr |
$45.24 | 416 | 384 |
|
Kelsey Mariah Matthews
100 Kettering Way Ste 100 |
$49.30 | 439 | 419 |
|
Gregory W Siewny
200 Medical Center Dr |
$43.09 | 507 | 446 |
|
Weston R Mangold
1275 E 2Nd St |
$78.06 | 537 | 535 |
|
Michael J Robertson
5275 State Route 122 Ste 100 |
$54.76 | 553 | 505 |
|
Heather Pfeffer Hilkowitz
200 Medical Center Dr |
$45.46 | 690 | 618 |
|
Charles L Hageman
200 Medical Center Dr |
$45.06 | 742 | 669 |
|
Josephine Elrod
909 E. Second St. |
$49.58 | 750 | 692 |
|
Juan C Reina
200 Medical Center Dr |
$44.31 | 1,258 | 1,111 |
|
Mouhamad Abdallah
5275 State Route 122 Ste 200 |
$45.42 | 1,268 | 1,158 |
|
William J Andrew
200 Medical Center Dr |
$44.89 | 1,276 | 1,115 |
|
Kathleen J Shinada
730 Hillcrest Ave |
$120.06 | 1,301 | 1,199 |
|
Himad Ullah Khan Khattak
5275 State Route 122 Ste 200 |
$52.44 | 1,302 | 1,161 |
|
Michelle Eakins
5275 State Route 122 Ste 100 |
$49.61 | 1,303 | 1,225 |
|
Shannon Burkhart
100 Kettering Way Ste 100 |
$45.73 | 1,356 | 1,292 |
|
Richard L Chamberlain
909 E. Second St. |
$47.41 | 1,434 | 1,328 |
|
Joseph A Solomito
5275 State Route 122 Ste 200 |
$50.64 | 1,444 | 1,331 |
|
Christopher M Roberson
3481 South Dixie Highway |
$42.71 | 1,480 | 1,353 |
|
Talbert House Health Center
333 Conover Dr |
$0.21 | 1,741 | 1,518 |
|
Andrea Tewell
909 E 2Nd St |
$47.16 | 1,900 | 1,780 |
|
Joshua J Ordway
8401 Claude Thomas Rd |
$53.07 | 2,223 | 2,006 |
|
Janna Starkey
333 Conover Dr Ste E |
$39.08 | 3,077 | 2,847 |
|
Elizabeth Robinson
333 Conover Dr Ste B |
$22.91 | 3,454 | 1,903 |
|
Christopher M Boy
3290 Village Dr |
$63.96 | 7,954 | 7,468 |
|
Jennifer Feldman
333 Conover Dr |
$22.90 | 10,095 | 5,491 |
|
Alan J Ullman
333 Conover Dr Ste B |
$21.22 | 10,319 | 5,561 |
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
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, OH
Emergency Room Visit
Avg $96.59
103,990 claims
Blood Work & Lab Tests
Avg $2.77
98,609 claims
X-Ray
Avg $6.00
55,634 claims
Physical Therapy
Avg $34.61
39,429 claims
Urinalysis & Urine Tests
Avg $0.54
33,869 claims
CT Scan (Computed Tomography)
Avg $104.29
30,613 claims
EKG / ECG (Electrocardiogram)
Avg $5.45
22,199 claims
Speech Therapy
Avg $26.56
18,782 claims