Average Medicaid Office Visit Payments in Franklin, PA: $45.62
Avg. Paid
$45.62
Range
$0.00 – $77.89
Total Claims
29,535
Providers
29
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, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eric Fackler
1310 Liberty St |
$52.79 | 4,209 | 3,679 |
|
William Thomas Mcgrail
1310 Liberty St |
$58.52 | 3,915 | 3,260 |
|
Curtis Wendell Cooke
110 N 13Th St |
$35.35 | 3,193 | 2,825 |
|
Donald Campbell
44 Circle St |
$36.46 | 2,237 | 2,144 |
|
Robert M Woods
44 Circle St |
$33.40 | 1,926 | 1,840 |
|
Jacob Bryan Smith
44 Circle St |
$36.38 | 1,919 | 1,852 |
|
Ibrahim Toufic Bawab
124 Home Depot Dr |
$77.89 | 1,839 | 1,776 |
|
Garrett Ward Dixon
425 13Th St |
$22.81 | 1,436 | 1,419 |
|
Amgad Abdu
6885 Us 322 |
$31.55 | 1,416 | 1,385 |
|
Stephen John Mitrosky
124 Home Depot Dr |
$42.52 | 1,070 | 1,033 |
|
Peter Bendt
464 Allegheny Blvd Ste 2D |
$53.84 | 1,046 | 977 |
|
Linda Barnhart
1310 Liberty St |
$57.32 | 1,014 | 879 |
|
Hassan Taan
6885 Us Hwy 322 |
$44.01 | 914 | 896 |
|
Sergio Giancola
464 Allegheny Blvd Ste 2D |
$44.10 | 725 | 710 |
|
Stephanie Araujo
464 Allegheny Blvd Ste 2D |
$52.13 | 631 | 611 |
|
Ann Patricia Egan-Danvers
124 Home Depot Dr Ste D |
$38.39 | 579 | 505 |
|
Rachael A. Smith
464 Allegheny Blvd |
$60.61 | 276 | 270 |
|
Jay David Stevens
150 Prospect Ave |
$25.42 | 252 | 245 |
|
David J Thomas
6885 Us Highway 322 |
$59.81 | 209 | 206 |
|
Frederico Alfafara Padin
150 Prospect Ave Ste 201 |
$21.64 | 159 | 154 |
|
William Edwards
464 Allegheny Blvd |
$21.93 | 156 | 148 |
|
Kayle Anne Wice
6885 Us 322 Ste 3 |
$26.41 | 127 | 126 |
|
Michael Ward
6885 Us Highway 322 |
$73.45 | 104 | 104 |
|
David N Ferraro
212 Prospect Ave |
$46.04 | 57 | 57 |
|
Jason Bell
833 Buffalo St |
$0.00 | 38 | 38 |
|
Nicole Chekanowsky
464 Allegheny Blvd Ste 2D |
$40.55 | 31 | 30 |
|
Sivasubramaniam Kedarnath
124 Home Depot Dr Ste D |
$37.22 | 30 | 30 |
|
University Of Pittsburgh Physicians
464 Allegheny Blvd |
$77.62 | 15 | 15 |
|
John W Flickinger
464 Allegheny Blvd |
$0.00 | 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, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Franklin, PA is $45.62 per claim, based on 29,535 claims from 29 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, PA?
There are 29 Medicaid providers offering Office Visit related services in Franklin, PA according to public payment data.
What is the price range for Office Visit in Franklin, PA?
Medicaid reimbursement for Office Visit in Franklin, PA ranges from $0.00 to $77.89 per claim, with an average of $45.62. 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, PA
Case Management Services
Avg $74.35
21,981 claims
Physical Therapy
Avg $45.18
10,307 claims
EKG / ECG (Electrocardiogram)
Avg $6.50
10,296 claims
Ambulance Transport
Avg $163.04
9,931 claims
Home Health Visit
Avg $89.17
6,711 claims
Chiropractic Care
Avg $11.68
5,327 claims
Speech Therapy
Avg $79.66
4,140 claims
Nursing Facility Care
Avg $2.63
2,245 claims