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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Franklin, TN: $44.55

Avg. Paid

$44.55

Range

$0.00 – $241.94

Total Claims

343,086

Providers

216

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, TN

Provider Avg. Paid Claims Patients
Melissa Sisco

101 Forrest Crossing Blvd

$46.80 23,945 19,234
Health Connect America, Inc

508 Autumn Springs Ct Ste 2A

$58.43 20,534 17,935
Padmajavani Venkata Veeramachaneni

100 Covey Dr Ste 310

$38.75 16,167 11,111
William Donald Gibson

1113 Murfreesboro Rd Ste 319

$46.12 11,793 10,321
Jessica Tidwell

209 S Royal Oaks Blvd

$13.98 11,383 9,111
Samuel Paris

1113 Murfreesboro Rd

$44.46 10,073 8,925
Shandy Lynn Mcdonald

6650 Carothers Pkwy

$36.76 9,501 8,210
Michele Lee Augustin

1345 W Main St

$51.36 8,677 7,325
Abigail Lynn Ryan

1113 Murfreesboro Rd

$55.74 6,745 5,864
Timothy K Moss

1915 Columbia Ave

$22.51 6,543 5,894
Mildred Angeles Franco-Chen

143 Se Parkway Ct

$51.67 5,959 4,894
Nicole Agbunag

1113 Murfreesboro Rd Ste 319

$52.56 5,846 5,246
Carrie Elizabeth Byrd

200 Cool Springs Blvd

$79.48 5,698 4,985
Ashley Mary Heinly

200 Cool Springs Blvd

$61.30 5,327 4,608
Shashirekha K Shetty

100 Covey Dr Ste 310

$43.91 5,009 3,906
Michael B Bell

3000 Edward Curd Ln

$39.88 4,878 4,135
Teresa Elizabeth Bailey

200 Cool Springs Blvd

$74.79 4,756 4,427
Cathryn Evans Hogan

1113 Murfreesboro Rd Ste 307

$20.35 4,666 3,755
Noami Indeira Sudeen-Paschall

100 Covey Dr

$37.58 4,460 2,239
Cary Charles Register

6550 Carothers Pkwy Ste 225

$41.31 4,326 3,528
Racquel F O'Riley

1650 Murfreesboro Rd Ste 211

$34.20 4,231 3,227
William Freeman Siegal

1113 Murfreesboro Rd Ste 319

$42.79 4,026 3,401
Kevin Odell Dennis

2000 Mallory Ln

$33.70 3,898 3,255
Lance W Bolin

3000 Edward Curd Ln

$90.78 3,841 3,703
Amy E Vehec

1113 Murfreesboro Rd.

$45.15 3,577 3,030
Todd M Gee

3000 Edward Curd Ln

$82.01 3,285 3,183
Jamil Auvy Hossain

1909 Mallory Ln Ste 201

$20.71 3,252 2,055
Steven Mark Tate

2001 Mallory Ln

$35.91 3,221 2,494
Vanderbilt Health And Williamson Medical Center Clinics And Services,

919 Murfreesboro Rd

$99.04 3,180 2,621
Anthony R Casamo

4323 Carothers Pkwy Ste 409

$27.00 3,137 2,539
Margaret Macintyre Taylor

143 Se Parkway Ct

$43.56 3,009 2,640
Hunter Day

200 Cool Springs Blvd

$80.34 2,668 2,482
Rejane C Lisboa

4323 Carothers Pkwy Ste 303

$44.58 2,655 2,152
Felecia Maxine Johnson

100 Covey Dr Ste 310

$40.56 2,641 2,363
Bill Sekulovski

1325 W Main St

$38.70 2,632 1,680
Kara Brown

381 Riverside Dr Ste 460

$58.02 2,570 2,099
Rai-Lynne Alexander

1113 Murfreesboro Rd Ste 319

$41.44 2,494 2,112
Paige M Clark

200 Cool Springs Blvd

$73.00 2,335 2,123
Christie Michelle Rice

720 Cool Springs Blvd Ste 500

$40.35 2,310 1,824
Matthew Edward Schroer

1113 Murfreesboro Rd Ste 319

$40.50 2,263 2,027
Crystal Johnson

341 Cool Springs Blvd Ste 140

$26.76 2,232 1,838
Kelly S Caudle

200 Cool Springs Blvd

$57.73 2,178 1,849
Jeffrey F. Bocchicchio

143 Se Parkway Ct

$42.85 2,151 1,965
Katherine Karris Furmanski

Vanderbilt Health And Wiliamson Medical Center Clinics

$34.81 2,133 1,665
Elisa Runions

6550 Carothers Pkwy

$53.55 2,126 1,782
James Allen Oaks

3046 Columbia Ave Ste 114

$35.06 2,124 1,667
Mary Walker Schofield

7020 Berry Farms Xing Ste 101

$43.25 2,093 1,848
Edward Elliott Iii

9039 Tarrington Ln

$32.87 2,083 1,689
Katherine W Gregory

2339 Hillsboro Rd

$73.80 2,041 1,920
Ann-Robert Goode

200 Cool Springs Blvd

$71.52 2,022 1,800

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, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Franklin, TN is $44.55 per claim, based on 343,086 claims from 216 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, TN?

There are 216 Medicaid providers offering Office Visit related services in Franklin, TN according to public payment data.

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

Medicaid reimbursement for Office Visit in Franklin, TN ranges from $0.00 to $241.94 per claim, with an average of $44.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Franklin, TN