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
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, TN
Behavioral & Mental Health Therapy
Avg $92.87
1,141,017 claims
Case Management Services
Avg $20.09
930,698 claims
Psychiatric Evaluation
Avg $68.99
272,378 claims
Speech Therapy
Avg $39.28
152,610 claims
Physical Therapy
Avg $34.84
136,334 claims
Blood Work & Lab Tests
Avg $3.63
121,647 claims
Dental Cleaning & Exam
Avg $29.23
118,480 claims
Personal Care Services
Avg $114.72
115,366 claims