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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
Carolyn Crump Thompson

143 Se Parkway Ct

$37.86 13 12
Ronald J Schroeder

3333 Aspen Grove Dr Ste 100

$43.14 13 12
Jan Zwarts Valley, Llc

100 Beta Dr Unit A

$0.00 13 13
Ervin Vergara

1009 Windcross Ct Ste 101

$0.00 13 13
Anabel Coburn

113 Seaboard Ln Ste 8200

$16.45 13 12
Jessica Ann Mcneil

198 E Main St Ste 203

$44.83 13 13
Paula Dunn

4091 Mallory Ln

$45.30 14 13
Mark Thomas Dickinson

4601 Carothers Pkwy

$95.66 14 14
Christopher Thomas Stark

3000 Edward Curd Ln

$23.90 14 12
Karlie Leblanc Calderon

100 Covey Dr.

$10.36 16 12
Jon Thomas Tisdale

3000 Edward Curd Ln

$23.26 16 12
Leigh Ann Hallmark

2067 Upland Dr

$26.58 16 16
Jacqueline Rendeczky Mcfadden

919 Murfreesboro Rd

$87.47 17 14
State Of Tennessee

1324 W Main St

$48.40 25 24
Eveleigh Wagner

381 Riverside Drive

$114.18 27 24
Michelle Rene Torres

100 Covey Dr Ste 310

$41.53 28 23
Alicia Maria Lopez

4323 Carothers Pkwy Ste 505

$35.58 30 27
Ellen Stapleton

740 Cool Springs Blvd Ste 200

$35.40 30 27
Adenike Konneh

1154 Liberty Pike

$41.05 30 30
Alex J Slandzicki

211 Cool Springs Blvd.

$40.89 31 24
Victoria Nicole Gutierrez

3054 Columbia Ave

$41.61 33 28
Bradley Keith Rudge

2017 Mallory Ln

$58.92 39 36
Rebecca Raymond

1154 Liberty Pike

$23.53 40 38
Janie Young Cowan

400 Sugartree Ln Ste 100

$46.85 40 28
Samuel R Bastian

2339 Hillsboro Rd

$32.46 46 40
Taylor Bauer

2235 E Mcewen Dr

$26.11 51 46
Tracy Askew Nims

2023 N Carothers Rd

$32.13 53 32
James Bartley Mcgehee

215 Gothic Ct Ste 101

$31.52 55 44
Daniel Sacks

4601 Carothers Pkwy Ste 215

$60.18 57 56
Jean Lim Tan

125 Cool Springs Blvd Ste 130

$26.08 57 39
Daniel S Weikert

100 Covey Dr

$4.07 65 54
Krista Bell

400 Sugartree Ln Ste 400

$58.01 69 59
Scott H Lieberman

4323 Carothers Pkwy

$35.14 69 56
Catherine Tarleton Meriwether

125 Cool Springs Blvd Ste 210

$28.02 71 58
Irene Bernadette Campbell

600 Church St

$2.12 75 61
Matthew Lee Hartman

393 Nichol Mill Lane

$45.52 75 64
Laurel Dean Austin

4085 Mallory Ln Ste 200

$55.73 76 64
Jill Rembinski

570 Bakers Bridge Ave

$25.45 79 76
Derek Paul De Grijs

4601 Carothers Pkwy Ste 375

$22.09 82 66
Kristin Marie Orban

3000 Edward Curd Ln

$39.47 83 67
Thomas Michael John

1113 Murfreesboro Rd Ste 319

$46.25 87 76
Cynthia Carol Burchfield

201 Jordan Rd Ste 209

$53.62 92 84
Todd Ray Wurth

3000 Edward Curd Ln

$32.75 94 77
Jeffrey Dinizio

919 Murfreesboro Rd

$55.65 100 98
Jeffrey D Poole

5030 Carothers Pkwy Ste 210

$23.35 100 75
David Hughes Mccord

229 Poteat Pl

$0.66 100 94
Harold F Moessner

1909 Mallory Ln

$23.81 108 89
William Rc Stewart

1881 General George Patton Dr

$1.02 108 65
Barbara Jean Olson

1113 Murfreesboro Rd Ste 319

$40.10 109 103
Anna Suozzi Land

7020 Berry Farms Xing Ste 100

$64.82 110 108

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