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
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