Average Medicaid Office Visit Payments in Franklin, VA: $54.75
Avg. Paid
$54.75
Range
$14.01 – $93.61
Total Claims
60,567
Providers
35
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, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Peninsula Institute For Community Health Inc
1357 Armory Dr |
$32.10 | 13 | 12 |
|
Franklin Clinic Corp
106 Fairview Dr Ste A |
$42.63 | 21 | 20 |
|
Ernest Burdette Gatten
100 Bailey Dr |
$49.58 | 26 | 25 |
|
Michael Anthony Cicero
106 Fairview Dr |
$48.37 | 32 | 28 |
|
Gabrielle Greer Gatten
100 Bailey Dr |
$51.05 | 48 | 44 |
|
Mid-Atlantic Womens Care Plc
118 Fairview Drive |
$42.97 | 53 | 48 |
|
Nebojsa Nash Mitrovic
206 Stewart Dr |
$15.20 | 174 | 100 |
|
Kelly Jeanne Hengler
118 Fairview Dr Ste F |
$57.84 | 200 | 168 |
|
Elyse Lillian Bare
100 Bailey Dr |
$50.37 | 202 | 178 |
|
Anrae G. Applewhite, Md, Pllc
106 Fairview Dr |
$58.08 | 222 | 200 |
|
Ashley Hedspeth Alexander
1378 Armory Dr |
$26.75 | 279 | 189 |
|
Frank R Romano
102 Fairview Dr |
$21.94 | 284 | 199 |
|
Tracy Forrester
1378 Armory Dr |
$30.96 | 449 | 357 |
|
Glenn Porter Bidwell, Jr.
102 Fairview Dr |
$24.03 | 574 | 410 |
|
Ping Gao
102 Fairview Drive |
$56.12 | 625 | 534 |
|
Hayes Yuen Lao
102 Fairview Dr Ste B |
$52.39 | 701 | 634 |
|
Priscilla Eich
1337 Armory Dr |
$26.04 | 827 | 577 |
|
Emma Daymond
102 Fairview Dr Ste B |
$61.60 | 863 | 773 |
|
Melissa Marie Kerrick
1378 Armory Dr |
$52.50 | 883 | 723 |
|
Temeka Shavonne Hathaway
102 Fairview Dr Ste B |
$30.00 | 900 | 670 |
|
Commonwealth Of Virginia State Board Of Health
200 Fairview Ave |
$16.07 | 954 | 908 |
|
Daniel K Peak
102 Fairview Dr Ste F |
$14.01 | 996 | 596 |
|
Reid C Harrison
102 Fairview Dr Ste B |
$55.29 | 1,384 | 1,284 |
|
Mary Ann Mclaurin
100 Fairview Dr |
$93.61 | 1,403 | 1,381 |
|
Candace Bynum Lankford
115 W 2Nd Ave |
$62.77 | 1,560 | 1,346 |
|
Naomi Myrick
601 N Mechanic St |
$69.61 | 1,660 | 1,411 |
|
Ricky Brockington
102 Fairview Dr Ste B |
$58.16 | 1,989 | 1,798 |
|
James Michael Ponder
102 Fairview Dr |
$33.83 | 2,185 | 1,726 |
|
Dana E Stallings
1337 Armory Dr |
$41.91 | 2,523 | 1,894 |
|
Alan W Edwards
100 Fairview Dr |
$45.57 | 2,679 | 2,021 |
|
Sharon L Sheffield
100 Fairview Dr |
$44.90 | 2,759 | 2,476 |
|
Jennifer Robinson Watson
102 Fairview Dr Ste B |
$47.83 | 3,450 | 3,014 |
|
Manish Arun Patel
210 Fairview Drive |
$49.94 | 7,835 | 6,563 |
|
Sarah Anrae Applewhite
106 Fairview Dr Ste C |
$68.31 | 10,866 | 9,798 |
|
Maria Annella M Ona
931 Armory Dr Ste C |
$65.61 | 10,948 | 9,980 |
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, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Franklin, VA is $54.75 per claim, based on 60,567 claims from 35 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, VA?
There are 35 Medicaid providers offering Office Visit related services in Franklin, VA according to public payment data.
What is the price range for Office Visit in Franklin, VA?
Medicaid reimbursement for Office Visit in Franklin, VA ranges from $14.01 to $93.61 per claim, with an average of $54.75. 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, VA
Home Health Visit
Avg $114.74
330,362 claims
Emergency Room Visit
Avg $90.92
157,596 claims
Substance Abuse Treatment
Avg $10.89
109,654 claims
Blood Work & Lab Tests
Avg $7.34
92,731 claims
Behavioral & Mental Health Therapy
Avg $221.30
48,784 claims
Urinalysis & Urine Tests
Avg $1.57
28,156 claims
Physical Therapy
Avg $109.76
24,988 claims
Prescription Medications
Avg $0.49
22,520 claims