Average Medicaid Office Visit Payments in Albany, KY: $24.57
Avg. Paid
$24.57
Range
$11.23 – $38.38
Total Claims
208,913
Providers
18
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 Albany, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rebecca Eicher Albright
169 Middle School Rd |
$15.34 | 42,262 | 27,384 |
|
Miranda Tompkins
169 Middle School Rd |
$16.43 | 26,310 | 17,981 |
|
Carol B Peddicord
250 Burkesville Rd |
$22.72 | 19,472 | 15,711 |
|
Shirley K. Gibson
606 Burkesville Rd |
$38.38 | 19,141 | 16,308 |
|
Kimberly S Evans
606 Burkesville Rd |
$28.82 | 18,843 | 15,641 |
|
Ashley Dawn Logan
105 Foothills Ave |
$22.04 | 18,819 | 13,579 |
|
Carol S. Denney
606 Burkesville Rd |
$27.85 | 18,172 | 15,522 |
|
Tammy L Brown
606 Burkesville Rd |
$35.65 | 12,436 | 10,606 |
|
Lacosta S Carver
606 Burkesville Rd |
$27.38 | 11,387 | 9,111 |
|
Thomas Alvis Thacker
106 N Cross Street |
$29.16 | 5,575 | 4,547 |
|
Amber Shadoan
127 Foothills Ave |
$33.80 | 5,418 | 4,529 |
|
Lori Melton Poindexter
250 Burkesville Rd |
$22.63 | 4,489 | 3,643 |
|
Tracy Glenn Cross
250 Burkesville Rd |
$35.08 | 3,117 | 2,616 |
|
Susan Michelle Dixson
701 Burkesville Rd |
$25.83 | 1,237 | 1,034 |
|
Matthew Howard Savage
127 Foothills Ave Ste 1 |
$29.05 | 1,001 | 918 |
|
Gary Walter Upchurch
127 Foothills Ave Ste 3 |
$37.09 | 950 | 772 |
|
Michael D. Osborne
701 Burkesville Rd |
$11.23 | 247 | 224 |
|
Lake Cumberland District Health Department
131 Foothills Ave |
$28.52 | 37 | 36 |
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 Albany, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Albany, KY is $24.57 per claim, based on 208,913 claims from 18 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 Albany, KY?
There are 18 Medicaid providers offering Office Visit related services in Albany, KY according to public payment data.
What is the price range for Office Visit in Albany, KY?
Medicaid reimbursement for Office Visit in Albany, KY ranges from $11.23 to $38.38 per claim, with an average of $24.57. 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 Albany, KY
Blood Work & Lab Tests
Avg $10.21
79,827 claims
Emergency Room Visit
Avg $141.56
39,416 claims
Psychiatric Evaluation
Avg $42.11
39,280 claims
Physical Therapy
Avg $21.77
27,519 claims
Chiropractic Care
Avg $16.14
26,028 claims
Prescription Medications
Avg $11.98
21,935 claims
Vaccines & Immunizations
Avg $11.86
14,677 claims
Speech Therapy
Avg $7.14
14,517 claims