Average Medicaid Office Visit Payments in Ashland, KY: $34.13
Avg. Paid
$34.13
Range
$0.00 – $148.91
Total Claims
1,844,265
Providers
352
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 Ashland, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ashland Hospital Corporation
2201 Lexington Ave |
$24.72 | 448,793 | 374,387 |
|
Manish Parikh
10730 Midland Trail Rd |
$29.75 | 74,281 | 25,516 |
|
Pathways Inc
1212 Bath Ave Fl 8 |
$35.30 | 32,720 | 30,145 |
|
Sandeep Singh Saroch
401 22Nd St |
$34.18 | 31,118 | 28,464 |
|
Matthew Allan Hensley
2245 Winchester Ave |
$39.78 | 30,902 | 23,594 |
|
John M. Mollineaux
2245 Winchester Ave |
$31.29 | 24,973 | 22,977 |
|
Barbara Collier Hale
2245 Winchester Ave |
$35.05 | 24,433 | 20,866 |
|
Rachel Ann Cordle
2245 Winchester Ave |
$32.83 | 23,108 | 21,342 |
|
Jason Ford
2910 Carter Ave |
$45.33 | 22,935 | 20,547 |
|
Donald Morris Ramey
2245 Winchester Ave |
$32.56 | 22,271 | 19,894 |
|
Rose Onyinyechi Uradu
3655 Winchester Ave |
$101.15 | 21,367 | 17,420 |
|
Tiffiney Burchett
937 29Th St Ste A |
$12.80 | 20,541 | 7,575 |
|
Muhammad Adnan Idrees
10650 Us Route 60 |
$38.03 | 18,377 | 15,479 |
|
Freda Elaine Fields
336 29Th St Ste 203 |
$29.65 | 18,325 | 10,804 |
|
Erica Rochelle Shumway
332 15Th St |
$61.83 | 18,100 | 8,939 |
|
Helen Michelle Cumpton
3450 Oakwood Cir |
$40.16 | 17,344 | 9,603 |
|
Ushma Patel
617 23Rd Street |
$31.79 | 17,062 | 13,061 |
|
Thomas Lee Mahoney
617 23Rd St |
$50.34 | 16,849 | 11,852 |
|
Hazel Yang
2025 Carter Ave |
$40.77 | 16,531 | 15,699 |
|
Michael Alan Moore
2245 Winchester Ave |
$34.46 | 16,372 | 14,441 |
|
James Lee Ryan
3701 Landsdowne Dr |
$33.66 | 15,883 | 13,060 |
|
Thomas Nelson Thomas
2245 Winchester Ave |
$34.18 | 15,418 | 13,858 |
|
Jeffrey A Maynard
2550 Carter Ave |
$41.87 | 14,471 | 10,491 |
|
Theresa Watts
3701 Landsdowne Dr |
$28.40 | 13,781 | 11,123 |
|
Sarah D Ervin
1101 Saint Christopher Dr Ste 250 |
$37.04 | 13,692 | 12,090 |
|
Ernest Edmund Behnke
2401 Forest Ave |
$95.83 | 13,552 | 13,171 |
|
Jennifer Listerman
613 23Rd St |
$35.28 | 12,924 | 11,721 |
|
Laura Allen
1220 Greenup Ave |
$50.56 | 12,507 | 8,551 |
|
Stacy S Hasenauer
432 16Th St |
$32.04 | 12,492 | 9,176 |
|
Charles David Mccormick
1200 Central Ave Ste 4 |
$29.44 | 12,419 | 11,353 |
|
Michael E. Brock
2920 Winchester Ave |
$41.62 | 11,868 | 10,801 |
|
Melodee B Thacker
5900 Route Us 60 W Suite B |
$64.45 | 11,737 | 7,909 |
|
Anna Layne Salow
2302 Moore St |
$36.96 | 11,418 | 5,915 |
|
William John Van Beneden
613 23Rd St Ste 420 |
$55.89 | 11,154 | 10,508 |
|
Stephen Matthew Perkey
1101 Saint Christopher Dr Ste 321 |
$32.18 | 11,072 | 7,360 |
|
Muna H Vonderheide
432 16Th St |
$30.90 | 10,886 | 9,118 |
|
Marianne Edwards
835 Central Ave |
$39.68 | 10,857 | 9,239 |
|
Tony W. Dotson
617 23Rd Street, Suite 415 |
$42.44 | 10,682 | 8,329 |
|
Jon A. Brinkman
613 23Rd St Ste 420 |
$50.21 | 10,641 | 10,034 |
|
Mittra Esmaeili
398 Diederich Blvd |
$36.30 | 10,432 | 9,662 |
|
Ishmael Worth Stevens
700 13Th St |
$41.39 | 10,118 | 8,968 |
|
Bethel Anna Hall
336 29Th St Ste 203 |
$52.03 | 10,100 | 7,526 |
|
James Brian Frederick
617 23Rd St Ste 415 |
$39.70 | 9,901 | 7,496 |
|
Brian Keith Bailey
500 14Th St |
$28.27 | 9,836 | 7,865 |
|
Gregory L. Baker
613 23Rd St Ste 420 |
$45.12 | 9,834 | 8,922 |
|
Lee Ann Carter
10650 Us Route 60 |
$31.75 | 9,637 | 8,430 |
|
Scott Jerome Lance
2000 Ashland Dr |
$43.74 | 9,405 | 7,994 |
|
Whitney Thomas
12470 Us Route 60 |
$30.33 | 9,052 | 8,008 |
|
Charles Andrew Gilliland
613 23Rd St |
$46.84 | 9,001 | 8,396 |
|
Diana Gullett
1000 Saint Christopher Dr |
$55.10 | 8,712 | 5,561 |
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 Ashland, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ashland, KY is $34.13 per claim, based on 1,844,265 claims from 352 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 Ashland, KY?
There are 352 Medicaid providers offering Office Visit related services in Ashland, KY according to public payment data.
What is the price range for Office Visit in Ashland, KY?
Medicaid reimbursement for Office Visit in Ashland, KY ranges from $0.00 to $148.91 per claim, with an average of $34.13. 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 Ashland, KY
Blood Work & Lab Tests
Avg $11.81
1,524,064 claims
Physical Therapy
Avg $82.82
923,839 claims
Psychiatric Evaluation
Avg $56.27
547,575 claims
X-Ray
Avg $23.37
521,680 claims
Substance Abuse Treatment
Avg $95.73
505,064 claims
Emergency Room Visit
Avg $111.02
347,874 claims
Home Health Visit
Avg $98.99
236,594 claims
Urinalysis & Urine Tests
Avg $4.16
224,268 claims