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 |
|---|---|---|---|
|
Justin Forrest Swann
613 13Th St. |
$10.88 | 12 | 12 |
|
Eric H Bronstein
613 23Rd St |
$17.29 | 12 | 12 |
|
Brittany Leigh Richardson
2201 Lexington Ave |
$24.74 | 12 | 12 |
|
Mark Kevin Scott
1317 Montgomery Ave |
$15.74 | 13 | 13 |
|
Terry Eugene Justice
706 23Rd St |
$27.58 | 14 | 14 |
|
Robert Joshua Logan
613 23Rd St Ste 340 |
$11.19 | 15 | 13 |
|
James Bryan Saltz
2222 Winchester Ave |
$28.49 | 15 | 12 |
|
Kings Daughters Medical Specialties Inc
336 29Th St Ste 101 |
$70.25 | 15 | 12 |
|
Susan Aliff
617 23Rd St Ste 19 |
$10.41 | 16 | 13 |
|
Ashland Hospital Corporation
10650 Us Route 60 |
$41.33 | 16 | 13 |
|
Derek W, Jones
1101 Saint Christopher Dr |
$16.77 | 16 | 12 |
|
Megan Suzanne Rudinsky
617 23Rd St Ste 400 |
$31.12 | 16 | 15 |
|
Tiffany Leeann Curnutte
613 23Rd St Ste G30 |
$19.20 | 19 | 13 |
|
David Kendall Goebel
617 23Rd St |
$34.79 | 19 | 16 |
|
Tommi K. Hopper
613 23Rd St Ste G10 |
$17.43 | 21 | 20 |
|
Ashland Integrative Medicine Llc
10730 Midland Trail Rd |
$0.00 | 23 | 13 |
|
Robert T Fried
613 23Rd St Ste 210 |
$148.91 | 28 | 27 |
|
Kristy Dawn Turley
613 23Rd St Ste 3 |
$6.32 | 29 | 27 |
|
Ovp Health Care Inc
2550 Carter Ave |
$57.58 | 29 | 27 |
|
Dustin Miles Adkins
800 Saint Christopher Dr Ste 1 |
$35.34 | 29 | 29 |
|
Audrey Renee Smith
1101 Saint Christopher Dr Ste 250 |
$33.85 | 31 | 26 |
|
Jessica Bryant
613 23Rd St Ste 350 |
$21.52 | 34 | 30 |
|
Suzanne Gilmore
2201 Lexington Ave |
$8.84 | 38 | 32 |
|
Daniel Hettel
336 29Th St Ste 101 |
$68.90 | 43 | 42 |
|
Ryan Johnson
617 23Rd St |
$28.12 | 47 | 45 |
|
Hannah Fairchild
613 23Rd St Ste 230 |
$26.66 | 47 | 43 |
|
Jessica D Duncan
2245 Winchester Ave |
$24.11 | 50 | 46 |
|
Karri Berlin
613 23Rd St Ste 430 |
$36.91 | 55 | 55 |
|
Sarah Elaine Eplion
617 23Rd St Ste 19 |
$20.04 | 66 | 63 |
|
Ashland Boyd County Health Department
2916 Holt St |
$48.51 | 67 | 62 |
|
Tara Lemaster
617 23Rd St Ste 215 |
$12.32 | 69 | 36 |
|
Megan Enyart
600 Saint Christopher Dr |
$10.68 | 78 | 56 |
|
John Glenn Clay
399 Diederich Blvd |
$23.36 | 81 | 70 |
|
Adam Phillip Otworth
398 Diederich Blvd |
$23.59 | 82 | 78 |
|
Adrianne Otworth
2201 Lexington Ave |
$33.66 | 82 | 61 |
|
Tonya Michelle Bond-Judd
1414 Winchester Ave |
$11.64 | 83 | 48 |
|
Whitney Stidham
617 23Rd St Ste 19 |
$19.18 | 85 | 73 |
|
Basel Edris
613 23Rd St Ste 230 |
$37.45 | 86 | 83 |
|
Sarah Halcomb-Clark
3701 Lansdowne Drive |
$36.92 | 86 | 72 |
|
Khan Matin
3701 Lansdowne Dr |
$48.28 | 87 | 83 |
|
Jennifer Bannister Murphy
617 23Rd St Ste 8B |
$54.35 | 90 | 89 |
|
Michael Don Canty
613 23Rd St Ste 440 |
$43.40 | 91 | 83 |
|
Jackie R Kazee
1101 Saint Christopher Dr |
$36.30 | 91 | 86 |
|
Emily Sarver
1180 Saint Christopher Dr |
$29.43 | 93 | 88 |
|
Abbe Marissa Cassity
1101 Saint Christopher Dr Ste 250 |
$32.10 | 98 | 75 |
|
Carman Roberts
1200 Central Ave Ste 4 |
$10.40 | 101 | 75 |
|
Sara Elizabeth Lemay
1700 Winchester Ave |
$40.56 | 102 | 93 |
|
Amarbir Singh Bhullar
613 23Rd St Ste 230 |
$23.04 | 117 | 111 |
|
Caitlin Elizabeth Arthur
617 23Rd St Ste 106 |
$25.62 | 121 | 113 |
|
Melissa Sue Emery
613 23Rd St Ste 440 |
$18.14 | 128 | 97 |
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