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Based on public Medicaid payment data.

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

Other Procedures in Ashland, KY