Average Medicaid Office Visit Payments in Barbourville, KY: $31.06
Avg. Paid
$31.06
Range
$7.96 – $59.01
Total Claims
740,254
Providers
77
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 Barbourville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sheryl Partin
1927S Us Highway 25E |
$20.81 | 67,349 | 45,044 |
|
Sheila Boatright
1927 S Us Highway 25E |
$21.77 | 56,539 | 39,880 |
|
Richard A Carter
215 N Allison Ave |
$38.41 | 51,720 | 31,765 |
|
Teresa Gray
1927 S Us Highway 25E |
$31.59 | 28,844 | 24,076 |
|
Lesley N Vaughn
215 N Allison Ave |
$34.57 | 24,465 | 19,417 |
|
Teresa Susan Landrum
1927 S Us Highway 25E |
$25.63 | 23,418 | 16,555 |
|
Paul A Cooney
215 N Allison Ave |
$40.43 | 20,050 | 16,541 |
|
Heather Marie Hammack
1927 S Us Highway 25E |
$22.80 | 19,510 | 14,000 |
|
Anita J Schoolcraft
215 N Allison Ave |
$32.90 | 18,439 | 13,428 |
|
Stuart G Mack
215 N Allison Ave |
$35.67 | 17,279 | 12,622 |
|
Amy Shelton
315 Hospital Dr Ste 2 |
$29.88 | 16,975 | 13,460 |
|
Kellie Smith
415 Ky 225 |
$40.50 | 16,473 | 11,583 |
|
Angela Turner
1927 Us S Hwy 25E |
$24.17 | 16,361 | 11,818 |
|
Rachel Bargo
315 Hospital Dr |
$33.48 | 16,122 | 12,303 |
|
Samantha Corey
80 Hospital Dr |
$29.82 | 15,857 | 12,257 |
|
Lorrie Taylor
215 Treuhaft Blvd |
$44.97 | 15,314 | 14,188 |
|
Heather Nicole Davis
215 Treuhaft Blvd Ste 8 |
$29.65 | 12,710 | 9,347 |
|
William Thomas Ashburn
215 N Allison Ave |
$40.21 | 12,600 | 9,398 |
|
Brian Keith Abner
215 North Allison Avenue |
$30.44 | 12,422 | 8,978 |
|
Angie Mossie Ledford
315 Hospital Dr Ste 2 |
$44.48 | 11,930 | 10,646 |
|
Jill M Johnson
Po Box 1150 |
$45.19 | 11,861 | 10,899 |
|
Kimberly Asher
310 College St |
$35.47 | 11,246 | 6,312 |
|
Melanie Lind Chesnut
80 Hospital Dr Ste 2 |
$32.25 | 11,192 | 9,717 |
|
Matthew David Webb
215 N Allison Ave |
$30.28 | 9,636 | 8,044 |
|
Syed Kamran Hasni
315 Hospital Dr |
$21.63 | 9,473 | 7,816 |
|
Kristy Scearse
80 Hospital Drive |
$33.50 | 9,424 | 8,733 |
|
Rebekah Susan Cain
215 N Allison Ave |
$31.82 | 9,172 | 8,061 |
|
Lashondia D Ferguson
215 Treuhaft Blvd |
$27.62 | 8,936 | 7,195 |
|
Cynthia Goodin
602 Knox St |
$37.49 | 8,737 | 7,666 |
|
Susan M. Hodge
602 Knox St |
$40.68 | 8,611 | 7,382 |
|
Candice Goh Troxell
215 N Allison Ave |
$40.44 | 8,571 | 7,841 |
|
Jamie Nicole Wilder
80 Hospital Dr Ste 2 |
$33.88 | 7,719 | 5,774 |
|
Kerri Ann Wilson
315 Hospital Dr |
$29.20 | 7,236 | 5,843 |
|
Family Health Care Associates Of Barbourville Inc
1927 S Us Highway 25E |
$12.53 | 6,974 | 2,986 |
|
Sarah Mae Mills
215 N Allison Ave |
$31.53 | 6,922 | 5,643 |
|
Kayla Gabbard
1927 S Us Highway 25E |
$33.93 | 6,905 | 5,821 |
|
Rodney Travis Smith
215 Treuhaft Blvd |
$28.96 | 6,712 | 5,544 |
|
Michelle Louise Broughton
602 Knox St |
$30.60 | 6,693 | 5,272 |
|
Charles V Stargel
215 N Allison Ave |
$38.71 | 6,496 | 5,383 |
|
Raven Jordan
215 N Allison Ave |
$31.37 | 6,162 | 4,070 |
|
Shannon Estel Mills
315 Hospital Dr |
$30.48 | 5,977 | 2,162 |
|
Stephanie Canada Hutchinson
14 Knox Plz |
$28.38 | 5,974 | 5,107 |
|
Baptist Health Medical Group Inc
602 Knox St |
$24.16 | 5,909 | 3,635 |
|
Raju N Vora
80 Hospital Dr Ste 2 |
$42.85 | 5,623 | 4,957 |
|
Ashutosh S. Lohe
315 Hospital Drive |
$21.91 | 5,475 | 4,491 |
|
Cassie Renee Vaughn
215 N Allison Ave |
$30.94 | 5,428 | 4,417 |
|
Arh Mary Breckinridge Health Services, Inc.
80 Hospital Dr Ste 2 |
$14.95 | 5,205 | 3,907 |
|
Amanda Renee Lawson
215 Treuhaft Blvd Ste 3B |
$28.66 | 5,185 | 3,932 |
|
Melinda Rae Smith
215 Treuhaft Blvd |
$28.07 | 4,867 | 3,721 |
|
Paul Christen Pedersen
602 Knox St |
$41.81 | 4,636 | 4,088 |
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 Barbourville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Barbourville, KY is $31.06 per claim, based on 740,254 claims from 77 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 Barbourville, KY?
There are 77 Medicaid providers offering Office Visit related services in Barbourville, KY according to public payment data.
What is the price range for Office Visit in Barbourville, KY?
Medicaid reimbursement for Office Visit in Barbourville, KY ranges from $7.96 to $59.01 per claim, with an average of $31.06. 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 Barbourville, KY
Blood Work & Lab Tests
Avg $13.52
289,685 claims
Emergency Room Visit
Avg $199.07
63,843 claims
Substance Abuse Treatment
Avg $75.19
61,729 claims
Psychiatric Evaluation
Avg $48.55
56,996 claims
Dental Cleaning & Exam
Avg $32.25
55,523 claims
Vaccines & Immunizations
Avg $12.57
44,322 claims
Urinalysis & Urine Tests
Avg $8.35
31,311 claims
Ambulance Transport
Avg $30.75
30,823 claims