Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Barbourville, KY: $31.06

Avg. Paid

$31.06

Range

$7.96 – $59.01

Total Claims

740,254

Providers

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
B & G 14 Knox Plz	$23.21	14	12
Suzanne Hope Sikes-Thurman 215 N Allison Ave	$41.25	21	17
Glenna Bargo 728 S Us Highway 25E Loop Number 2	$7.96	41	39
William H. Vickers 215 North Allison	$59.01	61	56
Keith Allen Everitt 14 Knox Plz	$21.05	74	65
Stephen K Toadvine 215 N Allison Ave	$57.33	89	83
Kayla Larae Bargo 80 Hospital Dr Ste 2	$23.52	198	160
Linda Dunigan 215 N Allison Ave	$15.04	219	153
Newborn & Kids Health Center, Inc. 215 Treuhaft Blvd	$17.34	395	319
Sarah Michelle Brown 80 Hospital Dr	$41.64	423	388
Knox County Health Department 261 Hospital Dr	$46.28	575	519
Barbourville Family Health Center 215 N Allison Ave	$18.91	813	692
Chintamani Raju Vora 315 Hospital Drive	$31.68	913	758
Cynthia Elam Corbin 112 N Allison Ave	$35.24	983	826
Sarah Doyle 215 N Allison Ave	$31.29	1,376	975
Gina Good 1927 S Hwy Us E	$28.65	1,541	1,335
Jerry L Woolum 80 Hospital Dr Ste 2	$26.52	1,582	1,228
Kendra Hubbard 225 Parkway Plz	$30.32	1,607	1,294
Tammy Sue Gambrel 215 Treuhaft Blvd Ste 8	$34.77	2,149	1,932
Memorial Hospital, Inc. 1881 S Us Highway 25E	$18.83	3,091	2,105
Velupillai Wignakumar 80 Hospital Dr	$40.46	3,409	2,747
Tyler Carter 215 N Allison Ave	$37.65	3,433	2,798
Elizabeth Kathleen Lewgood Douglas 80 Hospital Dr Ste 2	$46.12	3,490	2,895
Barbourville Family Health Center 315 Hospital Dr	$17.20	4,014	3,338
Sherelene Scott Fortney 602 Knox St	$35.23	4,081	3,488
Heather Renee Cloud 602 Knox St	$33.86	4,142	3,616
Brooklyn Prewitt 1927 S Us Highway 25E	$29.25	4,186	3,644
Paul Christen Pedersen 602 Knox St	$41.81	4,636	4,088
Melinda Rae Smith 215 Treuhaft Blvd	$28.07	4,867	3,721
Amanda Renee Lawson 215 Treuhaft Blvd Ste 3B	$28.66	5,185	3,932
Arh Mary Breckinridge Health Services, Inc. 80 Hospital Dr Ste 2	$14.95	5,205	3,907
Cassie Renee Vaughn 215 N Allison Ave	$30.94	5,428	4,417
Ashutosh S. Lohe 315 Hospital Drive	$21.91	5,475	4,491
Raju N Vora 80 Hospital Dr Ste 2	$42.85	5,623	4,957
Baptist Health Medical Group Inc 602 Knox St	$24.16	5,909	3,635
Stephanie Canada Hutchinson 14 Knox Plz	$28.38	5,974	5,107
Shannon Estel Mills 315 Hospital Dr	$30.48	5,977	2,162
Raven Jordan 215 N Allison Ave	$31.37	6,162	4,070
Charles V Stargel 215 N Allison Ave	$38.71	6,496	5,383
Michelle Louise Broughton 602 Knox St	$30.60	6,693	5,272
Rodney Travis Smith 215 Treuhaft Blvd	$28.96	6,712	5,544
Kayla Gabbard 1927 S Us Highway 25E	$33.93	6,905	5,821
Sarah Mae Mills 215 N Allison Ave	$31.53	6,922	5,643
Family Health Care Associates Of Barbourville Inc 1927 S Us Highway 25E	$12.53	6,974	2,986
Kerri Ann Wilson 315 Hospital Dr	$29.20	7,236	5,843
Jamie Nicole Wilder 80 Hospital Dr Ste 2	$33.88	7,719	5,774
Candice Goh Troxell 215 N Allison Ave	$40.44	8,571	7,841
Susan M. Hodge 602 Knox St	$40.68	8,611	7,382
Cynthia Goodin 602 Knox St	$37.49	8,737	7,666
Lashondia D Ferguson 215 Treuhaft Blvd	$27.62	8,936	7,195

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.

Average Medicaid Office Visit Payments in Barbourville, KY: $31.06

Providers Offering Office Visit in Barbourville, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit

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Urinalysis & Urine Tests

Ambulance Transport