Average Medicaid Office Visit Payments in Benton, KY: $32.69
Avg. Paid
$32.69
Range
$1.64 – $68.04
Total Claims
104,098
Providers
41
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 Benton, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Catherine N Jones
83 Wellness Way Ste 101&201 |
$29.48 | 9,824 | 8,337 |
|
B Bradley Albertson
83 Wellness Way Ste 101&201 |
$41.04 | 8,621 | 7,616 |
|
Maegan M Moryl
83 Wellness Way Ste 101&201 |
$28.61 | 8,351 | 7,395 |
|
Emily A Flowers
83 Wellness Way Ste 101&201 |
$32.55 | 7,890 | 6,882 |
|
Kasey A Murphy
83 Wellness Way Ste 101&201 |
$32.43 | 6,949 | 6,218 |
|
Willard Jason Fiessinger
83 Wellness Way Ste 101&201 |
$28.52 | 6,593 | 5,893 |
|
Austin Beck
83 Wellness Way Ste 101&201 |
$37.16 | 6,345 | 5,439 |
|
Edwin Perez-Lopez
83 Wellness Way Ste 101&201 |
$33.93 | 5,801 | 5,116 |
|
Jessica Lovett
83 Wellness Way |
$43.44 | 4,809 | 3,047 |
|
Kimberly E Bradley
83 Wellness Way Ste 101&201 |
$27.28 | 4,100 | 3,391 |
|
Samantha Ann Scholl
401 Main St |
$32.16 | 4,008 | 3,329 |
|
Kaley Bebout
34 Us Highway 68 E Unit B |
$25.04 | 3,971 | 3,085 |
|
Brittany A Hunter
83 Wellness Way Ste 101&201 |
$32.16 | 3,538 | 3,083 |
|
Staci W Kell
83 Wellness Way Ste 101&201 |
$29.64 | 3,485 | 2,942 |
|
Ali Janell Jessee
543 Powell Ln |
$46.71 | 2,497 | 2,229 |
|
Kristina Kaye Colley
543 Powell Ln |
$33.89 | 2,324 | 2,035 |
|
Rhonda K Darnell
619 Old Symsonia Rd |
$29.50 | 1,653 | 1,396 |
|
Marshall County Health Dept
267 Slickback Rd |
$38.49 | 1,627 | 1,452 |
|
Marshall County Hospital District
619 Old Symsonia Rd |
$23.31 | 1,388 | 1,035 |
|
Thomas Perry Colley
301 Buffalo Rd |
$21.77 | 1,370 | 1,130 |
|
Marshall County Health Dept
267 Slickback Rd |
$43.38 | 1,178 | 864 |
|
Marshall County Health Department
267 Slickback Rd |
$38.93 | 909 | 456 |
|
Cady Knight
83 Wellness Way Ste 101&201 |
$1.64 | 849 | 756 |
|
Toni Shantel Gordon-Bailey
615 Old Symsonia Rd |
$20.63 | 837 | 588 |
|
Marshall County Health Dept
267 Slickback Rd |
$40.06 | 701 | 496 |
|
Diane Kolenich
619 Old Symsonia Rd |
$31.47 | 653 | 556 |
|
Marshall County Health Dept
267 Slickback Rd |
$42.24 | 563 | 439 |
|
Robert Beale
619 Old Symsonia Road |
$24.34 | 524 | 442 |
|
Jonathan Bailey
543 Powell Ln |
$31.59 | 486 | 447 |
|
Joe E Ellis
109 W 5Th St |
$39.44 | 400 | 297 |
|
William Powell
619 Old Symsonia Rd |
$39.34 | 365 | 323 |
|
Zachary Leible
141 Commerce Blvd |
$27.17 | 345 | 312 |
|
Reanna Christine Hargrove
617 Old Symsonia Rd |
$22.16 | 269 | 239 |
|
James M Hawkins
617 Old Symsonia Rd |
$34.19 | 239 | 176 |
|
Michael Andrew Case
109 W 5Th St |
$18.34 | 227 | 125 |
|
April L Jackson
619 Old Symsonia Rd |
$68.04 | 196 | 187 |
|
Christina Michelle Brown
617 Old Symsonia Rd |
$25.72 | 87 | 68 |
|
Kayla Renee Henson
83 Wellness Way |
$37.33 | 45 | 41 |
|
Marshall County Health Dept
267 Slickback Rd |
$2.23 | 36 | 19 |
|
Joshua M Clapp
374 W 5Th St |
$31.38 | 25 | 16 |
|
Debra L Riley
83 Wellness Way |
$29.37 | 20 | 18 |
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 Benton, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Benton, KY is $32.69 per claim, based on 104,098 claims from 41 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 Benton, KY?
There are 41 Medicaid providers offering Office Visit related services in Benton, KY according to public payment data.
What is the price range for Office Visit in Benton, KY?
Medicaid reimbursement for Office Visit in Benton, KY ranges from $1.64 to $68.04 per claim, with an average of $32.69. 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 Benton, KY
Blood Work & Lab Tests
Avg $14.71
63,798 claims
Emergency Room Visit
Avg $109.47
47,212 claims
Physical Therapy
Avg $56.08
44,669 claims
Chiropractic Care
Avg $16.86
39,398 claims
Speech Therapy
Avg $6.23
23,075 claims
Eye Exam
Avg $42.45
21,742 claims
Dental Cleaning & Exam
Avg $38.20
18,123 claims
Ambulance Transport
Avg $39.46
15,318 claims