Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Benton, KY: $32.69

Avg. Paid

$32.69

Range

$1.64 – $68.04

Total Claims

104,098

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 Benton, KY

Provider	Avg. Paid	Claims	Patients
Debra L Riley 83 Wellness Way	$29.37	20	18
Joshua M Clapp 374 W 5Th St	$31.38	25	16
Marshall County Health Dept 267 Slickback Rd	$2.23	36	19
Kayla Renee Henson 83 Wellness Way	$37.33	45	41
Christina Michelle Brown 617 Old Symsonia Rd	$25.72	87	68
April L Jackson 619 Old Symsonia Rd	$68.04	196	187
Michael Andrew Case 109 W 5Th St	$18.34	227	125
James M Hawkins 617 Old Symsonia Rd	$34.19	239	176
Reanna Christine Hargrove 617 Old Symsonia Rd	$22.16	269	239
Zachary Leible 141 Commerce Blvd	$27.17	345	312
William Powell 619 Old Symsonia Rd	$39.34	365	323
Joe E Ellis 109 W 5Th St	$39.44	400	297
Jonathan Bailey 543 Powell Ln	$31.59	486	447
Robert Beale 619 Old Symsonia Road	$24.34	524	442
Marshall County Health Dept 267 Slickback Rd	$42.24	563	439
Diane Kolenich 619 Old Symsonia Rd	$31.47	653	556
Marshall County Health Dept 267 Slickback Rd	$40.06	701	496
Toni Shantel Gordon-Bailey 615 Old Symsonia Rd	$20.63	837	588
Cady Knight 83 Wellness Way Ste 101&201	$1.64	849	756
Marshall County Health Department 267 Slickback Rd	$38.93	909	456
Marshall County Health Dept 267 Slickback Rd	$43.38	1,178	864
Thomas Perry Colley 301 Buffalo Rd	$21.77	1,370	1,130
Marshall County Hospital District 619 Old Symsonia Rd	$23.31	1,388	1,035
Marshall County Health Dept 267 Slickback Rd	$38.49	1,627	1,452
Rhonda K Darnell 619 Old Symsonia Rd	$29.50	1,653	1,396
Kristina Kaye Colley 543 Powell Ln	$33.89	2,324	2,035
Ali Janell Jessee 543 Powell Ln	$46.71	2,497	2,229
Staci W Kell 83 Wellness Way Ste 101&201	$29.64	3,485	2,942
Brittany A Hunter 83 Wellness Way Ste 101&201	$32.16	3,538	3,083
Kaley Bebout 34 Us Highway 68 E Unit B	$25.04	3,971	3,085
Samantha Ann Scholl 401 Main St	$32.16	4,008	3,329
Kimberly E Bradley 83 Wellness Way Ste 101&201	$27.28	4,100	3,391
Jessica Lovett 83 Wellness Way	$43.44	4,809	3,047
Edwin Perez-Lopez 83 Wellness Way Ste 101&201	$33.93	5,801	5,116
Austin Beck 83 Wellness Way Ste 101&201	$37.16	6,345	5,439
Willard Jason Fiessinger 83 Wellness Way Ste 101&201	$28.52	6,593	5,893
Kasey A Murphy 83 Wellness Way Ste 101&201	$32.43	6,949	6,218
Emily A Flowers 83 Wellness Way Ste 101&201	$32.55	7,890	6,882
Maegan M Moryl 83 Wellness Way Ste 101&201	$28.61	8,351	7,395
B Bradley Albertson 83 Wellness Way Ste 101&201	$41.04	8,621	7,616
Catherine N Jones 83 Wellness Way Ste 101&201	$29.48	9,824	8,337

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.

Average Medicaid Office Visit Payments in Benton, KY: $32.69

Providers Offering Office Visit in Benton, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Benton, KY

Blood Work & Lab Tests

Emergency Room Visit

Physical Therapy

Chiropractic Care

Speech Therapy

Eye Exam

Dental Cleaning & Exam

Ambulance Transport