Average Medicaid Office Visit Payments in Berea, KY: $39.09
Avg. Paid
$39.09
Range
$1.20 – $85.23
Total Claims
230,186
Providers
58
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 Berea, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nawar Soda
234 Brenwood St |
$46.71 | 77,150 | 70,515 |
|
Robin Kay Smith
2750 Battlefield Memorial Hwy |
$28.64 | 9,899 | 9,067 |
|
Jessica Abney Pennington
2750 Battlefield Memorial Hwy |
$36.30 | 9,462 | 7,985 |
|
Derrick H Williams
305 Estill St |
$47.31 | 9,199 | 8,055 |
|
Jayanthi Ravisankar
104 Legacy Dr |
$38.52 | 9,182 | 8,046 |
|
Kristin Morgan
234 Brenwood St |
$25.75 | 7,163 | 5,214 |
|
Ma Joy Sandra Buenafe Dionisio
104 Legacy Dr |
$35.75 | 7,138 | 6,281 |
|
Oneida Sue Helton-Peck
104 Legacy Dr |
$31.59 | 6,832 | 5,850 |
|
Elizabeth Coblentz
2750 Battlefield Memorial Hwy |
$33.34 | 6,244 | 5,191 |
|
Stephanie Jane Warren
245 Prince Royal Dr Ste A |
$33.65 | 5,868 | 5,407 |
|
Vicki Lou Hackman
305 Estill St |
$27.06 | 5,490 | 4,539 |
|
Rebecca Brandenburg
305 Estill St |
$33.07 | 5,153 | 4,503 |
|
Tina Bryant
1000 Ace Dr |
$57.38 | 4,762 | 2,554 |
|
Kimberly Diane Edwards
305 Estill St |
$27.04 | 4,701 | 4,110 |
|
Leslie Paige Allen Devers
104 Legacy Dr |
$40.77 | 4,668 | 4,094 |
|
Ann G. Losch
104 Legacy Dr |
$35.03 | 4,325 | 3,963 |
|
Leigh A Delair
2200 Menelaus Rd |
$50.05 | 4,065 | 3,454 |
|
Patricia A Fain
104 Legacy Dr |
$39.50 | 3,949 | 3,463 |
|
Chandre Hatton
1000 Ace Dr |
$42.97 | 3,822 | 1,988 |
|
Stephanie S. Mcguire
305 Estill St |
$37.30 | 3,054 | 2,581 |
|
Mia Jeanette Zetter
104 Legacy Dr |
$29.51 | 2,956 | 2,684 |
|
Donny Hardy
305 Estill St |
$42.33 | 2,897 | 2,560 |
|
Brittney Paige Fitzpatrick
120 Jill Dr |
$29.52 | 2,542 | 2,326 |
|
Mark Richard Secor
191A Glades Rd. |
$31.96 | 2,283 | 1,921 |
|
Mahmoud A. Abualayem
305 Estill St |
$28.91 | 2,017 | 1,745 |
|
Brenda J Huser
1048 Ace Dr |
$17.36 | 2,009 | 1,470 |
|
Jessica Hensley
208 Kidd Dr |
$44.54 | 1,988 | 1,804 |
|
Sarah E Helphinstine
104 Legacy Dr |
$43.24 | 1,974 | 1,783 |
|
Rebekah L Easton-Hogg
210 N Broadway St Ste 1 |
$25.94 | 1,738 | 1,456 |
|
Heather Wilson
104 Legacy Dr |
$28.66 | 1,572 | 1,310 |
|
Anna A. Schoeneman
Po Box 26 |
$50.64 | 1,412 | 908 |
|
Patrick Anthony Kelleher
1036 Ace Dr |
$27.76 | 1,321 | 1,104 |
|
Saint Joseph Health System Inc.
305 Estill St |
$29.18 | 1,318 | 1,119 |
|
Jennifer Thompson
305 Estill St |
$44.84 | 1,233 | 1,142 |
|
Dasen R Ritchey
305 Estill St |
$31.81 | 1,220 | 1,022 |
|
Mark Otis Catron
133 Plaza Dr Ste 3 |
$18.64 | 1,036 | 768 |
|
Gwendolyn Dawn Perch
234 Brenwood St |
$22.03 | 1,011 | 882 |
|
Natalie Stone
116 N Broadway St Ste 6 |
$28.06 | 842 | 478 |
|
Diana Kathleen Brosius
292 Glades Rd Ste 8 |
$51.50 | 740 | 694 |
|
George Louis Schloemer
1036 Ace Dr |
$27.71 | 732 | 624 |
|
Kevin Crabtree
245 Prince Royal Dr |
$29.06 | 723 | 603 |
|
Wanda F France
128 Central Park Ave |
$12.57 | 614 | 578 |
|
Baptist Health Medical Group Inc
852 Ridgewood Drive |
$28.50 | 555 | 388 |
|
Erica Branham Trimble
104 Legacy Dr |
$29.81 | 504 | 459 |
|
Darwin Patrick Whitaker
234 Brenwood St |
$24.73 | 499 | 465 |
|
Adam Lee Deshong
234 Brenwood St |
$34.05 | 468 | 461 |
|
Cassaundra Helen Fee Collett
119 Lynne Dr |
$31.28 | 468 | 332 |
|
Judy Kate Clark
2740A Battlefield Memorial Hwy |
$27.70 | 266 | 231 |
|
Alberto Zarak
305 Estill St |
$39.44 | 262 | 227 |
|
Jerry W Brackett
607 Chestnut St |
$1.20 | 223 | 164 |
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 Berea, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Berea, KY is $39.09 per claim, based on 230,186 claims from 58 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 Berea, KY?
There are 58 Medicaid providers offering Office Visit related services in Berea, KY according to public payment data.
What is the price range for Office Visit in Berea, KY?
Medicaid reimbursement for Office Visit in Berea, KY ranges from $1.20 to $85.23 per claim, with an average of $39.09. 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 Berea, KY
Blood Work & Lab Tests
Avg $16.71
194,821 claims
Physical Therapy
Avg $35.91
79,533 claims
Emergency Room Visit
Avg $151.56
79,434 claims
Substance Abuse Treatment
Avg $102.32
66,231 claims
Psychiatric Evaluation
Avg $61.35
56,669 claims
Speech Therapy
Avg $36.23
51,748 claims
Urinalysis & Urine Tests
Avg $12.64
44,508 claims
X-Ray
Avg $58.94
38,803 claims