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 |
|---|---|---|---|
|
Saint Joseph Health System, Inc
305 Estill St |
$58.36 | 13 | 13 |
|
Berea Urgent Care Llc
234 Brenwood St |
$42.63 | 15 | 14 |
|
Robert C Sears
106 Pasco St |
$85.23 | 17 | 12 |
|
Jillisa D Hawk
305 Estill St |
$10.98 | 80 | 58 |
|
Mary Ellen Theresa Shields
305 Estill St |
$40.43 | 97 | 80 |
|
Jessica Leann Gates
305 Estill St |
$25.36 | 99 | 80 |
|
Michael Andrew Durant
116 Mini Mall Dr |
$33.84 | 117 | 106 |
|
Jennifer Michele Shelton
305 Estill St Fl 4 |
$27.31 | 199 | 170 |
|
Jerry W Brackett
607 Chestnut St |
$1.20 | 223 | 164 |
|
Alberto Zarak
305 Estill St |
$39.44 | 262 | 227 |
|
Judy Kate Clark
2740A Battlefield Memorial Hwy |
$27.70 | 266 | 231 |
|
Adam Lee Deshong
234 Brenwood St |
$34.05 | 468 | 461 |
|
Cassaundra Helen Fee Collett
119 Lynne Dr |
$31.28 | 468 | 332 |
|
Darwin Patrick Whitaker
234 Brenwood St |
$24.73 | 499 | 465 |
|
Erica Branham Trimble
104 Legacy Dr |
$29.81 | 504 | 459 |
|
Baptist Health Medical Group Inc
852 Ridgewood Drive |
$28.50 | 555 | 388 |
|
Wanda F France
128 Central Park Ave |
$12.57 | 614 | 578 |
|
Kevin Crabtree
245 Prince Royal Dr |
$29.06 | 723 | 603 |
|
George Louis Schloemer
1036 Ace Dr |
$27.71 | 732 | 624 |
|
Diana Kathleen Brosius
292 Glades Rd Ste 8 |
$51.50 | 740 | 694 |
|
Natalie Stone
116 N Broadway St Ste 6 |
$28.06 | 842 | 478 |
|
Gwendolyn Dawn Perch
234 Brenwood St |
$22.03 | 1,011 | 882 |
|
Mark Otis Catron
133 Plaza Dr Ste 3 |
$18.64 | 1,036 | 768 |
|
Dasen R Ritchey
305 Estill St |
$31.81 | 1,220 | 1,022 |
|
Jennifer Thompson
305 Estill St |
$44.84 | 1,233 | 1,142 |
|
Saint Joseph Health System Inc.
305 Estill St |
$29.18 | 1,318 | 1,119 |
|
Patrick Anthony Kelleher
1036 Ace Dr |
$27.76 | 1,321 | 1,104 |
|
Anna A. Schoeneman
Po Box 26 |
$50.64 | 1,412 | 908 |
|
Heather Wilson
104 Legacy Dr |
$28.66 | 1,572 | 1,310 |
|
Rebekah L Easton-Hogg
210 N Broadway St Ste 1 |
$25.94 | 1,738 | 1,456 |
|
Sarah E Helphinstine
104 Legacy Dr |
$43.24 | 1,974 | 1,783 |
|
Jessica Hensley
208 Kidd Dr |
$44.54 | 1,988 | 1,804 |
|
Brenda J Huser
1048 Ace Dr |
$17.36 | 2,009 | 1,470 |
|
Mahmoud A. Abualayem
305 Estill St |
$28.91 | 2,017 | 1,745 |
|
Mark Richard Secor
191A Glades Rd. |
$31.96 | 2,283 | 1,921 |
|
Brittney Paige Fitzpatrick
120 Jill Dr |
$29.52 | 2,542 | 2,326 |
|
Donny Hardy
305 Estill St |
$42.33 | 2,897 | 2,560 |
|
Mia Jeanette Zetter
104 Legacy Dr |
$29.51 | 2,956 | 2,684 |
|
Stephanie S. Mcguire
305 Estill St |
$37.30 | 3,054 | 2,581 |
|
Chandre Hatton
1000 Ace Dr |
$42.97 | 3,822 | 1,988 |
|
Patricia A Fain
104 Legacy Dr |
$39.50 | 3,949 | 3,463 |
|
Leigh A Delair
2200 Menelaus Rd |
$50.05 | 4,065 | 3,454 |
|
Ann G. Losch
104 Legacy Dr |
$35.03 | 4,325 | 3,963 |
|
Leslie Paige Allen Devers
104 Legacy Dr |
$40.77 | 4,668 | 4,094 |
|
Kimberly Diane Edwards
305 Estill St |
$27.04 | 4,701 | 4,110 |
|
Tina Bryant
1000 Ace Dr |
$57.38 | 4,762 | 2,554 |
|
Rebecca Brandenburg
305 Estill St |
$33.07 | 5,153 | 4,503 |
|
Vicki Lou Hackman
305 Estill St |
$27.06 | 5,490 | 4,539 |
|
Stephanie Jane Warren
245 Prince Royal Dr Ste A |
$33.65 | 5,868 | 5,407 |
|
Elizabeth Coblentz
2750 Battlefield Memorial Hwy |
$33.34 | 6,244 | 5,191 |
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