Average Medicaid Office Visit Payments in Burlington, KY: $41.91
Avg. Paid
$41.91
Range
$26.45 – $49.95
Total Claims
27,583
Providers
13
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 Burlington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jacqueline Marie Carpenter
6105 1St Financial Dr |
$37.09 | 6,094 | 5,376 |
|
Keith Allan Stowers
5495 N Bend Rd |
$47.07 | 5,788 | 5,189 |
|
Michael David Platt-Faulkner
6105 1St Financial Dr |
$45.22 | 3,321 | 2,990 |
|
Amanda Jo Frazier
6105 1St Financial Dr |
$35.36 | 3,116 | 2,900 |
|
Brittany Ann Sullivan
6105 1St Financial Dr |
$42.13 | 2,244 | 2,071 |
|
Kruti Patel
6159 1St Financial Dr |
$48.42 | 1,669 | 1,557 |
|
Laura Ann Jacobs
6159 1St Financial Dr |
$34.71 | 1,665 | 1,527 |
|
Kristin Satterwhite
6105 1St Financial Dr |
$41.01 | 1,017 | 937 |
|
Stacey N Gripshover
6105 1St Financial Dr |
$49.95 | 849 | 671 |
|
Joseph M Grzelak
6105 1St Financial Dr |
$44.72 | 752 | 701 |
|
Ana Vanway
1389 Production Dr |
$47.38 | 657 | 545 |
|
Mark J Kolar
6159 1St Financial Dr |
$37.47 | 395 | 361 |
|
Timothy J Lichter
1838 Florence Pike Ste B |
$26.45 | 16 | 12 |
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 Burlington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Burlington, KY is $41.91 per claim, based on 27,583 claims from 13 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 Burlington, KY?
There are 13 Medicaid providers offering Office Visit related services in Burlington, KY according to public payment data.
What is the price range for Office Visit in Burlington, KY?
Medicaid reimbursement for Office Visit in Burlington, KY ranges from $26.45 to $49.95 per claim, with an average of $41.91. 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 Burlington, KY
Dental Cleaning & Exam
Avg $36.11
84,801 claims
Dental Filling
Avg $72.91
27,204 claims
Tooth Extraction
Avg $54.92
11,963 claims
Durable Medical Equipment (DME)
Avg $24.79
8,905 claims
Psychiatric Evaluation
Avg $43.74
4,604 claims
Vaccines & Immunizations
Avg $16.21
3,837 claims
Ambulance Transport
Avg $33.62
3,566 claims
Eye Exam
Avg $35.36
2,378 claims