Average Medicaid Office Visit Payments in Cadiz, KY: $27.40
Avg. Paid
$27.40
Range
$13.99 – $38.48
Total Claims
81,954
Providers
27
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 Cadiz, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pennyrile District Health Department
205 Main St |
$18.64 | 9,791 | 3,865 |
|
Vaishali Harshul Patel
116 Main St |
$38.19 | 8,843 | 7,358 |
|
Holly A Mccormick
249 Main St |
$26.69 | 8,292 | 7,134 |
|
Billie Dawn Stokes
214 Main St |
$23.77 | 7,187 | 5,643 |
|
Lillian E Gierhart
250 Main St |
$29.86 | 6,788 | 5,812 |
|
Callie M Wells
214 Main St |
$30.94 | 6,683 | 5,816 |
|
Rebecca Cravens
2582 Cerulean Rd |
$38.48 | 4,393 | 3,595 |
|
Mckenzie Kunnecke
214 Main St |
$20.06 | 3,816 | 2,527 |
|
Trigg County Hospital, Inc
254 Main St |
$19.38 | 3,652 | 2,665 |
|
Jeanine Evans
214 Main St |
$27.60 | 3,437 | 2,954 |
|
Abbey Lee Stone
249 Main St |
$25.19 | 2,411 | 2,159 |
|
Terah Nicole Cofield
249 Main St |
$28.34 | 2,347 | 2,009 |
|
Lauren Lee
249 Main St |
$27.09 | 2,327 | 1,982 |
|
Mary Sullivan Jolly
250 Main Street, Suite E |
$28.17 | 2,244 | 2,040 |
|
Trigg County Hospital, Inc
214 Main St |
$13.99 | 1,906 | 1,015 |
|
Shea A. Godwin
250 Main St. |
$33.85 | 1,369 | 1,143 |
|
Tammy Lynn Phelps-Sallier
440 Edgewood Dr |
$28.23 | 1,264 | 1,150 |
|
Christy M Millay
249 Main St |
$29.95 | 799 | 728 |
|
Christy Ella Oliphant
266 Main St |
$15.04 | 794 | 591 |
|
Angela Acree
254 Main St |
$33.30 | 753 | 675 |
|
Alyssa Beach
214 Main St |
$30.84 | 731 | 600 |
|
Nancy Ellen Jolly
214 Main St |
$37.40 | 690 | 547 |
|
Catherine R Galla
263 Main St |
$22.51 | 653 | 524 |
|
Bianca Hood
2582 Cerulean Rd |
$37.66 | 357 | 297 |
|
Scott B Sutherland
304 Main St |
$31.27 | 212 | 179 |
|
Pennyrile District Health Department
196 Main St. |
$31.34 | 111 | 101 |
|
Mary Elissa Joyce
214 Main St |
$24.96 | 104 | 80 |
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 Cadiz, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cadiz, KY is $27.40 per claim, based on 81,954 claims from 27 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 Cadiz, KY?
There are 27 Medicaid providers offering Office Visit related services in Cadiz, KY according to public payment data.
What is the price range for Office Visit in Cadiz, KY?
Medicaid reimbursement for Office Visit in Cadiz, KY ranges from $13.99 to $38.48 per claim, with an average of $27.40. 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 Cadiz, KY
Blood Work & Lab Tests
Avg $24.89
52,017 claims
Emergency Room Visit
Avg $94.95
20,013 claims
Physical Therapy
Avg $36.88
17,351 claims
Speech Therapy
Avg $5.62
12,763 claims
Psychiatric Evaluation
Avg $31.72
11,017 claims
Urinalysis & Urine Tests
Avg $15.51
10,935 claims
Nursing Facility Care
Avg $8.05
9,208 claims
Vaccines & Immunizations
Avg $30.68
8,226 claims