Average Medicaid Office Visit Payments in Campton, KY: $30.01
Avg. Paid
$30.01
Range
$7.41 – $44.96
Total Claims
136,434
Providers
19
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 Campton, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samantha Gail Roberts
219 Mountain Parkway Spur Rd |
$26.37 | 21,053 | 15,632 |
|
Edwin Santos
31 Main St |
$30.16 | 17,922 | 14,279 |
|
Nadeem Shaikh
239 Mt. Parkway Spur |
$31.82 | 17,181 | 12,057 |
|
Adrian Clint Banks
239 Mountain Parkway Spur Rd |
$35.11 | 16,908 | 12,752 |
|
United Clinics Of Kentucky Llc
239 Mountain Parkway Spur |
$7.41 | 11,654 | 4,368 |
|
Jessi Jade Campbell
592 Ky 15 South Suite 5 |
$39.78 | 10,289 | 8,199 |
|
Alissa Leigh Bell
202 Plummer St |
$31.70 | 7,217 | 6,344 |
|
Amy Christina Terry
239 Mountain Parkway Spur |
$27.25 | 6,790 | 5,433 |
|
Aeriel Frederick
219 Mountain Parkway Spur Rd |
$28.94 | 6,071 | 5,228 |
|
Sunshine M Smoot
202 Plummer Street |
$39.72 | 5,538 | 4,579 |
|
Kentucky River District Health Department
166 Highway 2491 |
$38.75 | 4,744 | 2,515 |
|
Mckaylyn Cheyann Mays
31 Main St |
$31.15 | 2,926 | 2,548 |
|
Kentucky River District Health Department
195 Johnson Street |
$40.33 | 1,935 | 1,179 |
|
Michael Wayne Myers
40 Main Street |
$23.41 | 1,693 | 1,325 |
|
Kristian Renee Allen
72 Allen Ln |
$44.96 | 1,523 | 1,226 |
|
Sheila Jones
31 Main St |
$20.86 | 1,146 | 863 |
|
Kentucky River District Health Department
189 North Johnson Street |
$39.01 | 889 | 485 |
|
Kentucky River District Health Department
Highway 15 West |
$37.38 | 495 | 468 |
|
Ambulatory Care Services Pllc
31 Main St |
$31.72 | 460 | 433 |
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 Campton, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Campton, KY is $30.01 per claim, based on 136,434 claims from 19 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 Campton, KY?
There are 19 Medicaid providers offering Office Visit related services in Campton, KY according to public payment data.
What is the price range for Office Visit in Campton, KY?
Medicaid reimbursement for Office Visit in Campton, KY ranges from $7.41 to $44.96 per claim, with an average of $30.01. 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 Campton, KY
Substance Abuse Treatment
Avg $19.08
46,855 claims
Case Management Services
Avg $296.32
25,510 claims
Psychiatric Evaluation
Avg $36.09
19,737 claims
Blood Work & Lab Tests
Avg $33.78
15,839 claims
Speech Therapy
Avg $7.00
8,758 claims
Vaccines & Immunizations
Avg $16.63
6,574 claims
Prescription Medications
Avg $12.81
6,513 claims
Physical Therapy
Avg $11.01
5,431 claims