Average Medicaid Office Visit Payments in Central City, KY: $35.60
Avg. Paid
$35.60
Range
$15.64 – $38.76
Total Claims
144,258
Providers
17
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 Central City, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William Kelly Vincent
222 Phillip Stone Way |
$36.83 | 32,699 | 15,206 |
|
Barry G Hardison
222 Phillip Stone Way |
$35.66 | 29,055 | 13,927 |
|
Donna J Wilson
222 Phillip Stone Way |
$33.39 | 20,833 | 12,813 |
|
Carson Teague
203 N 2Nd St |
$34.10 | 16,885 | 11,737 |
|
Echo Browning
110 S 2Nd St |
$38.76 | 13,478 | 10,892 |
|
Denise H Sparks
222 Phillip Stone Way |
$38.01 | 10,538 | 7,580 |
|
Dorothy Danielle-Maria Wright
222 Phillip Stone Way |
$30.66 | 6,035 | 4,998 |
|
Jerry W Nein
222 Phillip Stone Way |
$35.29 | 4,812 | 1,667 |
|
Rachel Morgan Mcdonald
222 Phillip Stone Way |
$33.34 | 2,696 | 2,550 |
|
Mandy N Newman
101 Legion Dr |
$35.29 | 2,592 | 2,341 |
|
Mary Elizabeth Davis
222 Phillip Stone Way |
$35.76 | 2,497 | 2,019 |
|
Stephanie Anne Morris
224 Phillip Stone Way |
$37.96 | 830 | 653 |
|
Muhlenberg County Health Dept
105 Legion Dr |
$34.88 | 567 | 458 |
|
Tyler Neal Mayes
1601 W Everly Brothers Blvd |
$34.98 | 319 | 265 |
|
Gerald Wayne Joines
1731 W Everly Bros Blvd |
$38.43 | 256 | 234 |
|
Randall Tillman
1601 W Everly Brothers Blvd Ste 1B |
$15.71 | 97 | 82 |
|
A New Start Primary Care Llc
224 Phillip Stone Way |
$15.64 | 69 | 45 |
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 Central City, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Central City, KY is $35.60 per claim, based on 144,258 claims from 17 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 Central City, KY?
There are 17 Medicaid providers offering Office Visit related services in Central City, KY according to public payment data.
What is the price range for Office Visit in Central City, KY?
Medicaid reimbursement for Office Visit in Central City, KY ranges from $15.64 to $38.76 per claim, with an average of $35.60. 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 Central City, KY
Blood Work & Lab Tests
Avg $28.02
116,703 claims
Substance Abuse Treatment
Avg $12.76
54,954 claims
Psychiatric Evaluation
Avg $37.16
21,112 claims
Eye Exam
Avg $34.94
20,622 claims
Chiropractic Care
Avg $16.96
17,619 claims
Durable Medical Equipment (DME)
Avg $22.96
10,830 claims
Urinalysis & Urine Tests
Avg $4.85
10,439 claims
Dental Cleaning & Exam
Avg $29.59
7,789 claims