Average Medicaid Office Visit Payments in Cold Spring, KY: $53.69
Avg. Paid
$53.69
Range
$22.83 – $59.89
Total Claims
9,338
Providers
14
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 Cold Spring, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jenna Renee Kriege
375 Cross Roads Blvd |
$49.44 | 38 | 38 |
|
Casey Taylor Pape
375 Cross Roads Blvd |
$33.00 | 47 | 46 |
|
Bhadra Parikh
3699 Alexandria Pike |
$44.78 | 56 | 53 |
|
Mark Anthony Johnson
3955 Alexandria Pike |
$24.53 | 79 | 68 |
|
Annabelle Mary Mulligan
375 Crossroads Blvd |
$25.83 | 79 | 73 |
|
Elizabeth Tanner
3955 Alexandria Pike |
$22.83 | 98 | 82 |
|
Keith A Hammersmith
375 Cross Roads Blvd |
$39.78 | 145 | 134 |
|
Devin Skylar Mccarty
3955 Alexandria Pike |
$42.08 | 158 | 140 |
|
Margaret E Greene
375 Cross Roads Blvd |
$29.86 | 227 | 214 |
|
Roosevelt Walker
140 Plaza Dr |
$41.98 | 297 | 286 |
|
Kathryn Beaulieu
3955 Alexandria Pike |
$39.44 | 536 | 442 |
|
Caitlyn Kenny
3955 Alexandria Pike |
$42.18 | 699 | 577 |
|
Brook Marie Batey-Heim
3955 Alexandria Pike |
$59.89 | 3,198 | 2,937 |
|
Nicole Bichir
4465 Alexandria Pike |
$58.52 | 3,681 | 3,397 |
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 Cold Spring, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cold Spring, KY is $53.69 per claim, based on 9,338 claims from 14 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 Cold Spring, KY?
There are 14 Medicaid providers offering Office Visit related services in Cold Spring, KY according to public payment data.
What is the price range for Office Visit in Cold Spring, KY?
Medicaid reimbursement for Office Visit in Cold Spring, KY ranges from $22.83 to $59.89 per claim, with an average of $53.69. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Cold Spring, KY
Chiropractic Care
Avg $16.41
15,485 claims
Vaccines & Immunizations
Avg $12.23
13,507 claims
Physical Therapy
Avg $17.31
9,341 claims
Speech Therapy
Avg $45.79
3,892 claims
Ambulance Transport
Avg $27.60
3,707 claims
Blood Work & Lab Tests
Avg $5.94
1,529 claims
Urinalysis & Urine Tests
Avg $1.55
802 claims
Hearing Test (Audiometry)
Avg $11.21
416 claims