Average Medicaid Office Visit Payments in Columbia, KY: $31.56
Avg. Paid
$31.56
Range
$0.00 – $90.41
Total Claims
270,921
Providers
53
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 Columbia, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Family Home Health Care Llc
937 Campbellsville Rd |
$90.41 | 15 | 13 |
|
Lake Cumberland District Health Department
801 Westlake Dr |
$38.52 | 25 | 25 |
|
Max Mitchell Downey
301 Burkesville St |
$37.33 | 32 | 28 |
|
Lillian Kendall Hamm
197 Will Walker Rd |
$26.99 | 77 | 75 |
|
Health Solutions Llc
805 Burkesville St |
$20.01 | 107 | 41 |
|
Chasity Biggerstaff
810 Jamestown St |
$33.52 | 220 | 211 |
|
Eric W Townsend
902 Westlake Dr Ste 101 |
$44.18 | 224 | 192 |
|
Sarah Tarter Steele
937 Campbellsville Rd |
$32.47 | 306 | 284 |
|
T J Health Columbia Inc
902 Wellness Way |
$30.61 | 744 | 480 |
|
Taylor Rural Health, Llc
805 Burkesville St |
$7.16 | 748 | 576 |
|
Anthony Wayne Grant
908 Russell Road |
$63.93 | 764 | 735 |
|
Linda Whitlock
341 Office Park Dr |
$0.00 | 793 | 495 |
|
Irma Leticia Brown
200 E Frazier Ave |
$48.05 | 963 | 868 |
|
Shelby Lynn Reid
341 Office Park Dr |
$0.00 | 1,011 | 657 |
|
Debbie S Martin
3066 Campbellsville Rd |
$21.86 | 1,105 | 958 |
|
Sarai Williams
301 Burkesville St |
$31.45 | 1,385 | 1,147 |
|
Monika Varney
810 Jamestown St |
$34.48 | 1,451 | 1,179 |
|
Jacob Burton
301 Burkesville Street |
$35.49 | 1,545 | 1,288 |
|
Tiffany Mcminoway
937 Campbellsville Rd |
$31.08 | 1,668 | 1,482 |
|
Mary Beth Crabtree
197 Will Walker Rd |
$38.77 | 1,777 | 1,660 |
|
Katie Jo Aaron
363 Office Park Dr |
$32.18 | 1,788 | 1,425 |
|
Diane Lynn Thiery
805 Burkesville St |
$26.10 | 1,945 | 1,750 |
|
Dustin Levi Mcqueary
206 Dohoney Trce |
$21.58 | 2,171 | 1,900 |
|
Debbie S Ping
937 Campbellsville Rd |
$29.81 | 2,435 | 2,160 |
|
Linnea Diane Tarter
197 Will Walker Road |
$37.18 | 2,524 | 2,022 |
|
Family First Health Care, Pllc
363 Office Park Dr |
$20.64 | 3,006 | 2,008 |
|
Charles S Giles
3066 Campbellsville Rd |
$24.96 | 3,046 | 2,632 |
|
Kristi Marie Irvin
902 Wellness Way |
$39.48 | 3,389 | 2,958 |
|
Genesis Enterprises, Inc.
1463 Campbellsville Rd |
$24.64 | 3,497 | 1,979 |
|
Latasha E. Gilpatrick
210 Lindsey Wilson Street |
$25.53 | 3,574 | 2,961 |
|
Elizabeth Partin
363 Office Park Dr |
$31.24 | 3,794 | 3,321 |
|
Michael C Partin
363 Office Park Dr |
$30.36 | 3,908 | 3,169 |
|
Alayna M Bryant
197 Will Walker Road |
$38.70 | 4,633 | 4,249 |
|
Alisha R Risen
810 Jamestown St |
$37.69 | 4,896 | 4,547 |
|
T J Health Columbia Inc
810 Jamestown St |
$28.83 | 5,089 | 3,802 |
|
Stephanyie Kimberly Carter
197 Will Walker Road |
$32.46 | 5,741 | 5,464 |
|
Kandace Diane Webster
810 Jamestown St |
$44.12 | 5,861 | 5,202 |
|
Mark Craycroft Hyatt
200 E Frazier Ave |
$31.54 | 6,610 | 5,412 |
|
Clinton Shain Kiteck
810 Jamestown St |
$44.81 | 8,039 | 7,060 |
|
Dennis Scott Wooley
902 Westlake Dr Ste 101 |
$24.58 | 9,323 | 7,546 |
|
Jennifer Overstreet
197 Will Walker Road |
$31.70 | 9,495 | 8,204 |
|
Molly B O'Neal
197 Will Walker Road |
$31.79 | 10,153 | 9,358 |
|
Kimberly Renee Turpin-Rose
803 Burkesville St |
$47.24 | 10,584 | 9,416 |
|
Sandra Kay Irvin
937 Campbellsville Rd |
$30.12 | 10,703 | 9,485 |
|
Tamra Edwana Moss
197 Will Walker Rd |
$26.82 | 12,302 | 10,528 |
|
Jennifer Nicole Proffitt
197 Will Walker Road |
$30.22 | 12,352 | 10,282 |
|
Robert S. Shipp
1463 Campbellsville Rd |
$38.64 | 12,619 | 6,370 |
|
Patricia L Doolin
902 Westlake Dr Ste 101 |
$36.24 | 13,068 | 10,880 |
|
Martha Anne Yeary
805 Burkesville St |
$44.61 | 13,307 | 5,329 |
|
Alison R Claunch
197 Will Walker Rd |
$29.98 | 13,344 | 12,040 |
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 Columbia, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Columbia, KY is $31.56 per claim, based on 270,921 claims from 53 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 Columbia, KY?
There are 53 Medicaid providers offering Office Visit related services in Columbia, KY according to public payment data.
What is the price range for Office Visit in Columbia, KY?
Medicaid reimbursement for Office Visit in Columbia, KY ranges from $0.00 to $90.41 per claim, with an average of $31.56. 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 Columbia, KY
Blood Work & Lab Tests
Avg $8.80
176,443 claims
Psychiatric Evaluation
Avg $34.27
174,538 claims
Case Management Services
Avg $165.02
89,869 claims
Chiropractic Care
Avg $16.74
47,546 claims
Physical Therapy
Avg $24.88
42,605 claims
Emergency Room Visit
Avg $167.64
30,326 claims
Urinalysis & Urine Tests
Avg $2.77
26,397 claims
Home Health Visit
Avg $36.97
22,108 claims