Average Medicaid Office Visit Payments in Covington, KY: $42.61
Avg. Paid
$42.61
Range
$20.50 – $107.84
Total Claims
277,904
Providers
85
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 Covington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Northern Kentucky Mental Health Mental Retardation Regional Board
502 Farrell Dr |
$45.07 | 18,211 | 15,300 |
|
Mina C Kalfas
20 W 18Th St |
$48.22 | 16,973 | 12,835 |
|
Beth Ann Myers
1401 Madison Ave |
$37.45 | 15,462 | 11,764 |
|
Elmer Martin
1401 Madison Ave |
$35.93 | 12,949 | 12,210 |
|
Rita Karen Keagle
1401 Madison Ave |
$28.28 | 11,194 | 9,999 |
|
Tracy M Martin
1610 Madison Ave |
$56.06 | 11,157 | 6,893 |
|
Patricia G Broughton
1401 Madison Ave |
$27.41 | 11,063 | 9,388 |
|
Oliver James Benes
20 W 18Th St |
$47.33 | 9,408 | 6,931 |
|
Teresa Koeller
20 W 18Th St |
$52.91 | 8,595 | 5,370 |
|
Karlee Daniels
20 W 18Th St |
$41.41 | 7,967 | 5,210 |
|
Jeffrey M Parker
1401 Madison Ave |
$32.61 | 7,957 | 7,495 |
|
Matthew Thomas Davey
20 W 18Th St |
$74.95 | 7,911 | 5,860 |
|
Angela Miracle
20 West 18Th Street |
$44.15 | 6,460 | 4,642 |
|
Christina Shuman Wise
20 West 18Th Street |
$63.77 | 5,889 | 4,827 |
|
Brenda Mastin
9188 Pampas Ct |
$35.44 | 5,435 | 4,427 |
|
Wael E Eid
1500 James Simpson Jr Way |
$45.76 | 5,366 | 5,005 |
|
Jennifer Marie Haigis
1500 James Simpson Jr Way |
$33.55 | 5,029 | 4,614 |
|
Jessica Foster Lear
1401 Madison Ave |
$26.45 | 4,922 | 4,518 |
|
Carl D Gandola
1500 James Simpson Jr Way |
$38.38 | 4,852 | 4,295 |
|
Madison Brady Kidwell
1401 Madison Ave |
$26.63 | 4,763 | 3,976 |
|
Philip Lichtenstein
1100 Pike St |
$107.84 | 4,453 | 4,029 |
|
Emily Paige Wein Levinson
1401 Madison Ave |
$52.09 | 4,194 | 3,648 |
|
Irina Korableva
1500 James Simpson Jr Way |
$37.95 | 3,714 | 3,519 |
|
Kelly Kaye Lown
1500 James Simpson Jr Way |
$31.90 | 3,689 | 3,441 |
|
Julie B Wolf
1401 Madison Ave |
$23.45 | 3,623 | 2,494 |
|
Rebecca Fleissner
1610 Madison Ave |
$25.71 | 3,396 | 2,896 |
|
Tim Burke Keller
1500 James Simpson Jr Way |
$39.73 | 3,395 | 3,157 |
|
Larry J Gross
722 Scott St |
$36.50 | 3,345 | 2,801 |
|
Ashlee Vainisi Di Muzio
600 Greenup St |
$23.91 | 3,255 | 2,658 |
|
Aileen Heras-Herzig
1500 James Simpson Jr Way |
$44.92 | 3,197 | 2,993 |
|
Rachel M Byrd
525 W 5Th St Ste 219 |
$72.02 | 3,142 | 2,526 |
|
Desiree Zerhusen
1401 Madison Ave |
$26.57 | 2,945 | 2,164 |
|
Amitava Michael Dasgupta
1401 Madison Ave |
$50.68 | 2,944 | 2,596 |
|
Edwin Paul Staat
200 Home Rd |
$53.86 | 2,917 | 2,663 |
|
Charlette Verkamp
1401 Madison Ave |
$59.07 | 2,702 | 2,383 |
|
Yancey R. Holmes
1500 James Simpson Jr Way |
$66.93 | 2,640 | 2,487 |
|
Marihelen Dooley
1401 Madison Ave |
$36.90 | 2,413 | 2,098 |
|
Susanne Bodine
1500 James Simpson Jr Way |
$33.06 | 2,248 | 2,118 |
|
Rebecca Lynn Flora
1500 James Simpson Jr Way |
$32.20 | 2,233 | 2,072 |
|
Kelli Koors
513 Madison Ave |
$31.26 | 2,117 | 1,462 |
|
Bradley S. Patterson
1500 James Simpson Jr Way |
$33.82 | 2,057 | 1,882 |
|
Jaspreet Kaur Chahal
1500 James Simpson Jr Way |
$39.75 | 2,030 | 1,916 |
|
Denise Heyob
1401 Madison Ave |
$40.77 | 2,024 | 1,814 |
|
Shelby Maureen Klingensmith
1500 James Simpson Jr Way |
$34.05 | 1,798 | 1,469 |
|
Kimberly Troxel
513 Madison Ave |
$41.55 | 1,667 | 883 |
|
Daniel Zalkind
1500 James Simpson Jr Way |
$38.53 | 1,648 | 1,527 |
|
Elliott Dean Stanley
1401 Madison Ave |
$46.77 | 1,621 | 1,433 |
|
Julie Ann Tewes
1500 James Simpson Jr Way |
$35.30 | 1,591 | 1,488 |
|
Melissa Justine Moore
1500 James Simpson Jr Way |
$33.35 | 1,540 | 1,394 |
|
Linda M. Hermiller
1500 James Simpson Jr Way |
$46.59 | 1,414 | 1,338 |
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 Covington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Covington, KY is $42.61 per claim, based on 277,904 claims from 85 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 Covington, KY?
There are 85 Medicaid providers offering Office Visit related services in Covington, KY according to public payment data.
What is the price range for Office Visit in Covington, KY?
Medicaid reimbursement for Office Visit in Covington, KY ranges from $20.50 to $107.84 per claim, with an average of $42.61. 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 Covington, KY
Blood Work & Lab Tests
Avg $23.70
1,184,910 claims
Psychiatric Evaluation
Avg $70.00
429,534 claims
Physical Therapy
Avg $90.52
231,440 claims
Home Health Visit
Avg $112.33
133,204 claims
Behavioral & Mental Health Therapy
Avg $97.39
115,463 claims
Case Management Services
Avg $287.40
115,390 claims
Substance Abuse Treatment
Avg $62.67
96,986 claims
Dental Cleaning & Exam
Avg $32.67
75,374 claims