Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Covington, KY: $42.61

Avg. Paid

$42.61

Range

$20.50 – $107.84

Total Claims

277,904

Providers

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
Susan Ostberg Kushman 1500 James Simpson Jr Way	$29.09	16	12
Richard S Kerstine 1401 Madison Ave	$42.87	19	16
Northern Kentucky Independent District Health Department 2002 Madison Ave	$38.40	25	24
Alpha A Seales 806 Scott St	$37.23	30	28
David W Brounley 1401 Madison Ave	$53.63	42	41
Nancy Joann Metzger 2040 Madison Ave	$40.15	51	47
Angelia Campbell 1401 Madison Ave	$31.05	75	73
Roger E Teller 1500 James Simpson Jr Way	$37.44	105	89
Patrick Thomas Burns 1500 James Simpson Jr Way	$37.37	114	108
James P Konerman 1500 James Simpson Jr Way	$37.54	120	119
Stephen Love 801 Greer St Ofc	$81.76	156	142
Amber Willmoth-Miller 513 Madison Ave	$20.50	162	118
Robert Justin Combs 1401 Madison Ave	$41.24	166	136
Robert Mark Reeves 3631 Decoursey Ave	$40.37	221	209
William J Faulkner 1401 Madison Ave	$26.21	237	196
Kathleen B Cook 1401 Madison Ave	$26.60	265	251
Heather Dawn Rigney 513 Madison Ave	$40.92	279	224
Stephanie Ann Zanardelli 1401 Madison Ave	$30.70	347	318
Nathaniel Joseph Dittoe 1500 James Simpson Jr Way	$42.88	375	357
Nathan Allan Gordon 1500 James Simpson Jr Way	$39.94	461	402
Kimberly Gastenveld 1401 Madison Ave	$25.60	483	424
Luke Sunghoon Hong 1500 James Simpson Jr Way	$56.00	502	445
Jennifer Arther 1500 James Simpson Jr Way	$29.38	565	539
Anthony T Swanholm 1500 James Simpson Jr Way	$54.75	609	509
You Wei Lin 1500 James Simpson Jr Way	$50.12	674	611
Christa Blanchet 1401 Madison Ave	$27.34	687	661
Alyssa King 1401 Madison Ave	$28.74	730	668
Kathleen Yang 20 W 18Th St	$49.55	791	542
Marcha Marie Gyarmati 1401 Madison Ave	$28.51	1,011	919
Mark A Boyd 1500 James Simpson Jr Way	$34.29	1,061	959
Ned Mehlman 1500 James Simpson Jr Way	$27.83	1,080	977
Donna J Robison 20 W 18Th St	$32.28	1,147	887
Kyla Renee Riddell 1401 Madison Ave	$28.61	1,206	1,144
Abigail Tomlinson 1401 Madison Ave	$27.35	1,267	1,080
Mary Kathryn Kramer 1401 Madison Ave	$44.00	1,310	967
Linda M. Hermiller 1500 James Simpson Jr Way	$46.59	1,414	1,338
Melissa Justine Moore 1500 James Simpson Jr Way	$33.35	1,540	1,394
Julie Ann Tewes 1500 James Simpson Jr Way	$35.30	1,591	1,488
Elliott Dean Stanley 1401 Madison Ave	$46.77	1,621	1,433
Daniel Zalkind 1500 James Simpson Jr Way	$38.53	1,648	1,527
Kimberly Troxel 513 Madison Ave	$41.55	1,667	883
Shelby Maureen Klingensmith 1500 James Simpson Jr Way	$34.05	1,798	1,469
Denise Heyob 1401 Madison Ave	$40.77	2,024	1,814
Jaspreet Kaur Chahal 1500 James Simpson Jr Way	$39.75	2,030	1,916
Bradley S. Patterson 1500 James Simpson Jr Way	$33.82	2,057	1,882
Kelli Koors 513 Madison Ave	$31.26	2,117	1,462
Rebecca Lynn Flora 1500 James Simpson Jr Way	$32.20	2,233	2,072
Susanne Bodine 1500 James Simpson Jr Way	$33.06	2,248	2,118
Marihelen Dooley 1401 Madison Ave	$36.90	2,413	2,098
Yancey R. Holmes 1500 James Simpson Jr Way	$66.93	2,640	2,487

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.

Average Medicaid Office Visit Payments in Covington, KY: $42.61

Providers Offering Office Visit in Covington, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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