Average Medicaid Office Visit Payments in Cynthiana, KY: $43.54
Avg. Paid
$43.54
Range
$6.99 – $66.37
Total Claims
179,356
Providers
51
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 Cynthiana, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robin Freeman
1210 Ky Highway 36 E |
$6.99 | 12 | 12 |
|
James Pettey
1210 Ky Highway 36 E |
$9.89 | 22 | 13 |
|
Matthew Daniel Blake
1210 Ky Highway 36 E Unit 1 |
$57.72 | 94 | 78 |
|
Brett A Hines
308 N Main St |
$25.11 | 96 | 84 |
|
Abigail M Guy
1210 Ky Highway 36 E Ste 1D |
$42.28 | 203 | 170 |
|
Wedco District Health Department
364 Oddville Ave |
$43.60 | 247 | 230 |
|
Charles F Allran
1210 Ky Highway 36 E |
$25.04 | 303 | 230 |
|
Sara Powell
1210 Ky Highway 36 E Ste 2C |
$38.88 | 406 | 344 |
|
Katharine Hammond
1210 Ky Highway 36 E |
$44.13 | 427 | 398 |
|
Todd B Reid
1210 Ky Highway 36 E |
$23.60 | 439 | 319 |
|
Richard L Risher
430 E Pleasant St |
$49.52 | 486 | 452 |
|
David Njong Chindo
1217 Us Highway 62 E |
$40.77 | 516 | 503 |
|
Yazan Daaboul
1210 Ky Highway 36 E |
$26.73 | 528 | 457 |
|
Ashley Raye Blake
1210 Ky Highway 36 E Ste G4 |
$44.61 | 776 | 584 |
|
Tara Wagner
1210 Ky Hwy 36 E |
$45.28 | 867 | 746 |
|
Gerald R. Harpel
1210 Ky Highway 36 E |
$35.14 | 889 | 513 |
|
John Gregory Cooper
1210 Ky Highway 36 E |
$42.35 | 932 | 836 |
|
Vicky Lynn Casey
430 E Pleasant St |
$37.02 | 947 | 747 |
|
Madan Mohan Gangapuram Reddy
1210 Ky Highway 36 E Ste 1D |
$32.70 | 974 | 772 |
|
Harrison Memorial Hospital
809 Us Highway 27 S Ste 101-104 |
$22.97 | 991 | 772 |
|
Leigh Ann King
1210 Ky Highway 36 E |
$30.92 | 1,028 | 820 |
|
Jeremy Vanloring Smith
202 W Pleasant St |
$66.37 | 1,067 | 1,000 |
|
John Francis Peppin
1210 Ky Highway 36 E Unit 1 |
$61.59 | 1,115 | 949 |
|
Gene Jason Hunt
1210 Ky Highway 36 E |
$34.83 | 1,314 | 1,099 |
|
Dana C. Wyatt
1210 Ky Highway 36 E Ste 2C |
$39.21 | 1,356 | 1,074 |
|
Ardy C Wright
430 E Pleasant St |
$29.42 | 1,435 | 1,032 |
|
Brian T Mulberry
1210 Ky Highway 36 E |
$39.36 | 1,438 | 1,300 |
|
Srinadh Annangi
1210 Ky Highway 36 E Unit 1 |
$44.81 | 1,621 | 1,385 |
|
Augustina Jewel Mcdowell
1210 Ky Highway 36 E |
$22.95 | 1,771 | 1,318 |
|
Crista Strawzell Crowdy
1210 Ky Highway 36E |
$45.84 | 1,818 | 1,607 |
|
Richard Henry Norfleet
1210 Ky Highway 36 E |
$39.50 | 1,856 | 1,646 |
|
Jeannie Kilpela
430 E Pleasant St |
$37.12 | 1,909 | 1,699 |
|
Josh Utah Hill
1210 Ky Highway 36 E |
$31.50 | 2,125 | 1,819 |
|
Dwight E Lewis
1210 Ky Highway 36 E |
$37.17 | 2,126 | 1,794 |
|
Leslie Ellen Schwindel
1210 Ky Highway 36 E |
$43.21 | 2,163 | 1,953 |
|
Jennifer L Gauze
1606 Us Highway 27 N |
$29.07 | 2,189 | 1,809 |
|
Sofie Lavinia Pinney
1210 Ky Highway 36 E |
$33.05 | 2,218 | 1,686 |
|
Amber Hunt
1210 Ky Highway 36 E |
$34.80 | 2,429 | 2,174 |
|
Emily Gumm
809 Us Highway 27 S |
$49.79 | 2,654 | 2,325 |
|
Melissa Aguilar
210 S. Walnut St. |
$29.40 | 2,750 | 2,457 |
|
James Otto Calder
1210 Ky Highway 36 E Ste 2A |
$45.94 | 3,153 | 2,715 |
|
Stephen Andrew Moses
430 E Pleasant St |
$40.98 | 4,341 | 3,718 |
|
Melinda D. Rath
2807 Ky Highway 36 W |
$36.48 | 5,117 | 4,919 |
|
Misti S Dixon Mcnees
1210 Ky Highway 36 E Ste 2A |
$40.32 | 5,177 | 4,529 |
|
Sarah Lindsey Florence
1445 Ky Highway 36 E |
$35.98 | 5,582 | 4,825 |
|
Derek J. Clarke
1210 Ky Highway 36 E |
$46.28 | 6,184 | 4,097 |
|
Stephen A Besson
1445 Ky Highway 36 E |
$40.97 | 8,933 | 7,501 |
|
Dixie Davidson Stone
439 E Pleasant St |
$40.07 | 13,104 | 11,188 |
|
Michael S. Gainey
1210 Ky Highway 36 E |
$39.41 | 15,419 | 12,657 |
|
Aaron Michael Ferda
235 Stokely Rd |
$47.62 | 23,134 | 12,580 |
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 Cynthiana, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cynthiana, KY is $43.54 per claim, based on 179,356 claims from 51 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 Cynthiana, KY?
There are 51 Medicaid providers offering Office Visit related services in Cynthiana, KY according to public payment data.
What is the price range for Office Visit in Cynthiana, KY?
Medicaid reimbursement for Office Visit in Cynthiana, KY ranges from $6.99 to $66.37 per claim, with an average of $43.54. 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 Cynthiana, KY
Blood Work & Lab Tests
Avg $12.04
200,660 claims
Emergency Room Visit
Avg $107.18
64,017 claims
Urinalysis & Urine Tests
Avg $4.58
41,784 claims
Physical Therapy
Avg $45.42
41,304 claims
Durable Medical Equipment (DME)
Avg $24.91
36,564 claims
X-Ray
Avg $36.78
36,298 claims
EKG / ECG (Electrocardiogram)
Avg $33.59
29,996 claims
Speech Therapy
Avg $11.06
22,828 claims