Average Medicaid Office Visit Payments in Eddyville, KY: $30.57
Avg. Paid
$30.57
Range
$27.45 – $40.24
Total Claims
21,182
Providers
9
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 Eddyville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Wayne French
403 W Fairview Ave |
$31.58 | 5,519 | 4,501 |
|
Jeanie Nicole Doom
627 W Fairview Ave |
$27.45 | 4,881 | 3,955 |
|
Teresa Rae White
209 W Main St |
$27.92 | 3,755 | 2,911 |
|
Denise Evans Adams
403 W Fairview Ave |
$31.18 | 3,640 | 3,043 |
|
Jeremy Webb
627 W Fairview Ave |
$40.24 | 1,558 | 1,301 |
|
Laura Kay Wood
209 W Main St |
$28.54 | 780 | 600 |
|
Chanin Hiland
627 W Fairview Ave |
$31.35 | 598 | 520 |
|
Baptist Health Medical Group Inc
627 W Fairview Ave |
$38.75 | 249 | 201 |
|
Roy D Sellers
266 Water St |
$37.80 | 202 | 160 |
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 Eddyville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Eddyville, KY is $30.57 per claim, based on 21,182 claims from 9 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 Eddyville, KY?
There are 9 Medicaid providers offering Office Visit related services in Eddyville, KY according to public payment data.
What is the price range for Office Visit in Eddyville, KY?
Medicaid reimbursement for Office Visit in Eddyville, KY ranges from $27.45 to $40.24 per claim, with an average of $30.57. 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
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Eddyville, KY
Speech Therapy
Avg $5.65
5,736 claims
Ambulance Transport
Avg $38.40
4,318 claims
Nursing Facility Care
Avg $9.20
2,810 claims
Vaccines & Immunizations
Avg $28.21
1,651 claims
Chiropractic Care
Avg $15.75
1,517 claims
Physical Therapy
Avg $7.30
622 claims
Psychiatric Evaluation
Avg $19.80
456 claims
Emergency Room Visit
Avg $40.74
73 claims