Average Medicaid Office Visit Payments in Edgewood, KY: $37.98
Avg. Paid
$37.98
Range
$2.57 – $113.97
Total Claims
271,432
Providers
214
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 Edgewood, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St Elizabeth Medical Center, Inc
1 Medical Village Dr |
$16.09 | 36,404 | 30,097 |
|
Shannon K Bentley
413 South Loop Road |
$42.68 | 7,322 | 6,608 |
|
Adam Vincent Metzler
560 S Loop Rd |
$53.10 | 7,282 | 6,339 |
|
Lesley Marie Weghorn
830 Thomas More Pkwy |
$40.15 | 6,741 | 6,268 |
|
Rebecca Elise Popham
560 S Loop Rd |
$51.38 | 5,776 | 5,122 |
|
Tonya Widener
711 Medical Village Drive |
$27.96 | 5,504 | 4,921 |
|
Richard Martin Hoblitzell
560 S Loop Rd |
$47.35 | 5,460 | 4,620 |
|
Jeffrey Thomas Janning
830 Thomas More Pkwy |
$39.59 | 5,411 | 4,949 |
|
Lauren Roth
1 Medical Village Dr |
$26.78 | 5,363 | 3,210 |
|
Kimberly Ann Vormbrock
830 Thomas More Pkwy |
$38.95 | 5,032 | 4,316 |
|
James Douglas Baker
560 S Loop Rd |
$52.42 | 4,735 | 4,066 |
|
Nicholas Joseph Reist
560 S Loop Rd |
$43.15 | 4,419 | 3,749 |
|
Farzin Foruhari
1 Medical Village Dr |
$57.58 | 4,319 | 3,946 |
|
Timothy Michael Burns
560 S Loop Rd |
$40.03 | 4,276 | 3,439 |
|
Donald J Swikert
413 S Loop Rd |
$47.15 | 4,208 | 3,988 |
|
John Jarred Molitoris
1 Medical Village Dr |
$50.69 | 4,126 | 3,719 |
|
Ivan Dario Bedoya Apraez
1 Medical Village Dr |
$31.38 | 4,083 | 2,870 |
|
Chrisanthy Zowtiak
413 South Loop Road |
$43.80 | 4,079 | 3,796 |
|
Matthew James Connolly
560 S Loop Rd |
$36.48 | 4,045 | 3,097 |
|
Karl M Schmitt
413 S Loop Rd |
$42.02 | 3,918 | 3,674 |
|
Jaclyn Lunsford
200 Medical Village Dr |
$36.93 | 3,877 | 3,377 |
|
Bobbi Omori Lakin
413 South Loop Road |
$69.29 | 3,876 | 3,328 |
|
Charles Jude Kelly
20 Medical Village Dr |
$45.28 | 3,636 | 3,490 |
|
Robert N Tracy
413 South Loop Road |
$41.40 | 3,472 | 3,232 |
|
Matthew Scott Grunkemeyer
560 S Loop Rd |
$38.24 | 3,172 | 2,769 |
|
Irene Ann Jentz
20 Medical Village Dr |
$45.92 | 2,979 | 2,831 |
|
Alexa Summe
830 Thomas More Pkwy |
$38.35 | 2,958 | 2,656 |
|
Colleen M Darnell
1 Medical Village Dr |
$41.19 | 2,829 | 2,479 |
|
Kevin Joseph Kelly
20 Medical Village Dr |
$41.62 | 2,827 | 2,688 |
|
Kenneth Bazydlo
413 South Loop Road |
$42.04 | 2,615 | 2,455 |
|
Ryan Patrick Finnan
560 S Loop Rd |
$43.45 | 2,592 | 2,206 |
|
Perry Kent Bohanon
334 Thomas More Parkway |
$30.13 | 2,564 | 2,096 |
|
Sarah Hawkins
1 Medical Village Dr |
$65.40 | 2,510 | 2,063 |
|
Matthew Todd Desjardins
560 S Loop Rd |
$46.21 | 2,417 | 2,091 |
|
Jerome B Schutzman
711 Medical Village Dr |
$36.41 | 2,355 | 2,166 |
|
Christina Staggs
711 Medical Village Dr |
$30.49 | 2,354 | 2,170 |
|
Matthew Jacob Kotlove
1 Medical Village Dr |
$37.23 | 2,291 | 1,717 |
|
Mary Ann Barnes
413 South Loop Road |
$42.37 | 2,269 | 2,123 |
|
Radhika Bala Ramesh
20 Medical Village Dr |
$43.20 | 2,266 | 2,155 |
|
Angela D. Franke
20 Medical Village Dr Ste 301 |
$8.13 | 2,225 | 1,929 |
|
Robert Scott Jolson
560 S Loop Rd |
$49.52 | 2,166 | 1,997 |
|
Charles Elridge Whalen
560 S Loop Rd |
$38.28 | 2,162 | 1,563 |
|
Thomas Mark Due
560 S Loop Rd |
$46.87 | 2,148 | 1,827 |
|
Lauren N Jones
1 Medical Village Dr |
$31.43 | 2,131 | 1,875 |
|
Michael Anthony Grefer
560 S Loop Rd |
$33.50 | 2,129 | 1,655 |
|
Darryl D Dias
711 Medical Village Dr |
$34.76 | 2,111 | 1,942 |
|
Holly G Danneman
413 S Loop Rd |
$43.12 | 2,063 | 1,925 |
|
Christopher Miller
560 S Loop Rd |
$48.35 | 2,005 | 1,843 |
|
Sarah Beth Flora
413 South Loop Road |
$38.81 | 1,972 | 1,763 |
|
Muhammad Kashif Riaz
1 Medical Village Dr |
$36.47 | 1,797 | 1,597 |
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 Edgewood, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Edgewood, KY is $37.98 per claim, based on 271,432 claims from 214 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 Edgewood, KY?
There are 214 Medicaid providers offering Office Visit related services in Edgewood, KY according to public payment data.
What is the price range for Office Visit in Edgewood, KY?
Medicaid reimbursement for Office Visit in Edgewood, KY ranges from $2.57 to $113.97 per claim, with an average of $37.98. 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 Edgewood, KY
Blood Work & Lab Tests
Avg $10.10
1,335,437 claims
Emergency Room Visit
Avg $152.51
512,114 claims
X-Ray
Avg $17.26
338,127 claims
CT Scan (Computed Tomography)
Avg $71.34
152,508 claims
Urinalysis & Urine Tests
Avg $4.85
141,891 claims
Physical Therapy
Avg $31.21
119,139 claims
EKG / ECG (Electrocardiogram)
Avg $15.95
116,576 claims
Ultrasound
Avg $68.15
113,247 claims