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 |
|---|---|---|---|
|
Jennifer Marie Moreland
560 S Loop Rd |
$31.28 | 12 | 12 |
|
Royce Ford Calhoun
1 Medical Village Dr |
$36.52 | 12 | 12 |
|
Edward J Holland
580 S Loop Rd |
$37.23 | 13 | 12 |
|
Jennifer Bowling
1 Medical Village Drive |
$30.80 | 13 | 12 |
|
Manish S. Bhandari
1 Medical Village Dr |
$45.37 | 13 | 12 |
|
Matthew Paul Kurian
1 Medical Village Dr |
$67.05 | 13 | 12 |
|
Patricia Julien
1 Medical Village Dr |
$56.23 | 14 | 14 |
|
Whitley P Mcintosh
20 Medical Village Dr |
$42.63 | 14 | 12 |
|
Krista M Fowler
711 Medical Village Dr |
$12.28 | 14 | 14 |
|
Maureen Miller Pelletier
1 Medical Village Dr |
$58.87 | 15 | 15 |
|
Erin M Tuemler
20 Medical Village Dr |
$39.97 | 16 | 15 |
|
Brett Welch
1 Medical Village Drive |
$25.81 | 16 | 14 |
|
Sandra Jean Alexander-Lewis
1 Medical Village Dr |
$24.51 | 16 | 13 |
|
Alexander H Hou
20 Medical Village Dr |
$13.32 | 16 | 13 |
|
John P Eldridge
20 Medical Village Dr |
$29.56 | 16 | 12 |
|
Darren R Hurst
1 Medical Village Dr |
$18.11 | 18 | 13 |
|
Mustafa S Mawih
830 Thomas More Pkwy Ste 200 |
$26.61 | 20 | 18 |
|
Mohamad C Sinno
711 Medical Village Dr |
$29.07 | 25 | 25 |
|
Christine Elaine Wilson
1 Medical Village Drive |
$15.57 | 27 | 15 |
|
James Albert Miller
711 Medical Village Dr |
$64.46 | 27 | 27 |
|
Kenneth A Glavan
20 Medical Village Dr |
$113.97 | 27 | 25 |
|
Jessica Mollmann
711 Medical Village Dr |
$22.26 | 28 | 25 |
|
Tiffani Sandra Bartolac
711 Medical Village Dr |
$29.76 | 30 | 28 |
|
Lisa J Arrasmith
200 Medical Village Dr |
$33.28 | 30 | 25 |
|
Barbara J Bell
711 Medical Village Dr |
$2.57 | 31 | 31 |
|
Madison Griffis
413 S Loop Rd |
$21.40 | 34 | 32 |
|
Ashley Nicole Pope
1 Medical Village Dr |
$27.36 | 37 | 36 |
|
Amit Srivastava
711 Medical Village Drive |
$6.06 | 37 | 29 |
|
Brooke Nicole Hyde
580 S Loop Rd Ste 200 |
$51.79 | 38 | 38 |
|
Matthew David Schlagheck
998 Dudley Pike |
$11.37 | 39 | 30 |
|
Mary M Redden- Borowski
1 Medical Village Dr |
$41.85 | 43 | 29 |
|
Meredith A Landorf
20 Medical Village Dr |
$60.77 | 43 | 40 |
|
Catherine Ann Holtzapfel
1 Medical Village Dr |
$21.21 | 45 | 38 |
|
Liberty Delisle
1 Medical Village Dr |
$38.17 | 45 | 40 |
|
Samuel S Newman
20 Medical Village Dr |
$22.44 | 46 | 39 |
|
Adam Phillip Schumaier
560 S Loop Rd |
$29.80 | 49 | 42 |
|
Jeffrey Alan Chapek
560 S Loop Rd |
$55.90 | 53 | 49 |
|
Michelle Dawn Long
1 Medical Village Dr |
$24.04 | 54 | 51 |
|
Christopher Robertson Nyland
413 S Loop Rd |
$19.54 | 54 | 54 |
|
Steve Chausse
20 Medical Village Dr |
$40.89 | 61 | 52 |
|
Lillian Louise Argent
1 Medical Village Dr |
$38.38 | 61 | 55 |
|
Danielle Hubbard
1 Medical Village Dr |
$42.04 | 62 | 60 |
|
Holly Ann Laux
1 Medical Village Dr |
$26.08 | 62 | 57 |
|
Minsig Choi
1 Medical Village Dr |
$41.24 | 63 | 53 |
|
Stephanie M Herro
1 Medical Village Dr |
$24.65 | 66 | 57 |
|
Laura M Trice
1 Medical Village Drive |
$28.15 | 66 | 64 |
|
Vail M Brennan
20 Medical Village Dr |
$46.60 | 69 | 63 |
|
David H Kim
20 Medical Village Dr |
$33.18 | 69 | 66 |
|
Joseph Michael Guenther
20 Medical Village Dr Ste 254 |
$35.36 | 70 | 62 |
|
Catherine Kremer
560 S Loop Rd |
$36.36 | 73 | 72 |
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