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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Elizabethtown, KY: $38.83

Avg. Paid

$38.83

Range

$0.82 – $671.07

Total Claims

1,102,233

Providers

296

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 Elizabethtown, KY

Provider Avg. Paid Claims Patients
Hiral Patel Badiwala

2618 Ring Rd Ste 108

$37.35 13 12
Heather Monique Hodges

1106 Tunnel Hill Rd

$44.05 13 13
Michael Thomas Owsley

596 Westport Road Suite B102

$73.39 14 13
James Duke

115 Parkway Dr

$55.92 14 14
Thomas David Falls

105 Idlewood Ct Unit C

$30.50 16 14
Ted Moore

1700 Ring Rd

$46.40 16 16
John Morrell Pendleton

1700 Ring Rd

$45.78 16 15
Pavani Nathala

100 Helmwood Plaza Dr

$52.97 19 18
Joshua K Salabei

200 Cardinal Dr Ste 308

$43.81 26 26
Craig Alan Bartelt

2902 Dolphin Dr

$64.11 27 26
Tao T Le

914 N Dixie Ave

$35.13 28 28
Jeffrey Austin

913 N Dixie Ave

$62.79 28 26
Darin P Coen

2412 Ring Rd

$89.78 36 35
Caitlyn Popham

157 Towne Dr Ste 103

$39.23 36 33
Elisa Boma Garcia

1237 Woodland Dr

$38.24 40 36
Stepworks Recovery Centers Llc

2410 Ring Rd Ste 500

$8.10 40 26
Tyler B Harp

1301 Ring Rd

$93.18 47 47
Steven Daniel Milesko

913 N Dixie Ave

$30.81 48 41
Krista D Lanham

111 Towne Dr

$44.46 51 48
Ingram & Ball, Pllc

2412 Ring Rd

$82.36 53 53
Matthew Colasanti

2626 Ring Rd Ste 102

$43.93 58 54
Tracy R Duvall

151 Drexler Cir

$0.82 59 36
Utsab Raj Panta

1324 Woodland Dr Ste A

$59.24 64 53
William C Eriksen

701 N Mulberry St

$42.41 73 68
Tiffany S. Basham

1106 Julianna Ct

$33.85 74 66
Deborah A Wall

107 Cranes Roost Ct

$6.89 74 69
Thomas Robert Hustead

2413 Ring Rd Ste 100

$35.73 85 70
Britt Austin Borders

611 W Poplar St Ste C4A

$30.78 90 68
Jessica Marie Rivera

2000 Ring Rd

$45.83 92 89
Mallory Ann Doyle

105 Financial Pl

$16.40 95 85
Brittany Ewing O'Bryan

1700 Ring Rd

$37.41 96 93
Dawn M Shelby

1704 N Dixie Hwy # 913

$58.39 98 96
Matthew Brian Clark

110 Layman Ln

$17.55 104 102
Brian Eklund

914 North Dixie

$37.64 107 103
Jessica L Lafollette

105 Financial Pl Ste 105

$34.12 108 100
Lincoln Trail District Health Department

580 Westport Rd

$61.32 108 105
Ashley Smith Carrico

1111 Ring Rd

$8.18 109 80
Sarah Mary Hudson-Williamson

2406 Ring Rd

$28.89 111 94
Kayleigh Rose Money

913 N Dixie Ave

$32.18 116 103
Paula B Cordova

1230 Woodland Dr Ste 207

$22.88 128 102
Laura Ashley Buchanan

914 N Dixie Ave Ste 302

$45.65 134 107
Christopher J Godfrey

914 N Dixie Ave

$35.23 136 124
Shih-Chia Chung

1111 Ring Rd

$23.77 143 124
Mohammad Javad Iqbal

1230 Woodland Drive Suite 110

$24.76 159 141
Rachel Taylor

157 Towne Dr Ste 104

$35.45 171 169
Jonatan David Manotas Gomez

100 Helmwood Dr

$49.19 202 186
Jerrina Gusler

107 N Mantle Ave

$21.62 203 122
Carrie A Westbrook

1321 Ring Rd Ste 107

$23.92 209 174
Rebecca Tatum

157 Towne Dr Ste 104

$26.15 213 178
Nina June Flores

1324 Woodland Dr

$23.44 233 198

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 Elizabethtown, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elizabethtown, KY is $38.83 per claim, based on 1,102,233 claims from 296 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 Elizabethtown, KY?

There are 296 Medicaid providers offering Office Visit related services in Elizabethtown, KY according to public payment data.

What is the price range for Office Visit in Elizabethtown, KY?

Medicaid reimbursement for Office Visit in Elizabethtown, KY ranges from $0.82 to $671.07 per claim, with an average of $38.83. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Elizabethtown, KY