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
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 Elizabethtown, KY
Blood Work & Lab Tests
Avg $10.06
1,318,668 claims
Physical Therapy
Avg $87.89
1,284,441 claims
Substance Abuse Treatment
Avg $86.14
411,305 claims
Emergency Room Visit
Avg $136.45
364,025 claims
Psychiatric Evaluation
Avg $60.09
344,799 claims
Home Health Visit
Avg $109.04
254,153 claims
X-Ray
Avg $38.32
190,542 claims
Urinalysis & Urine Tests
Avg $3.57
186,095 claims