Average Medicaid Office Visit Payments in Elkton, KY: $34.01
Avg. Paid
$34.01
Range
$0.00 – $49.05
Total Claims
108,554
Providers
24
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 Elkton, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer Lynne Henderson
810 S Main St |
$49.05 | 13,740 | 12,561 |
|
Dana Nall
713 West Main Street Eklton, Ky 42220 |
$36.78 | 9,956 | 8,561 |
|
Todd County Middle School Clinic
515 W Main St |
$37.15 | 8,516 | 4,079 |
|
Diana Marie Hutchinson
105 Elk Fork Rd |
$25.86 | 7,985 | 5,785 |
|
Guadalupe Robles Misquez
810 S Main St |
$5.10 | 6,492 | 5,196 |
|
Diana Leszczewicz
810 S Main St |
$33.96 | 5,885 | 4,527 |
|
Mallory C. Jorif
810 S Main St |
$43.10 | 5,490 | 4,527 |
|
Morgan Murray
713 W Main St |
$30.50 | 5,435 | 4,595 |
|
Lorissa A Dias
713 W Main St |
$48.61 | 5,364 | 4,538 |
|
North Todd Elementary School Clinic
7300 Greenville Rd |
$33.40 | 5,252 | 3,198 |
|
Sheena Michele Blake
810 S Main St |
$30.57 | 4,845 | 3,823 |
|
Thomas G. Grabenstein
810 S Main St |
$39.70 | 4,772 | 3,730 |
|
Holly Annette Groves
810 S Main St |
$35.78 | 4,549 | 2,922 |
|
Dietta L Guess
713 W Main St |
$27.05 | 4,404 | 3,600 |
|
Heather R Bryant
810 S Main St |
$27.66 | 4,316 | 3,257 |
|
Bell Clinic Pllc
105 Elk Fork Rd |
$19.19 | 3,167 | 2,307 |
|
Todd County Central High School Clinic
806 S Main St |
$38.42 | 2,960 | 1,925 |
|
Elkton Clinic Psc
713 W Main St |
$20.96 | 2,157 | 1,600 |
|
Jayne Ellen Kendle
105 Elk Fork Rd |
$34.62 | 1,438 | 1,223 |
|
Kelly S Tate
118 S Main St |
$35.59 | 773 | 603 |
|
Helping Hands Health Clinic Inc
810 S Main St |
$16.96 | 758 | 555 |
|
Todd County Health Department
205 Mcreynolds Dr |
$39.57 | 191 | 136 |
|
Sarah Ashley Beam
810 South Main Street |
$0.00 | 76 | 37 |
|
Carra Gorrell
105 Elk Fork Rd |
$38.01 | 33 | 22 |
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 Elkton, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elkton, KY is $34.01 per claim, based on 108,554 claims from 24 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 Elkton, KY?
There are 24 Medicaid providers offering Office Visit related services in Elkton, KY according to public payment data.
What is the price range for Office Visit in Elkton, KY?
Medicaid reimbursement for Office Visit in Elkton, KY ranges from $0.00 to $49.05 per claim, with an average of $34.01. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Elkton, KY
Nursing Facility Care
Avg $27.97
17,505 claims
Vaccines & Immunizations
Avg $18.03
15,703 claims
Blood Work & Lab Tests
Avg $18.20
7,562 claims
Speech Therapy
Avg $7.08
6,065 claims
Ambulance Transport
Avg $41.78
5,828 claims
Physical Therapy
Avg $8.58
1,350 claims
Urinalysis & Urine Tests
Avg $1.83
1,230 claims
Hearing Test (Audiometry)
Avg $9.19
898 claims