Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Erlanger, KY: $31.18

Avg. Paid

$31.18

Range

$2.16 – $161.71

Total Claims

49,813

Providers

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 Erlanger, KY

Provider	Avg. Paid	Claims	Patients
Laura Maree Huss 3220 Dixie Hwy	$2.16	9,829	4,363
Joanie Lee Combs 1360 Dolwick Dr	$24.08	5,241	4,688
Richard James Ohmer 650 Sprucewood Ln	$71.09	4,443	4,248
Alyssa Kreider 1360 Dolwick Dr	$34.12	3,499	3,211
Bruce Alan Snider 510 Graves Ave Ste 210	$28.46	3,383	3,075
Laurie Lewis 600 Rodeo Dr	$29.26	2,833	1,946
Tonnie Lee Hutchison 4444 Dixie Hwy	$32.08	2,804	677
Paul Michael Birchall 650 Sprucewood Ln	$35.88	2,188	1,872
Annette Reynolds 820 Dolwick Drive	$47.51	1,914	1,539
Karen Landwehr 1360 Dolwick Dr	$29.22	1,547	1,419
Sarah Faith Bills 600 Rodeo Dr	$24.06	1,517	1,230
Tammy Jo Bowen 1360 Dolwick Dr	$29.63	1,473	1,385
Summit Medical Group, Inc 1360 Dolwick Drive	$46.21	1,473	1,437
Justin J Kruer 600 Rodeo Drive	$52.16	1,145	886
Dominique Caporusso 650 Sprucewood Ln	$53.70	945	846
Isabella Isbell 1360 Dolwick Dr	$28.42	895	820
Stephen Christopher Hamilton 600 Rodeo Dr	$46.15	616	526
Jillian Benson 600 Rodeo Dr Ste A	$22.63	583	489
Ami Shreyash Patel 650 Sprucewood Ln	$45.53	567	477
Samreen Munir 820 Dolwick Drive	$48.93	551	433
Nancy Mckinnon 1360 Dolwick Dr	$29.19	462	429
Jennifer Mullins 820 Dolwick Dr	$52.35	398	274
Lauren Bryan 820 Dolwick Dr	$78.47	287	273
Marianne Adkins 820 Dolwick Dr	$52.36	280	129
Kimberly Marie Arlinghaus 3104 Dixie Hwy	$36.59	239	214
Megan Elizabeth Potts 820 Dolwick Dr	$31.95	229	218
David H Sower 600 Rodeo Dr	$42.35	185	155
Theodore Dorow 1360 Dolwick Drive	$18.74	183	89
Vivekananda Reddy Rachamallu 820 Dolwick Dr	$161.71	48	46
Michael Isbell 1360 Dolwick Dr	$27.47	22	20
Jill S Jones 820 Dolwick Dr	$32.19	21	14
Anthony Wade Alvarez 820 Dolwick Dr	$40.75	13	12

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 Erlanger, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Erlanger, KY is $31.18 per claim, based on 49,813 claims from 32 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 Erlanger, KY?

There are 32 Medicaid providers offering Office Visit related services in Erlanger, KY according to public payment data.

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

Medicaid reimbursement for Office Visit in Erlanger, KY ranges from $2.16 to $161.71 per claim, with an average of $31.18. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Erlanger, KY: $31.18

Providers Offering Office Visit in Erlanger, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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