Average Medicaid Office Visit Payments in Flatwoods, KY: $31.41
Avg. Paid
$31.41
Range
$10.74 – $43.80
Total Claims
85,093
Providers
17
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 Flatwoods, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lisa Pennington
2420 Argillite Rd Ste B |
$31.76 | 11,519 | 9,678 |
|
Sonya A Caldwell
1107 Bellefonte Rd |
$28.00 | 9,735 | 8,554 |
|
Lisa Renee Davis
1107 Bellefonte Rd |
$32.01 | 9,038 | 8,257 |
|
Kimberly Dawn Stapleton
1109 Bellefonte Rd |
$32.75 | 8,587 | 7,616 |
|
William Shayne Bennett
2420 Argillite Rd Ste B |
$30.94 | 7,746 | 6,420 |
|
William Williams
1107 Bellefonte Rd |
$40.94 | 7,617 | 6,566 |
|
Brittani Kay Dingess
1109 Bellefonte Rd |
$37.01 | 7,235 | 5,997 |
|
Samantha Childers
2420 Argillite Rd Ste B |
$31.80 | 6,436 | 5,263 |
|
Jason W Runyon
2412 Argillite Rd |
$10.74 | 5,846 | 2,159 |
|
Tina Marie England
1107 Bellefonte Rd |
$26.20 | 3,431 | 2,887 |
|
Anna Marie Elkins
2420 Argillite Rd Ste B |
$30.62 | 3,104 | 2,638 |
|
Kathie L Watson-Gray
1610 Argillite Rd |
$43.80 | 3,070 | 2,148 |
|
Lesley P Abbott
2121 Argillite Rd |
$35.01 | 649 | 552 |
|
Jennifer Louise Salyers
1107 Bellefonte Rd |
$28.20 | 546 | 504 |
|
Augustinus J Lobach
2420 Argillite Road Suite B |
$43.44 | 283 | 207 |
|
Jane Wiseman Strader
1109 Bellefonte Rd |
$27.38 | 161 | 142 |
|
Kevin Howard
2420 Argillite Rd |
$28.66 | 90 | 65 |
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 Flatwoods, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Flatwoods, KY is $31.41 per claim, based on 85,093 claims from 17 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 Flatwoods, KY?
There are 17 Medicaid providers offering Office Visit related services in Flatwoods, KY according to public payment data.
What is the price range for Office Visit in Flatwoods, KY?
Medicaid reimbursement for Office Visit in Flatwoods, KY ranges from $10.74 to $43.80 per claim, with an average of $31.41. 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 Flatwoods, KY
Vaccines & Immunizations
Avg $21.12
11,912 claims
Chiropractic Care
Avg $11.27
8,305 claims
Psychiatric Evaluation
Avg $15.83
7,715 claims
Blood Work & Lab Tests
Avg $2.69
6,820 claims
Ambulance Transport
Avg $26.11
4,467 claims
Nursing Facility Care
Avg $5.17
3,854 claims
Eye Exam
Avg $45.26
3,427 claims
Hearing Test (Audiometry)
Avg $9.80
1,514 claims