Average Medicaid Office Visit Payments in Florence, KY: $42.62
Avg. Paid
$42.62
Range
$5.24 – $185.65
Total Claims
658,073
Providers
250
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 Florence, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lawrence R Mikkelson
8131 Us Highway 42 |
$65.86 | 12 | 12 |
|
Yamil Elias Michelen Alvarez
7370 Turfway Rd |
$30.66 | 13 | 13 |
|
Northern Kentucky Independent Disitrict Health Department
7505 Burlington Pike |
$36.80 | 14 | 14 |
|
Karan Motiani
4900 Houston Rd |
$73.18 | 15 | 15 |
|
Ai Ngoc Tran
6909 Burlington Pike Ste B |
$31.46 | 15 | 13 |
|
Aparna Shah
6905B Burlington Pike |
$19.94 | 17 | 12 |
|
Lauren Spencer Lewis
8850 Us Highway 42 Unit 2 |
$36.82 | 22 | 19 |
|
Kendra Hope Hughes
8726 Us 42 |
$28.48 | 22 | 14 |
|
Darren Andrew Kuhn
5900 Centennial Cir Ste 180 |
$5.24 | 24 | 15 |
|
Latonya A Brown
4900 Houston Rd |
$25.02 | 25 | 25 |
|
Norah Lunga
5940 Merchants St |
$84.24 | 27 | 25 |
|
Sonia R Chopra
7370 Turfway Rd |
$27.32 | 36 | 29 |
|
Sabra Marie Abner
7766 Ewing Blvd |
$65.71 | 42 | 40 |
|
Tamara White
5940 Merchant Dr |
$87.06 | 47 | 45 |
|
Allen Norbert Kramer
8726 Us 42 |
$58.12 | 49 | 41 |
|
Amanda M Miller
5001 Houston Rd |
$12.24 | 49 | 25 |
|
Kiran Bhatia
7370 Turfway Rd |
$29.50 | 50 | 39 |
|
Lynn Huesman
45 Cavalier Blvd |
$22.01 | 50 | 41 |
|
Amy Wenstrup
7685 Mall Rd |
$26.29 | 51 | 49 |
|
Pamela K. Fletcher
68 Cavalier Blvd |
$32.87 | 64 | 55 |
|
Brian John Crowley
7370 Turfway Rd |
$30.27 | 66 | 47 |
|
Anna Geiman
7607 Dixie Hwy |
$42.80 | 71 | 65 |
|
John Deis
7766 Ewing Blvd # 100 |
$101.90 | 78 | 76 |
|
Ramesh Kumar
7370 Turfway Rd |
$45.44 | 79 | 68 |
|
William M Nielson
7370 Turfway Rd |
$29.91 | 92 | 83 |
|
Julie Allison Beck-Otero
7300 Turfway Rd |
$44.02 | 98 | 91 |
|
Kristie L Thelen Mcmanus
59 Cavalier Blvd |
$39.78 | 100 | 94 |
|
Kristen Van De Carr
8640 Haines Dr Ste A |
$14.86 | 102 | 66 |
|
Timothy D Ehn
8780 Us 42 |
$23.73 | 110 | 85 |
|
Renee Nicole Rodgers
8726 Us 42 |
$29.72 | 110 | 94 |
|
Katie J Holnbeck
7510 Us Route 42 |
$56.73 | 112 | 106 |
|
Brendan Collins
4900 Houston Rd |
$80.47 | 113 | 96 |
|
Kathleen Clevenger
7459 Burlington Pike |
$21.62 | 121 | 67 |
|
Alexander E Dapkus
7201 Dixie Hwy |
$9.65 | 129 | 106 |
|
Sarah Kathleen Mosteller
7607 Dixie Hwy |
$36.52 | 131 | 79 |
|
Mark D Sander
7766 Ewing Blvd |
$36.36 | 141 | 124 |
|
Kevin Degroot
7300 Turfway Rd |
$37.05 | 145 | 104 |
|
Sanjana Shubhani Awasty
7388 Turfway Rd |
$88.07 | 149 | 140 |
|
Brett M Koester
7346 Us Highway 42 |
$53.14 | 151 | 120 |
|
Samantha Hamilton
7607 Dixie Hwy |
$30.80 | 152 | 146 |
|
Mary Mann
8780 Us Highway 42 |
$40.16 | 154 | 124 |
|
Richard Larry Gaston
4900 Houston Rd |
$49.09 | 156 | 106 |
|
Philip D Williams
4900 Houston Road |
$13.10 | 157 | 137 |
|
James Schneider
7370 Turfway Rd |
$35.32 | 168 | 157 |
|
Michael J Miller
10095 Investment Way |
$39.98 | 174 | 151 |
|
Connie Maddox
7459 Burlington Pike |
$24.78 | 178 | 142 |
|
Stacy Boulton
6907 Burlington Pike |
$13.96 | 181 | 168 |
|
Wafa Jamil Nasser
10032 Demia Way |
$43.29 | 182 | 164 |
|
Robert Jamey Herbst
600 Meijer Dr Ste 104 |
$27.32 | 192 | 139 |
|
David Kleesattel
4900 Houston Rd |
$83.56 | 198 | 188 |
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 Florence, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Florence, KY is $42.62 per claim, based on 658,073 claims from 250 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 Florence, KY?
There are 250 Medicaid providers offering Office Visit related services in Florence, KY according to public payment data.
What is the price range for Office Visit in Florence, KY?
Medicaid reimbursement for Office Visit in Florence, KY ranges from $5.24 to $185.65 per claim, with an average of $42.62. 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 Florence, KY
Blood Work & Lab Tests
Avg $17.61
499,082 claims
Physical Therapy
Avg $76.56
254,129 claims
Vaccines & Immunizations
Avg $17.85
163,500 claims
Emergency Room Visit
Avg $220.04
133,893 claims
Psychiatric Evaluation
Avg $70.31
120,667 claims
Dental Cleaning & Exam
Avg $36.71
103,695 claims
Chiropractic Care
Avg $15.24
101,670 claims
Speech Therapy
Avg $7.66
95,581 claims