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 |
|---|---|---|---|
|
Mohamed Asem Zineddin
8731 Bankers St Unit A |
$46.52 | 46,200 | 39,026 |
|
Michael Eugene Fletcher
8780 Us Highway 42 Ste E |
$23.30 | 41,886 | 16,947 |
|
Alan Lawton Myers
7607 Dixie Hwy |
$48.53 | 15,100 | 10,001 |
|
Thomas E Fellens
7607 Dixie Hwy |
$30.85 | 12,868 | 9,132 |
|
Robert J Tagher
7409 Us Highway 42 |
$50.68 | 12,220 | 11,277 |
|
Brandie Carmen Chan
7300 Turfway Rd |
$47.39 | 11,314 | 10,725 |
|
Rama Chandrashekaran
7607 Dixie Hwy |
$39.58 | 11,269 | 10,243 |
|
Nancy H Warren
7300 Turfway Road |
$31.69 | 10,615 | 9,852 |
|
Howard Joseph Schertzinger
8726 Us Highway 42 |
$44.17 | 10,153 | 8,038 |
|
Katie Ann Gruen
4900 Houston Rd |
$30.21 | 9,718 | 8,986 |
|
Carrie Elizabeth Herthel
4900 Houston Rd |
$27.25 | 9,479 | 8,898 |
|
John W Lacount
7300 Turfway Rd |
$49.87 | 9,227 | 8,896 |
|
Brandon Mchenry
7370 Turfway Rd |
$45.22 | 9,097 | 8,568 |
|
Christy Renee Bowling
7000 Dixie Hwy |
$28.70 | 8,324 | 7,610 |
|
Ryan Patrick Woods
8726 Us Hwy 42 |
$44.83 | 8,310 | 7,592 |
|
Ann Reed Macke
7309 Us Highway 42 |
$51.72 | 7,845 | 7,450 |
|
Amy L Heisel
7300 Turfway Rd |
$47.45 | 7,540 | 7,197 |
|
Sharon Schroeder Wynn
7409 Us 42 |
$50.34 | 7,471 | 6,842 |
|
Catherine A Hughes
7300 Turfway Rd |
$46.03 | 7,468 | 7,228 |
|
Jaclyn M Anderson
7300 Turfway Rd |
$43.89 | 7,322 | 6,923 |
|
Lauren Elizabeth Grammer
4900 Houston Rd |
$30.48 | 7,241 | 6,707 |
|
Piotr Zieba
7388 Turfway Rd |
$47.77 | 7,005 | 6,080 |
|
Laura Cancilla Kenny
1515 Cavalry Dr. |
$116.68 | 6,940 | 5,877 |
|
Raymond K Pate
8726 Us Hwy 42 |
$45.95 | 6,806 | 6,439 |
|
Timmy Helton
7607 Dixie Hwy |
$33.11 | 6,783 | 6,193 |
|
Brian Deloyd Jones
7459 Burlington Pike |
$24.90 | 6,247 | 5,022 |
|
Rafid J Kakel
8726 Us Hwy 42 |
$49.23 | 6,052 | 5,752 |
|
Jaclyn Nicole Workman
7300 Turfway Road |
$185.65 | 5,896 | 5,271 |
|
Carmen Woolums
7300 Turfway Road |
$33.64 | 5,541 | 5,131 |
|
Catherine Rena Northup
7607 Dixie Hwy |
$41.91 | 5,470 | 5,047 |
|
Candace Lynn Koopman
7370 Turfway Rd |
$40.09 | 5,469 | 5,115 |
|
Robert A Gerke
68 Cavalier Blvd |
$34.48 | 5,285 | 4,677 |
|
Angel L Velazquez-Santiago
8726 Us 42 |
$48.45 | 5,242 | 4,461 |
|
Michael Lee Wainscott
7607 Dixie Hwy |
$29.14 | 5,176 | 4,828 |
|
Kimberly C Daly
7300 Turfway Rd |
$45.45 | 5,164 | 4,974 |
|
Rebecca Lyn Osborne Lewis
1689 Glens Dr |
$39.50 | 5,108 | 4,454 |
|
Jonathan Koop
7370 Turfway Rd |
$39.11 | 5,089 | 4,540 |
|
Douglas Goderwis
7300 Turfway Rd |
$39.42 | 5,011 | 4,643 |
|
Kheder Kutmah
8820 Bankers St |
$59.93 | 4,888 | 4,460 |
|
Martin Neville Pohl
8726 Us Highway 42 |
$45.11 | 4,694 | 4,452 |
|
Jamal Barrett
7607 Dixie Hwy |
$51.19 | 4,671 | 4,009 |
|
Gregory Joseph Mullen
7300 Turfway Rd |
$43.38 | 4,589 | 4,112 |
|
Kelly Ganster
7370 Turfway Rd |
$30.39 | 4,581 | 4,168 |
|
Kathryn Miller Kelsay
7459 Burlington Pike |
$33.64 | 4,454 | 3,903 |
|
Roslyn Kocsis
8820 Bankers St |
$32.24 | 4,438 | 3,214 |
|
Curtis Dorsch
7300 Turfway Rd |
$39.72 | 4,404 | 4,075 |
|
Joseph P Vonderbrink
7300 Turfway Road |
$42.37 | 4,320 | 4,040 |
|
Nicole Mcnees
8780 Us Highway 42 |
$27.40 | 4,320 | 3,297 |
|
Jennifer Lynn Dooley
7370 Turfway Rd |
$36.86 | 4,299 | 3,795 |
|
Lisa Fugate
7607 Dixie Hwy |
$42.41 | 4,294 | 3,680 |
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