Average Medicaid Office Visit Payments in Fort Thomas, KY: $55.75
Avg. Paid
$55.75
Range
$16.88 – $124.28
Total Claims
22,879
Providers
22
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 Fort Thomas, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Erek Steven Majka
85 N Grand Ave |
$61.94 | 3,411 | 2,671 |
|
Nkechinyere Augusta Nwosu
20 N Grand Ave Ste 8 |
$57.82 | 2,831 | 2,505 |
|
St Elizabeth Medical Center, Inc
85 N Grand Ave |
$21.77 | 2,238 | 1,688 |
|
Perry Stephen Poteet
40 N Grand Ave |
$53.60 | 2,003 | 1,827 |
|
Michael Anthony Domet
40 N Grand Ave |
$55.15 | 1,922 | 1,771 |
|
Patrick James Haas
40 N Grand Ave |
$56.21 | 1,672 | 1,523 |
|
Nathan Wiebracht
40 N Grand Ave Ste 101 |
$53.31 | 1,317 | 1,150 |
|
Bryan Jeffrey Krol
40 N Grand Ave |
$66.23 | 1,139 | 1,049 |
|
Thomas Kyle Hamilton
40 N Grand Ave |
$80.68 | 1,047 | 942 |
|
Todd M. Kirchhoff
40 N Grand Ave |
$63.07 | 1,026 | 918 |
|
Elizabeth Kreuzmann
1000 S Fort Thomas Ave |
$105.32 | 951 | 879 |
|
Robert Joseph Pettit
775 Alexandria Pike |
$51.53 | 772 | 668 |
|
Kristina M Kirchner
40 N Grand Ave Ste 101 |
$16.88 | 569 | 499 |
|
James Jay Kempiners
40 N Grand Ave |
$61.44 | 549 | 497 |
|
Kevin Michael Ziegler
85 N Grand Ave |
$52.56 | 480 | 426 |
|
William Lewis Stafford
85 N Grand Ave |
$31.62 | 416 | 382 |
|
Kimberly K Edwards
85 N Grand Ave |
$49.51 | 171 | 159 |
|
Jessica Hyden
20 N Grand Ave |
$43.04 | 119 | 114 |
|
Heidi C Murley
85 N Grand Ave |
$27.30 | 81 | 80 |
|
Zi-Rou Liew Vendome
85 N Grand Ave |
$124.28 | 71 | 71 |
|
Kimberly Danielle Arias
85 N Grand Ave |
$27.96 | 62 | 56 |
|
Rajiv Verma
85 N Grand Ave |
$47.79 | 32 | 26 |
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 Fort Thomas, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fort Thomas, KY is $55.75 per claim, based on 22,879 claims from 22 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 Fort Thomas, KY?
There are 22 Medicaid providers offering Office Visit related services in Fort Thomas, KY according to public payment data.
What is the price range for Office Visit in Fort Thomas, KY?
Medicaid reimbursement for Office Visit in Fort Thomas, KY ranges from $16.88 to $124.28 per claim, with an average of $55.75. 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 Fort Thomas, KY
Emergency Room Visit
Avg $118.93
299,995 claims
Blood Work & Lab Tests
Avg $5.63
194,343 claims
Case Management Services
Avg $106.83
48,302 claims
X-Ray
Avg $35.60
34,460 claims
EKG / ECG (Electrocardiogram)
Avg $13.84
30,075 claims
Home Health Visit
Avg $82.73
28,483 claims
Urinalysis & Urine Tests
Avg $2.09
27,545 claims
Prescription Medications
Avg $4.02
23,974 claims