Average Medicaid Office Visit Payments in Frankfort, KY: $38.45
Avg. Paid
$38.45
Range
$1.13 – $92.81
Total Claims
479,125
Providers
128
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 Frankfort, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott A Haas
275 E Main St |
$38.96 | 32,426 | 19,553 |
|
David P Bosomworth
279 Kings Daughters Dr Ste 100 |
$34.10 | 28,757 | 27,240 |
|
New Vista Of The Bluegrass Inc
191 Doctors Dr |
$60.59 | 28,530 | 24,948 |
|
Leslie Ann Acosta
421 W Main St |
$15.49 | 19,303 | 11,673 |
|
Ganesh Yamraj
279 Kings Daughters Dr |
$36.96 | 18,680 | 16,867 |
|
Sabrina Michelle Wilkerson
421 W Main St |
$14.44 | 12,110 | 7,927 |
|
Vernon Mitchell May
4 Physicians Park |
$47.63 | 9,962 | 9,103 |
|
Taunya M Jasper
4 Physicians Park |
$49.40 | 9,698 | 9,111 |
|
Frank Donald Farley
593 E Main St |
$37.22 | 9,603 | 8,671 |
|
Jessica Lea Lester
89 C Michael Davemport Blvd Ste 2 |
$33.38 | 8,965 | 7,744 |
|
Robert Allan Blair
4 Physicians Park |
$45.64 | 8,937 | 8,317 |
|
Suresh Saxena
4 Physicians Park |
$51.29 | 8,765 | 8,321 |
|
Cheryl A. Mcclain
601 Versailles Rd |
$50.53 | 8,619 | 5,274 |
|
Neeraj Mahboob
601 Versailles Rd |
$32.58 | 8,543 | 6,388 |
|
Amael Abdel Shalash
4 Physicians Park |
$51.53 | 8,534 | 8,028 |
|
Cheryl Lynn Curd
4 Physicians Park |
$34.87 | 7,937 | 7,451 |
|
Elkhorn Middle School Clinic
1060 E Main St |
$38.69 | 7,912 | 4,679 |
|
Sherry Alene Benner
279 Kings Daughters Dr |
$28.66 | 7,766 | 6,511 |
|
Jennifer Ann Spath
4 Physicians Park |
$46.06 | 7,465 | 7,071 |
|
Chadwick Neal Ahn
279 Kings Daughters Dr |
$53.45 | 7,248 | 6,443 |
|
Emily L Goodlett
593 E Main St |
$31.74 | 7,237 | 6,569 |
|
Amanda R Hess
279 Kings Daughters Dr |
$37.75 | 7,232 | 5,937 |
|
Western Hills High School Clinic
100 Doctors Dr |
$38.73 | 7,036 | 3,425 |
|
Stephen K Hall
279 King'S Daughters Dr |
$35.85 | 7,006 | 5,683 |
|
Angela Saxena
279 Kings Daughters Dr |
$38.55 | 6,986 | 5,572 |
|
Mark A Wainwright
279 King'S Daughters Dr |
$38.53 | 6,765 | 5,465 |
|
Ramesh Ghanta
4 Physicians Park |
$49.62 | 6,626 | 5,719 |
|
Bradley Coleman Chase
4 Physicians Park |
$51.23 | 6,209 | 5,869 |
|
Paula Deann Kiser
635 Comanche Trl |
$40.51 | 5,519 | 2,727 |
|
Natalie Lisa Back
306 W Main St Ste 512 |
$29.00 | 5,510 | 4,972 |
|
Bondurant Middle School Clinic
300 Bondurant Drive |
$39.08 | 5,439 | 3,585 |
|
Sarah S Hatter
4 Physicians Park |
$35.32 | 5,431 | 4,931 |
|
Westridge Elementary School Clinic
200 Pebblebrook Way |
$38.79 | 5,227 | 3,161 |
|
Bridgeport Elementary School Clinic
411 Kings Daughters Dr |
$38.41 | 5,059 | 3,302 |
|
Dana Lynn Gibson
202 Limestone St S Ste 1A |
$39.94 | 5,033 | 4,483 |
|
Emily Dial
279 Kings Daughters Dr |
$27.26 | 4,892 | 4,173 |
|
Hearn Elementary School Clinic
300 Copperleaf Blvd |
$38.95 | 4,880 | 3,361 |
|
Andrea Semones
627 Comanche Trl |
$41.08 | 4,733 | 3,930 |
|
Franklin County Health Department
506 W 2Nd St |
$39.53 | 4,729 | 2,770 |
|
Peaks Mill Elementary School Clinic
100 Peaks Mill Rd |
$38.98 | 4,705 | 3,108 |
|
Tammy Elizabeth Jackson
409 Holmes St |
$36.43 | 4,699 | 3,843 |
|
Cassandra Roshel
279 Kings Daughters Dr Ste 100 |
$40.46 | 4,417 | 3,671 |
|
Gregory Fuqua
202 Limestone St S Ste 1B |
$30.74 | 4,178 | 3,314 |
|
Curtis Stephen Gale-Dyer
117 Old Soldiers Ln |
$1.13 | 4,175 | 2,183 |
|
Matthew Harold Bucher
1001 Leawood Dr |
$30.11 | 3,802 | 2,924 |
|
Rickey Cee Myhand
617 Chamberlin Ave |
$37.14 | 3,724 | 2,731 |
|
Elkhorn Elementary School Clinic
928 E Main St |
$37.22 | 3,716 | 2,313 |
|
Amanda Layne Sebastian
299 Kings Daughters Dr |
$49.08 | 3,594 | 3,380 |
|
Cynthia Lynn Williams
649 Chamberlin Ave |
$67.31 | 3,482 | 3,274 |
|
Brittany Gillstrap Denniston
1001 Leawood Dr Ste C |
$29.35 | 2,908 | 2,389 |
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 Frankfort, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Frankfort, KY is $38.45 per claim, based on 479,125 claims from 128 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 Frankfort, KY?
There are 128 Medicaid providers offering Office Visit related services in Frankfort, KY according to public payment data.
What is the price range for Office Visit in Frankfort, KY?
Medicaid reimbursement for Office Visit in Frankfort, KY ranges from $1.13 to $92.81 per claim, with an average of $38.45. 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 Frankfort, KY
Blood Work & Lab Tests
Avg $18.52
282,657 claims
Psychiatric Evaluation
Avg $66.37
268,442 claims
Emergency Room Visit
Avg $173.35
140,227 claims
Physical Therapy
Avg $30.26
103,464 claims
Dental Cleaning & Exam
Avg $32.36
90,571 claims
Vaccines & Immunizations
Avg $13.56
87,378 claims
Chiropractic Care
Avg $16.17
71,952 claims
Substance Abuse Treatment
Avg $74.00
65,891 claims