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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Georgetown, KY: $38.80

Avg. Paid

$38.80

Range

$5.22 – $112.83

Total Claims

387,461

Providers

115

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 Georgetown, KY

Provider Avg. Paid Claims Patients
Danielle Marie Dietz

1138 Lexington Rd

$112.83 12 12
Gary Mitchell

100 Eastside Dr

$40.12 14 14
Morgan N Riley

1138 Lexington Rd Ste 230A

$49.14 14 14
James Jerome Gullett

103 S Bradford Ln

$17.48 16 12
Penny Harris

108 Osbourne Way Ste 6

$9.89 22 13
Abdulnasser Ahmed Yousuf Alhajeri

202 Bevins Ln

$36.05 26 25
William W. Richardson

103 S Bradford Ln

$27.34 30 25
Brittany Lauren Petty

1138 Lexington Rd Ste 230A

$49.38 34 34
Melissa Diane Vaught

1140 Lexington Rd

$17.37 36 25
Michael Patrick Hall

202 Bevins Ln

$88.83 47 46
Danielle Marie Hurt

2689 Frankfort Rd

$51.83 53 45
Sarah Melissa Bond

1140 Lexington Rd

$47.23 99 94
Tenley T Mckee

1150 Lexington Rd

$53.63 106 98
Hugh Harrison Loeffler

1138 Lexington Rd Ste 290

$35.01 110 94
Leslye Shandell Jones

1138 Lexington Rd Ste 290

$28.35 117 106
Terri Kingrey

106 Market Place Cir

$22.01 123 112
Anita J. Spirek

1140 Lexington Rd

$35.07 125 106
Landon Christopher Taylor

100 Eastside Dr

$45.43 175 162
Robert Craig Martin

1138 Lexington Rd

$28.32 213 183
Courtney Tadic

1138 Lexington Rd Ste 290

$28.85 230 208
Channa Brooke Arnett

227 E Main St

$29.59 259 204
Jorge D Benito

1138 Lexington Rd Ste 110

$42.64 264 237
Justin Newsome

106 Market Place Cir

$30.29 267 225
Katherine L Craig

1158 Lexington Rd

$23.29 268 232
Sarah E. Ayers

100 Eastside Dr

$35.74 308 291
Brian Keith Hendrix

100 Eastside Dr

$26.12 319 291
Baptist Health Medical Group Inc

210 Bevins Ln

$41.25 335 297
Heather Jan Matthies

106 Market Place Cir

$70.14 342 287
Abbi Leigh Chandler

112 Dover Dr

$37.93 342 329
Lana I Little

106 Market Place Cir

$32.73 344 322
Colton Jayne

227 E Main St

$43.34 367 281
Wedco District Health Department

300 East Wasington Street

$46.67 430 400
Benjamin P Lyon

200 Bevins Ln Ste A

$33.34 434 384
Kaylin Renae Coffman

105 Prather Path Ste 2100

$36.47 461 435
Nova Luna White

150 Mount Vernon Dr

$55.38 515 441
Kevin Downes

1140 Lexington Rd

$51.43 590 479
Crystal Julian

1140 Lexington Rd Ste 203

$30.33 595 537
Bobbi Spalding

106 Market Place Cir

$33.06 655 612
Tracy Anne Robinson

1138 Lexington Rd

$28.76 701 627
Aaron Slyh

210 Bevins Ln Ste E

$46.87 885 773
Ashley D Meece

3245 Iron Works Rd

$29.11 976 875
Mobolanle Asope Elder

196 Bevins Ln Ste F

$42.48 1,082 965
Michael S Jones

101 Windsor Path

$25.04 1,094 919
Jordyn Cheyenne Taylor

202 Bevins Ln

$31.90 1,227 1,071
Daniel Ryan Baker

1140 Lexington Rd Ste 100

$29.23 1,236 1,097
Julie Brooks

105 Windsor Path Ste 5

$58.92 1,241 980
Mandy R Mynhier

200 Bevins Ln Ste A

$24.11 1,243 1,035
Caresse Lynnette Wesley

150 Mount Vernon Dr

$47.84 1,273 1,107
Kristen R Stakelin

1138 Lexington Rd

$43.47 1,282 1,185
Amy J Cox

210 Bevins Ln

$33.58 1,529 1,342

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 Georgetown, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Georgetown, KY is $38.80 per claim, based on 387,461 claims from 115 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 Georgetown, KY?

There are 115 Medicaid providers offering Office Visit related services in Georgetown, KY according to public payment data.

What is the price range for Office Visit in Georgetown, KY?

Medicaid reimbursement for Office Visit in Georgetown, KY ranges from $5.22 to $112.83 per claim, with an average of $38.80. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Georgetown, KY