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
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 Georgetown, KY
Blood Work & Lab Tests
Avg $11.51
252,571 claims
Physical Therapy
Avg $62.52
143,272 claims
Emergency Room Visit
Avg $136.80
138,532 claims
Psychiatric Evaluation
Avg $65.14
95,489 claims
Vaccines & Immunizations
Avg $19.30
80,543 claims
Dental Cleaning & Exam
Avg $36.23
52,994 claims
Speech Therapy
Avg $36.04
48,687 claims
Urinalysis & Urine Tests
Avg $5.25
47,274 claims