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 |
|---|---|---|---|
|
Joann Carroll
1154A Lexington Rd |
$42.09 | 23,389 | 16,591 |
|
Joel Anthony Knight
196 Bevins Ln F |
$40.12 | 17,699 | 15,558 |
|
Osama Ali
204 Bevins Ln Ste A |
$35.53 | 16,215 | 9,707 |
|
Andrew Peter Balbaugh
196 Bevins Ln |
$37.35 | 14,868 | 13,182 |
|
Michael S Bradley
1138 Lexington Rd Ste 110 |
$36.38 | 14,807 | 13,144 |
|
Martin A Castillo Liranzo
1502 Oxford Dr Ste 100 |
$44.84 | 14,678 | 11,900 |
|
Vinod Kumar Muniswamy
1140 Lexington Rd |
$42.00 | 11,465 | 9,221 |
|
Coy A Flowers
Uk Healthcare Georgetown |
$42.16 | 10,771 | 6,915 |
|
Barbara S. Baker
103 Boston Sq |
$22.26 | 10,755 | 6,119 |
|
Adam Dwight Culbertson
1154A Lexington Rd |
$35.84 | 9,502 | 4,712 |
|
Nicholas Brett Smith
1502 Oxford Dr Ste 100 |
$46.61 | 8,127 | 6,902 |
|
Todd D Reinhart
1138 Lexington Rd Ste 130 |
$34.60 | 7,441 | 6,041 |
|
Marisol C Clark
1138 Lexington Rd Ste 290 |
$48.34 | 6,903 | 5,789 |
|
David M. Hoddy
1162 Lexington Rd |
$40.51 | 6,881 | 6,448 |
|
Lacey Sweigart
1162 Lexington Rd |
$44.60 | 6,598 | 6,199 |
|
Ivan David Morrin
210 Bevins Ln |
$46.58 | 6,270 | 5,607 |
|
Peyton Madison Blanton
202 Bevins Ln |
$25.34 | 5,971 | 5,218 |
|
Ronald Shashy
1140 Lexington Rd |
$65.02 | 5,933 | 5,190 |
|
Ann N. Quackenbush
1162 Lexington Rd |
$39.84 | 5,874 | 5,508 |
|
Cathy Norman Al-Meedny
220 Pocahontas Trl |
$66.76 | 5,846 | 5,457 |
|
Kristy K. Menke
1162 Lexington Rd |
$38.22 | 5,807 | 5,403 |
|
Jenna Bivins Green
101 W Showalter Dr |
$5.22 | 5,741 | 3,311 |
|
Cynthia Katie Smallwood
1162 Lexington Rd |
$38.61 | 5,525 | 5,106 |
|
Henry R Preston
1138 Lexington Road Suite 130 |
$36.21 | 5,501 | 4,702 |
|
Melissa Carol Fletcher
202 Bevins Ln |
$38.17 | 5,468 | 4,682 |
|
Georgetown Community Hospital Llc
1140 Lexington Rd |
$13.67 | 5,178 | 4,252 |
|
Padma Ganta Rao
105 Windsor Path, Ste: 2 |
$29.90 | 5,073 | 3,578 |
|
Carrie Crum
202 Bevins Ln |
$33.93 | 4,981 | 4,499 |
|
Jennifer S. Oliver
1162 Lexington Rd |
$40.97 | 4,954 | 4,653 |
|
Amanda Grace Estep
1138 Lexington Rd |
$41.25 | 4,831 | 3,837 |
|
Jennifer S. Riebel
1162 Lexington Rd |
$40.13 | 4,797 | 4,500 |
|
Brian Douglas Smith
210 Bevins Ln |
$43.11 | 4,793 | 4,220 |
|
Marshall T Wise
200 Bevins Ln Ste E |
$61.24 | 4,304 | 3,828 |
|
Makayla Ann Kiser
210 Bevins Ln |
$41.76 | 4,236 | 3,615 |
|
Sara Reno
202 Bevins Ln |
$35.19 | 4,151 | 3,524 |
|
David M Waespe
1138 Lexington Rd Ste 110 |
$39.87 | 4,117 | 3,587 |
|
Chase Landon Wilson
1158 Lexington Rd |
$53.53 | 4,020 | 3,688 |
|
Raymond Wechman
1138 Lexington Rd |
$33.50 | 4,011 | 3,302 |
|
Kent Edward Taylor
1140 Lexington Rd |
$36.47 | 4,009 | 2,943 |
|
William Lee Grey
1162 Lexington Rd |
$37.83 | 3,796 | 3,585 |
|
Larissa Briere Kern
202 Bevins Ln |
$43.46 | 3,682 | 3,361 |
|
Kharri Guthrie
210 Bevins Ln |
$32.35 | 3,505 | 3,168 |
|
Kelly R Burgess
202 Bevins Lane |
$43.12 | 3,155 | 2,804 |
|
Joseph Emmanuel Thomas
1140 Lexington Rd |
$39.60 | 3,128 | 2,626 |
|
Kristina Joy Jayne
227 E Main St |
$47.84 | 3,027 | 2,691 |
|
Jill Ellen Crawford
202 Bevins Ln |
$36.95 | 2,726 | 2,536 |
|
Travis Hunt
101 Windsor Path |
$29.52 | 2,676 | 2,358 |
|
Shirley Beth Hicks
102 E Main St Ste 4 |
$35.27 | 2,624 | 2,196 |
|
Tricia Greer
1138 Lexington Rd |
$39.57 | 2,561 | 2,311 |
|
Lauren L Crump
106 Market Place Cir |
$34.68 | 2,436 | 2,118 |
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