Average Medicaid Office Visit Payments in Gray, KY: $29.12
Avg. Paid
$29.12
Range
$5.79 – $52.76
Total Claims
116,855
Providers
15
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 Gray, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Veronica L Boley
39 Cumberland Gap Plz |
$21.05 | 21,557 | 16,212 |
|
Kathryn Baker
10755 N. Us Hwy 25E |
$23.98 | 19,555 | 13,093 |
|
Tammy L Freeman
10755 N Us Highway 25E |
$28.07 | 13,479 | 10,314 |
|
Janet Y Mosley
39 Cumberland Gap Plz |
$43.90 | 12,107 | 11,106 |
|
Tammy S. Saylor
39 Cumberland Gap Plz |
$33.84 | 11,005 | 8,239 |
|
Mary Beth Lopez
39 Cumberland Gap Plz |
$29.59 | 9,777 | 8,177 |
|
Rita Carol Gilbert
39 Cumberland Gap Plz |
$33.00 | 6,917 | 5,661 |
|
Vernon Eugene Taylor
39 Cumberland Gap Plz |
$29.09 | 6,660 | 5,682 |
|
Angela Eversole
39 Cumberland Gap Plz |
$26.73 | 6,191 | 4,964 |
|
Bianca Lambert
10755 N Us Highway 25E |
$28.75 | 3,899 | 2,871 |
|
Natasha Garrison
3191 Ky 1232 |
$52.76 | 2,709 | 1,771 |
|
Freeman Family Practice Llc
10755 N Us Highway 25E |
$19.03 | 1,506 | 1,202 |
|
Crystal Ann Cooper
39 Cumberland Gap Plz |
$23.49 | 1,119 | 793 |
|
Loretta Sue Wilson
39 Cumberland Gap Plz |
$35.80 | 321 | 275 |
|
Edna Eugenia Stewart
39 Cumberland Gap Plaza |
$5.79 | 53 | 25 |
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 Gray, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gray, KY is $29.12 per claim, based on 116,855 claims from 15 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 Gray, KY?
There are 15 Medicaid providers offering Office Visit related services in Gray, KY according to public payment data.
What is the price range for Office Visit in Gray, KY?
Medicaid reimbursement for Office Visit in Gray, KY ranges from $5.79 to $52.76 per claim, with an average of $29.12. 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 Gray, KY
Nursing Facility Care
Avg $16.14
9,692 claims
Prescription Medications
Avg $6.27
3,404 claims
Urinalysis & Urine Tests
Avg $0.32
2,412 claims
Vaccines & Immunizations
Avg $14.35
1,534 claims
Blood Work & Lab Tests
Avg $6.11
1,014 claims
Emergency Room Visit
Avg $32.58
714 claims
Psychiatric Evaluation
Avg $18.92
436 claims
Pulmonary Function Test
Avg $4.22
248 claims