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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Grayson, KY: $34.25

Avg. Paid

$34.25

Range

$13.29 – $60.21

Total Claims

192,319

Providers

40

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 Grayson, KY

Provider Avg. Paid Claims Patients
Garrett Scott Kee

166 S Carol Malone Blvd Ste A

$39.79 15 12
Anthony Scott Kee

166 S Carol Malone Blvd

$39.26 26 25
Roger D. Fannin

313 S Carol Malone Blvd

$27.79 70 54
Carter County Health Department

300 W Main St

$17.58 78 57
Zachary Shane Cavins

645 Interstate Dr

$49.11 85 79
Nathana D Hall

201 E Main St Ste 1

$24.85 88 64
Jason H Mccloud

107 E Main St

$27.77 105 93
Brittni Bowman

207 N Carol Malone Blvd Ste 3

$39.08 172 136
Henry G Adkins

105 State Highway 1947

$22.86 269 220
Summer Nicole Sutler

105 State Highway 1947 # A

$55.10 332 312
Meagan Rhea Doyle

100 Bellefonte Dr

$46.81 437 380
Alexa Jordan Robinson

312 Hugh St

$26.23 591 562
Katie Salyers

100 Bellefonte Dr

$45.66 618 560
Susan Nolty Mcdavid

467 Dry Ridge Road, # 447

$60.21 688 663
Stacy Holley

107 E Main St

$25.78 1,496 1,149
Miranda Beth Binion

100 Bellefonte Dr

$32.66 1,875 1,525
Megan Jane Mcdowell

20 Hall Rd

$27.29 2,012 1,585
Shelby Anne Hill

645 Interstate Dr

$41.99 2,225 2,007
Rosella Dawn Jordan

645 Interstate Dr

$30.29 2,319 2,135
Tyler J. Elam

645 Interstate Dr

$35.98 2,424 1,973
Christopher Stephen Hord

645 Interstate Dr

$30.37 2,673 2,357
Kody Trivette

710 N Carol Malone Blvd Ste B

$13.29 3,101 2,362
Katrina Barker

100 Bellefonte Dr Ste 2

$29.82 3,148 2,790
Miranda Diane Hall

645 Interstate Dr

$29.30 3,471 2,876
Kellie Richelle Sparks

645 Interstate Dr

$29.88 3,523 3,127
Maryellen Tussey

207 N Carol Malone Blvd Ste 3

$58.02 4,334 3,115
Tori Scott

609 N Carol Malone Blvd Ste 100

$29.57 5,273 4,978
Brittany Gene Bond

100 Bellefonte Dr

$30.54 5,916 5,312
David Bradley Akers

100 Bellefonte Dr

$40.67 6,078 5,557
Nikki Lynn Moore

535 E Main St

$27.49 6,192 5,202
Ashley Lynn Vize

105 State Highway 1947 Ste A

$31.69 7,113 6,318
Tara Nicole Dollar

100 Bellefonte Dr

$32.63 7,719 7,041
Lindy Nettleton

645 Interstate Dr

$36.11 8,095 6,271
Traci Lynn Boyd

105 State Highway 1947 # A

$34.34 8,573 7,612
Jodi A Conley

100 Bellefonte Dr

$31.87 10,427 8,772
Maria Baker Sargent

100 Bellefonte Dr

$32.94 11,419 10,029
Sanjiv Gupta

300 State Highway 1947

$35.71 13,533 11,068
Haley Jeanette Bowden

105 St Hwy 1947 A

$31.04 19,872 18,431
Corey Dean Frasier

105 State Highway 1947 # A

$33.12 21,979 20,135
Evan Franklin Condee

105 State Highway 1947

$41.80 23,955 22,270

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 Grayson, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Grayson, KY is $34.25 per claim, based on 192,319 claims from 40 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 Grayson, KY?

There are 40 Medicaid providers offering Office Visit related services in Grayson, KY according to public payment data.

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

Medicaid reimbursement for Office Visit in Grayson, KY ranges from $13.29 to $60.21 per claim, with an average of $34.25. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Grayson, KY