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 |
|---|---|---|---|
|
Evan Franklin Condee
105 State Highway 1947 |
$41.80 | 23,955 | 22,270 |
|
Corey Dean Frasier
105 State Highway 1947 # A |
$33.12 | 21,979 | 20,135 |
|
Haley Jeanette Bowden
105 St Hwy 1947 A |
$31.04 | 19,872 | 18,431 |
|
Sanjiv Gupta
300 State Highway 1947 |
$35.71 | 13,533 | 11,068 |
|
Maria Baker Sargent
100 Bellefonte Dr |
$32.94 | 11,419 | 10,029 |
|
Jodi A Conley
100 Bellefonte Dr |
$31.87 | 10,427 | 8,772 |
|
Traci Lynn Boyd
105 State Highway 1947 # A |
$34.34 | 8,573 | 7,612 |
|
Lindy Nettleton
645 Interstate Dr |
$36.11 | 8,095 | 6,271 |
|
Tara Nicole Dollar
100 Bellefonte Dr |
$32.63 | 7,719 | 7,041 |
|
Ashley Lynn Vize
105 State Highway 1947 Ste A |
$31.69 | 7,113 | 6,318 |
|
Nikki Lynn Moore
535 E Main St |
$27.49 | 6,192 | 5,202 |
|
David Bradley Akers
100 Bellefonte Dr |
$40.67 | 6,078 | 5,557 |
|
Brittany Gene Bond
100 Bellefonte Dr |
$30.54 | 5,916 | 5,312 |
|
Tori Scott
609 N Carol Malone Blvd Ste 100 |
$29.57 | 5,273 | 4,978 |
|
Maryellen Tussey
207 N Carol Malone Blvd Ste 3 |
$58.02 | 4,334 | 3,115 |
|
Kellie Richelle Sparks
645 Interstate Dr |
$29.88 | 3,523 | 3,127 |
|
Miranda Diane Hall
645 Interstate Dr |
$29.30 | 3,471 | 2,876 |
|
Katrina Barker
100 Bellefonte Dr Ste 2 |
$29.82 | 3,148 | 2,790 |
|
Kody Trivette
710 N Carol Malone Blvd Ste B |
$13.29 | 3,101 | 2,362 |
|
Christopher Stephen Hord
645 Interstate Dr |
$30.37 | 2,673 | 2,357 |
|
Tyler J. Elam
645 Interstate Dr |
$35.98 | 2,424 | 1,973 |
|
Rosella Dawn Jordan
645 Interstate Dr |
$30.29 | 2,319 | 2,135 |
|
Shelby Anne Hill
645 Interstate Dr |
$41.99 | 2,225 | 2,007 |
|
Megan Jane Mcdowell
20 Hall Rd |
$27.29 | 2,012 | 1,585 |
|
Miranda Beth Binion
100 Bellefonte Dr |
$32.66 | 1,875 | 1,525 |
|
Stacy Holley
107 E Main St |
$25.78 | 1,496 | 1,149 |
|
Susan Nolty Mcdavid
467 Dry Ridge Road, # 447 |
$60.21 | 688 | 663 |
|
Katie Salyers
100 Bellefonte Dr |
$45.66 | 618 | 560 |
|
Alexa Jordan Robinson
312 Hugh St |
$26.23 | 591 | 562 |
|
Meagan Rhea Doyle
100 Bellefonte Dr |
$46.81 | 437 | 380 |
|
Summer Nicole Sutler
105 State Highway 1947 # A |
$55.10 | 332 | 312 |
|
Henry G Adkins
105 State Highway 1947 |
$22.86 | 269 | 220 |
|
Brittni Bowman
207 N Carol Malone Blvd Ste 3 |
$39.08 | 172 | 136 |
|
Jason H Mccloud
107 E Main St |
$27.77 | 105 | 93 |
|
Nathana D Hall
201 E Main St Ste 1 |
$24.85 | 88 | 64 |
|
Zachary Shane Cavins
645 Interstate Dr |
$49.11 | 85 | 79 |
|
Carter County Health Department
300 W Main St |
$17.58 | 78 | 57 |
|
Roger D. Fannin
313 S Carol Malone Blvd |
$27.79 | 70 | 54 |
|
Anthony Scott Kee
166 S Carol Malone Blvd |
$39.26 | 26 | 25 |
|
Garrett Scott Kee
166 S Carol Malone Blvd Ste A |
$39.79 | 15 | 12 |
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
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 Grayson, KY
Physical Therapy
Avg $102.11
98,293 claims
Eye Exam
Avg $55.55
27,885 claims
Ambulance Transport
Avg $49.13
26,287 claims
Vaccines & Immunizations
Avg $21.42
19,502 claims
Chiropractic Care
Avg $17.69
18,882 claims
Substance Abuse Treatment
Avg $170.79
18,163 claims
Blood Work & Lab Tests
Avg $7.45
16,258 claims
Speech Therapy
Avg $7.28
14,112 claims