Average Medicaid Office Visit Payments in Hardinsburg, KY: $36.15
Avg. Paid
$36.15
Range
$0.00 – $57.48
Total Claims
50,781
Providers
17
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 Hardinsburg, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alicia Cheryl Henning
124 W 3Rd St |
$40.60 | 9,738 | 7,906 |
|
James Shannon Elliott
105 Chambliss Dr |
$53.35 | 9,569 | 8,971 |
|
Meena S Patel
203 Fairgrounds Rd |
$41.35 | 6,657 | 5,654 |
|
Breckinridge Health Inc
107 Old Hwy 60 |
$17.40 | 5,148 | 3,093 |
|
Brian T Odonoghue
107 Old Highway 60 |
$30.22 | 3,889 | 3,012 |
|
Catherine M Lewis
107 Old Highway 60 |
$31.69 | 3,599 | 3,001 |
|
Benjamin S Smith
107 Old Hwy 60 |
$30.09 | 3,485 | 2,677 |
|
Breckinridge Health, Inc
1011 Old Highway 60 |
$25.56 | 1,947 | 1,776 |
|
Claire Elizabeth Knott
101 Fairview Dr |
$37.35 | 1,737 | 1,449 |
|
Chandra Payne
105 Chambliss Dr |
$26.76 | 1,611 | 1,401 |
|
Marinetta Vanlahr
107 Old Highway 60 |
$28.20 | 1,343 | 1,039 |
|
Breckinridge Health Inc
1011 Old Highway 60 |
$0.00 | 1,049 | 377 |
|
Kathryn Taylor Ayres
83 Ballpark Rd |
$28.33 | 772 | 711 |
|
Stefan Eugene Cesarz
112 Bank St |
$57.48 | 122 | 110 |
|
Breckinridge County Health Department
220 S Hardin St |
$36.35 | 91 | 86 |
|
Angela R Hudnall
83 Ballpark Rd |
$4.19 | 12 | 12 |
|
Kent Ruskowski
143A Old Highway 60 |
$53.00 | 12 | 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 Hardinsburg, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hardinsburg, KY is $36.15 per claim, based on 50,781 claims from 17 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 Hardinsburg, KY?
There are 17 Medicaid providers offering Office Visit related services in Hardinsburg, KY according to public payment data.
What is the price range for Office Visit in Hardinsburg, KY?
Medicaid reimbursement for Office Visit in Hardinsburg, KY ranges from $0.00 to $57.48 per claim, with an average of $36.15. 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 Hardinsburg, KY
Blood Work & Lab Tests
Avg $13.39
158,040 claims
Chiropractic Care
Avg $18.77
36,367 claims
Physical Therapy
Avg $34.15
34,892 claims
Psychiatric Evaluation
Avg $65.32
24,301 claims
Emergency Room Visit
Avg $133.12
16,362 claims
Speech Therapy
Avg $33.74
16,266 claims
Urinalysis & Urine Tests
Avg $23.42
16,145 claims
Ambulance Transport
Avg $124.89
11,206 claims