Average Medicaid Office Visit Payments in Harlan, KY: $35.92
Avg. Paid
$35.92
Range
$14.94 – $91.28
Total Claims
344,818
Providers
51
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 Harlan, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Matthew B Johnson
37 Ball Park Rd |
$36.06 | 26 | 19 |
|
Benji Ray Combs
81 Ball Park Rd |
$31.65 | 26 | 24 |
|
Kathyrine Olivia Mclain
37 Ball Park Rd |
$30.03 | 32 | 32 |
|
Vanessa Lee Jaco
37 Ball Park Rd |
$45.60 | 35 | 32 |
|
Mythili Kanthi Gudipati
81 Ball Park Rd |
$45.59 | 95 | 79 |
|
Jennifer R Summers
37 Ball Park Rd |
$41.71 | 118 | 88 |
|
Masuda Ahmad
37 Ball Park Rd |
$37.36 | 217 | 201 |
|
Appalachian Regional Healthcare, Inc.
81 Ball Park Road |
$91.28 | 270 | 215 |
|
Hannah Busroe Leisge
1848 S Us Highway 421 |
$37.74 | 396 | 360 |
|
Marye Margaret Campbell Boggs
37 Ball Park Rd |
$39.31 | 522 | 380 |
|
Mohammed M Rahman
858 Woodland Hls |
$75.57 | 796 | 787 |
|
Kristin Nicole Meadors
410 May St |
$32.67 | 813 | 578 |
|
Yung Lee
37 Ball Park Rd |
$35.71 | 865 | 494 |
|
Tammy Chorak
37 Ball Park Rd |
$41.52 | 1,019 | 878 |
|
Harlan County Health Department Inc
402 E Clover St |
$45.90 | 1,060 | 1,005 |
|
Kamlesh Prem Sajnani
37 Ball Park Rd |
$39.71 | 1,068 | 923 |
|
Thomas W Watkins
107 Island St |
$41.25 | 1,147 | 1,079 |
|
Jerry William Mcroberts
37 Ball Park Rd |
$36.76 | 1,197 | 942 |
|
Samir Guindi
37 Ball Park Rd |
$42.71 | 1,658 | 1,505 |
|
Kimberly Michele Miller
212 E Clover St Ste 6 |
$33.77 | 1,866 | 1,759 |
|
Jayaramakrishna Depa
37 Ball Park Rd |
$41.59 | 2,109 | 1,737 |
|
Lanny C Hadley
132 Village Center Rd |
$31.90 | 2,161 | 1,608 |
|
Sabrina Sergent
132 Village Center Rd |
$36.73 | 2,164 | 1,910 |
|
Shyam Subramanya Ganti
37 Ball Park Rd |
$42.44 | 2,211 | 1,823 |
|
Sharon Blair
81 Ball Park Rd |
$30.97 | 2,415 | 2,229 |
|
Gursharan Kaur Sidhu
29 Eula Gray St |
$40.43 | 2,448 | 1,771 |
|
Donna Kaye Saylor
37 Ball Park Rd |
$31.27 | 2,731 | 2,348 |
|
Kristen Marie Nash
209 E Mound St |
$35.03 | 2,908 | 2,365 |
|
John Brandon Williams
37 Ball Park Rd |
$14.94 | 2,932 | 1,785 |
|
Lisa Ann Bennett
37 Ball Park Rd |
$34.03 | 3,034 | 2,533 |
|
Georges Sayed Damaa
37 Ball Park Rd |
$53.21 | 3,943 | 3,338 |
|
Mary Evelyn Ward
81 Ball Park Rd |
$26.57 | 4,437 | 3,723 |
|
Jameel Butt
37 Ball Park Rd |
$42.55 | 4,722 | 4,113 |
|
Francisco F. Corp
132 Village Center Rd |
$59.18 | 5,102 | 4,099 |
|
April Dempsey
132 Village Center Rd |
$36.05 | 5,157 | 4,549 |
|
Haley Overbay
81 Ball Park Rd |
$28.04 | 5,717 | 4,921 |
|
Julie A Jackson
37 Ball Park Rd |
$34.71 | 6,196 | 5,478 |
|
Lisa Renee Blackwood
132 Village Center Rd |
$37.22 | 8,543 | 5,956 |
|
Gregory Brian Dye
132 Village Center Rd |
$41.71 | 9,280 | 8,129 |
|
Syed M Raza
37 Ball Park Rd |
$36.55 | 9,780 | 6,975 |
|
Carl Edwin Smith
120 Professional Lane |
$47.68 | 11,380 | 8,167 |
|
Patricia Howard
1540 S Us Highway 421 |
$34.43 | 13,581 | 12,433 |
|
Jose Echeverria
37 Ball Park Rd |
$41.47 | 13,666 | 11,300 |
|
Appalachian Regional Healthcare, Inc
37 Ball Park Road |
$18.38 | 18,976 | 12,233 |
|
Kristin Delaney
132 Village Center Rd |
$36.37 | 19,636 | 15,257 |
|
Kirpal S Sidhu
29 Eula Gray Street |
$40.50 | 20,688 | 18,292 |
|
Shannon Rutherford
132 Village Center Rd |
$32.40 | 25,218 | 19,651 |
|
Savanna Wynn
132 Village Center Rd |
$35.49 | 25,985 | 21,408 |
|
Alexandra Dawn Hoskins
132 Village Center Rd |
$24.46 | 26,151 | 17,410 |
|
Abdulkader Dahhan
120 Professional Ln |
$31.85 | 29,219 | 26,039 |
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 Harlan, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Harlan, KY is $35.92 per claim, based on 344,818 claims from 51 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 Harlan, KY?
There are 51 Medicaid providers offering Office Visit related services in Harlan, KY according to public payment data.
What is the price range for Office Visit in Harlan, KY?
Medicaid reimbursement for Office Visit in Harlan, KY ranges from $14.94 to $91.28 per claim, with an average of $35.92. 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 Harlan, KY
Blood Work & Lab Tests
Avg $12.26
524,264 claims
Emergency Room Visit
Avg $215.92
91,633 claims
Psychiatric Evaluation
Avg $53.17
80,579 claims
Physical Therapy
Avg $38.09
67,713 claims
X-Ray
Avg $41.08
58,320 claims
Urinalysis & Urine Tests
Avg $13.14
55,088 claims
Durable Medical Equipment (DME)
Avg $30.60
41,447 claims
Speech Therapy
Avg $20.13
38,538 claims