Average Medicaid Office Visit Payments in Hazard, KY: $33.20
Avg. Paid
$33.20
Range
$3.19 – $126.14
Total Claims
1,350,503
Providers
220
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 Hazard, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas E. Karelis
311 Roy Campbell Dr |
$21.94 | 41,812 | 33,917 |
|
Terry L Smith
101 Town And Country Ln Ste 100 |
$32.14 | 38,994 | 30,397 |
|
Robetta Melaine Baker
311 Roy Campbell Dr |
$18.51 | 30,520 | 24,464 |
|
James Dean Hall
145 Citizens Ln |
$29.43 | 26,989 | 23,532 |
|
Laura Grace Asher
750 Morton Blvd |
$41.64 | 26,081 | 18,757 |
|
Leslie Deaton
101 Town And Country Ln Ste 100 |
$29.43 | 24,224 | 22,161 |
|
Kentucky River Community Care, Inc
115 Rockwood Ln |
$35.39 | 24,181 | 22,366 |
|
Christie Herald
101 Town And Country Ln Ste 100 |
$30.24 | 23,387 | 19,356 |
|
Elizabeth Suzanne Crank
311 Roy Campbell Dr |
$16.82 | 23,188 | 17,920 |
|
Primary Care Centers Of Eastern Kentucky, Llc
101 Town And Country Ln |
$10.29 | 22,391 | 14,861 |
|
Frank Daniel Mongiardo
200 Medical Ctr. Dr. |
$55.54 | 21,423 | 19,455 |
|
Roger Joshua Strunk
101 Town And Country Lane |
$28.09 | 20,547 | 18,824 |
|
Kathy Hubbard
320 Morton Blvd |
$43.06 | 20,514 | 12,595 |
|
Morgan Whitney Birch
101 Town And Country Ln |
$38.91 | 19,379 | 9,894 |
|
Srinivasa R Appakondu
243 Roy Campbell Dr Ste B |
$41.27 | 18,900 | 15,627 |
|
Janie Combs
48 Daniel Boone Plz |
$29.86 | 18,772 | 14,294 |
|
Mary Ellen Conley
100 Medical Center Drive |
$34.34 | 18,218 | 15,240 |
|
Sheena Shenae White
101 Town And Country Ln Ste 100 |
$28.71 | 17,443 | 16,301 |
|
Crystal D Gibson
101 Town And Country Ln |
$27.80 | 17,393 | 13,589 |
|
Brittany April Morgan
101 Town And Country Ln Ste 100 |
$21.74 | 17,197 | 13,924 |
|
Ionut Stefanescu Sturz
311 Roy Campbell Drive |
$21.35 | 16,878 | 14,515 |
|
Beverly Paige Neace
101 Town And Country Ln Ste 100 |
$31.36 | 16,762 | 15,104 |
|
Molly Marie O'Rourke
101 Town And Country Ln Ste 100 |
$39.90 | 16,525 | 14,982 |
|
Rhonda K Hughes
101 Town And Country Ln Ste 100 |
$26.24 | 16,486 | 14,885 |
|
Samantha Sharron Lewis
182 Roy Campbell Dr |
$38.06 | 15,736 | 11,027 |
|
Sandra Leigh Krasnopolsky
101 Town And Country Ln Ste 100 |
$32.02 | 14,661 | 13,288 |
|
John Jones
101 Town And Country Ln Ste 100 |
$35.25 | 14,282 | 12,593 |
|
Donald Mcpherson
145 Citizens Lane |
$33.02 | 13,741 | 11,223 |
|
Ben W Back
210 Black Gold Blvd Ste 106 |
$83.55 | 13,728 | 11,267 |
|
Jamie Rebekkah Brumfield
320 Morton Blvd |
$55.53 | 13,622 | 7,842 |
|
Vidya B Yalamanchi
200 Medical Center Dr |
$33.04 | 13,475 | 10,682 |
|
Sherry Larrisa Miller
101 Town And Country Ln Ste 100 |
$28.85 | 13,415 | 12,044 |
|
Mitchell Wicker
271 E Main St |
$24.54 | 13,336 | 10,647 |
|
Sabrina J Castle
320 Morton Blvd |
$49.29 | 12,938 | 6,704 |
|
George R Chaney
181 Roy Campbell Dr |
$26.87 | 12,349 | 10,210 |
|
Ashley A Taylor
210 Black Gold Blvd |
$31.59 | 11,972 | 10,733 |
|
Brandi Carmical
279 E Main St |
$30.84 | 11,856 | 10,564 |
|
Donna Creech
750 Morton Blvd |
$34.90 | 11,719 | 10,134 |
|
Sherry L Kelly
101 Town And Country Ln Ste 100 |
$30.74 | 11,696 | 10,537 |
|
Ashli Nicole Mullins
101 Town And Country Ln Ste 100 |
$28.97 | 11,588 | 10,574 |
|
Amy Fowler
101 Town And Country Ln |
$35.09 | 11,072 | 9,915 |
|
Crystal Dawn Coleman
390 Park Ave |
$37.54 | 10,941 | 6,997 |
|
Shannon Martha Herald
101 Town And Country Ln Ste 100 |
$39.04 | 10,919 | 9,922 |
|
Kristy Godsey
210 Black Gold Blvd Ste 106 |
$31.25 | 10,667 | 9,618 |
|
Amye E Thomas
101 Town And Country Ln Ste 100 |
$23.74 | 10,471 | 9,651 |
|
Robin Whitaker
210 Black Gold Blvd Ste 106 |
$36.08 | 10,431 | 6,995 |
|
Bianca Absher
210 Black Gold Blvd Ste 106 |
$32.66 | 10,274 | 9,457 |
|
Appalachian Regional Healthcare, Inc.
100 Medical Center Dr |
$20.53 | 10,157 | 8,547 |
|
Farhan Sher Fazal
102 Medical Center Dr |
$43.48 | 10,120 | 7,439 |
|
Allison Drew Dezarn
279 E Main St |
$30.91 | 9,974 | 8,988 |
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 Hazard, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hazard, KY is $33.20 per claim, based on 1,350,503 claims from 220 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 Hazard, KY?
There are 220 Medicaid providers offering Office Visit related services in Hazard, KY according to public payment data.
What is the price range for Office Visit in Hazard, KY?
Medicaid reimbursement for Office Visit in Hazard, KY ranges from $3.19 to $126.14 per claim, with an average of $33.20. 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 Hazard, KY
Blood Work & Lab Tests
Avg $16.46
1,085,333 claims
Psychiatric Evaluation
Avg $56.47
349,213 claims
Home Health Visit
Avg $120.42
331,222 claims
Physical Therapy
Avg $86.25
304,173 claims
Emergency Room Visit
Avg $183.78
201,972 claims
Behavioral & Mental Health Therapy
Avg $146.87
178,918 claims
X-Ray
Avg $25.67
155,499 claims
Dental Cleaning & Exam
Avg $35.41
107,466 claims