Average Medicaid Office Visit Payments in Henderson, KY: $38.07
Avg. Paid
$38.07
Range
$6.91 – $73.73
Total Claims
375,636
Providers
113
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 Henderson, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alben B. Shockley
151 N Gardenmile Rd |
$51.42 | 25,009 | 16,606 |
|
Linda Dalton Keith
1704 2Nd St |
$38.85 | 16,233 | 8,512 |
|
Rogelio A. Silva
1200 Barret Blvd |
$27.94 | 13,844 | 12,524 |
|
Methodist Health, Inc.
1305 N Elm St |
$23.14 | 11,028 | 9,410 |
|
Benjamin Edward Smith
3135 Zion Rd |
$39.49 | 10,639 | 9,481 |
|
Eric Douglas Ervin
110 3Rd St |
$48.48 | 10,336 | 9,801 |
|
Kristopher J Beickman
2000 N Elm St |
$39.08 | 9,821 | 7,101 |
|
Yvonne Maddela Davis
471 Klutey Park Plaza Dr |
$33.29 | 9,298 | 8,240 |
|
Charles Hulett Futrell
110 3Rd St |
$40.30 | 9,155 | 8,430 |
|
Tabicia Linn Mattingly
500 N Green St |
$51.33 | 9,091 | 4,641 |
|
Gerald R Rightmyer
319 8Th St |
$35.88 | 8,196 | 7,370 |
|
Maranda Wortham Miles
2242 Hwy 41 North |
$37.58 | 7,840 | 6,908 |
|
Larry George Crick
110 3Rd St |
$45.64 | 7,766 | 7,126 |
|
Logan Scott Vansickle
411 Letcher St |
$38.15 | 7,673 | 7,160 |
|
Sheryl Lynn Shelton
110 3Rd St |
$33.83 | 7,391 | 6,759 |
|
Raven Whitney Ray
110 3Rd St |
$32.03 | 7,212 | 6,560 |
|
Joshua Andrew Fife
151 N Gardenmile Rd |
$49.53 | 6,828 | 6,114 |
|
Garrett Chase Koon
2000 N Elm St |
$45.25 | 6,660 | 6,084 |
|
Sarah E O'Nan
736 N Elm St |
$41.35 | 6,635 | 4,927 |
|
James M Fellows
110 Third St |
$34.92 | 6,581 | 5,490 |
|
Sharon Marie Shields
110 3Rd St Ste 180 |
$31.58 | 6,357 | 5,737 |
|
Sarah E Hopper
452 Old Corydon Rd |
$41.31 | 6,243 | 5,414 |
|
Gerri L Moore
340 Starlite Dr |
$30.32 | 6,104 | 5,703 |
|
Carli Thomas
2000 N Elm St |
$47.00 | 5,751 | 5,329 |
|
Jama R Patterson
1200 Barrett Blvd |
$33.45 | 5,400 | 4,883 |
|
Necia Jo Garrett
1413 N Elm St Ste 201 |
$29.37 | 5,311 | 4,780 |
|
Jessica L Utley
1200 Barret Blvd |
$33.55 | 5,210 | 4,569 |
|
Donna Hollis
700 Martin L King Ave |
$59.13 | 5,022 | 3,544 |
|
Jacqueline Nicole Smith
736 N Elm St |
$31.44 | 4,912 | 4,202 |
|
Joshua Seay Kitchens
1997 Barrett Ct |
$34.09 | 4,849 | 4,397 |
|
Jason K Fogg
1305 N Elm St |
$21.64 | 4,788 | 4,166 |
|
Leslie L Dunn
2242 Us Highway 41 N |
$32.47 | 4,549 | 4,302 |
|
Kimberly Ann Wells
1300 Merritt Dr Ste 100 |
$27.58 | 4,503 | 3,773 |
|
Samuel Gerhardt
471 Klutey Park Plaza Dr |
$30.62 | 4,353 | 3,698 |
|
David A Watkins
1015 N Elm St |
$41.35 | 4,309 | 3,899 |
|
Kathryn Dru Greenwell Perkins
1300 Merritt Dr Ste 100 |
$26.96 | 4,215 | 3,648 |
|
Rachel Marie Carter
1300 Merritt Dr |
$36.17 | 4,037 | 3,691 |
|
Julie Lawrence
230 N Green St |
$51.54 | 3,858 | 3,580 |
|
Zenaida A. Maddela
1413 N Elm St Ste 206 |
$41.39 | 3,740 | 3,101 |
|
Martha Y Ridley
1413 N Elm St Ste 201 |
$27.70 | 3,700 | 3,255 |
|
Nicole Marijean French
1200 Barrett Blvd |
$28.58 | 3,696 | 3,472 |
|
Scott A Watkins
1300 Merritt Dr Ste 100 |
$41.08 | 3,562 | 3,294 |
|
Garah E Wright
1300 Merritt Dr Ste 100 |
$34.34 | 3,416 | 3,035 |
|
Rachel Farmer
1300 Merritt Dr Ste 100 |
$38.28 | 3,240 | 2,850 |
|
David Lawford Whitney
471 Klutey Park Plaza Dr |
$41.82 | 3,233 | 2,702 |
|
Deborah Onan
3675 Smith Staples Rd |
$14.00 | 3,192 | 2,112 |
|
Lesli E. Nall
1305 N Elm St Ste A |
$19.08 | 2,809 | 2,337 |
|
Rebecca Lynn Braden
151 N Gardenmile Rd |
$52.88 | 2,608 | 2,431 |
|
James Bradley Gish
340 Starlite Dr |
$38.00 | 2,604 | 2,308 |
|
Kuldeep Raj Pandit
327 N Elm St |
$33.94 | 2,568 | 2,066 |
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 Henderson, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Henderson, KY is $38.07 per claim, based on 375,636 claims from 113 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 Henderson, KY?
There are 113 Medicaid providers offering Office Visit related services in Henderson, KY according to public payment data.
What is the price range for Office Visit in Henderson, KY?
Medicaid reimbursement for Office Visit in Henderson, KY ranges from $6.91 to $73.73 per claim, with an average of $38.07. 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 Henderson, KY
Blood Work & Lab Tests
Avg $11.09
394,863 claims
Psychiatric Evaluation
Avg $45.72
210,479 claims
Emergency Room Visit
Avg $159.57
175,345 claims
Speech Therapy
Avg $18.26
107,191 claims
Dental Cleaning & Exam
Avg $40.30
85,231 claims
Vaccines & Immunizations
Avg $10.25
82,344 claims
X-Ray
Avg $34.05
64,680 claims
Urinalysis & Urine Tests
Avg $3.71
59,369 claims