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 |
|---|---|---|---|
|
Emma Martz
1413 N Elm St |
$16.78 | 12 | 12 |
|
Michael Joel Greene
490 Klutey Park Plaza Dr |
$58.52 | 13 | 12 |
|
Chase Nathaniel Witter
1200 Barret Blvd |
$31.12 | 14 | 14 |
|
Lenita J Reasor-Brann
110 3Rd St |
$69.15 | 14 | 14 |
|
Sara Lynn Sagez-Barnett
1035 N Elm St |
$42.63 | 16 | 14 |
|
Nathaniel Cole Phelps
1305 N Elm St |
$59.12 | 26 | 26 |
|
Brittney Leigh Van Laeken
2500 N Elm St |
$68.40 | 29 | 25 |
|
James Edward Buckmaster
327 2Nd St Ste B |
$55.87 | 42 | 39 |
|
Erin Deal
4 Phillips Ct |
$37.68 | 60 | 55 |
|
Thearon Paul Wilder
1997 Barrett Ct |
$32.73 | 66 | 58 |
|
Carol Ann Newberry
110 Third St |
$10.92 | 100 | 76 |
|
Andrea Lynn Clemons
1305 N Elm St |
$33.24 | 118 | 100 |
|
Michael A Roof
1305 N Elm St |
$30.33 | 140 | 125 |
|
Amber N Koon
1413 N Elm St Ste 204 |
$57.14 | 143 | 125 |
|
Rami Diab
1305 N Elm St |
$43.11 | 196 | 173 |
|
Karen R Canlas
340 Starlite Dr |
$46.48 | 200 | 184 |
|
Quang Le Nguyen
1305 N Elm St |
$73.73 | 206 | 205 |
|
Lashagiorgi Esebua
1305 N Elm St |
$6.91 | 259 | 169 |
|
Katelyn A Rinell
1305 N Elm St |
$70.54 | 280 | 274 |
|
Amanda Gunn
1305 N Elm St |
$18.16 | 286 | 214 |
|
Danielle N Board
452 Old Corydon Rd |
$36.76 | 299 | 281 |
|
Emily R Knapp
471 Klutey Park Plaza Dr |
$23.79 | 338 | 270 |
|
Andrea S Jennings
110 2Nd St |
$31.38 | 344 | 324 |
|
Mohit K Sheth
1138 N Elm St |
$21.21 | 385 | 310 |
|
Kathryn Marie Ekstrom
1300 Merritt Dr Ste 100 |
$35.68 | 386 | 356 |
|
Travis Stout Thaler
138B S Green St |
$58.73 | 389 | 362 |
|
Nathan A Gish
1200 Barrett Blvd |
$34.26 | 396 | 369 |
|
Ashley Bruner Bailey
1200 Barret Blvd |
$26.95 | 458 | 413 |
|
Rahul Pansare
1413 N Elm St Ste 106 |
$29.38 | 461 | 425 |
|
Joseph H Wilson
1300 Merritt Dr |
$31.08 | 534 | 426 |
|
Lela K Marable
1300 Merritt Dr Ste 100 |
$23.73 | 551 | 471 |
|
Paul E Moore
110 3Rd St Ste 250 |
$36.71 | 560 | 527 |
|
Nayef Nimri
1305 N Elm St Ste N001 |
$37.34 | 622 | 583 |
|
Thomas Brooks Logan
800 N Elm St |
$43.18 | 652 | 569 |
|
Eula Geralyn Plana Tetangco
1305 N Elm St Ste G |
$43.24 | 668 | 636 |
|
Lesa Sue Sutton-Davis
2000 N Elm St Ste 1B |
$44.75 | 704 | 622 |
|
Mckenzie B Tucker
1413 N Elm St Ste 201 |
$39.41 | 755 | 704 |
|
Nhan Huu Nguyen
1015 North Elm Street |
$39.55 | 820 | 776 |
|
Jovil Kannampuzha
800 N Elm St |
$58.04 | 879 | 706 |
|
Philip David Caron
736 N Elm St |
$64.52 | 906 | 566 |
|
Mary Anne Thomas
452 Old Corydon Rd |
$34.09 | 955 | 819 |
|
Amber B Catlin
1305 N Elm St |
$17.57 | 1,097 | 966 |
|
Kristin Denise Bugg
1300 Merritt Dr |
$23.19 | 1,139 | 980 |
|
Armando C Sandoval
1413 N Elm St |
$31.44 | 1,196 | 1,108 |
|
Brian D Wellington
1300 Merritt Dr Ste 100 |
$38.01 | 1,218 | 1,072 |
|
Sarah M Bickett
736 N Elm St |
$27.63 | 1,233 | 1,125 |
|
Lisa Lovell
230 North Green Street |
$40.88 | 1,245 | 999 |
|
Sridhar Banuru
1138 N Elm St |
$51.31 | 1,277 | 1,139 |
|
Peter James Doll
323 8Th St |
$37.74 | 1,315 | 1,098 |
|
Tracy A Powell
1200 Barrett Blvd |
$18.37 | 1,318 | 947 |
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