Average Medicaid Office Visit Payments in Highland Heights, KY: $40.64
Avg. Paid
$40.64
Range
$1.58 – $72.88
Total Claims
91,000
Providers
41
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 Highland Heights, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rosa B. Hill
2885 Alexandria Way |
$34.66 | 9,584 | 9,121 |
|
Matthew James Karas
2885 Alexandria Way |
$38.66 | 8,158 | 7,724 |
|
Rani L. Clark
2885 Alexandria Pike |
$37.47 | 6,454 | 6,170 |
|
Margie Hall
2885 Alexandria Way |
$32.84 | 5,476 | 5,186 |
|
Jonathan Barrett Slaughter
2626 Alexandria Pike Ste 100 |
$51.78 | 5,312 | 4,548 |
|
Jessica Brooke Metzger
2626 Alexandria Pike |
$33.72 | 4,829 | 4,571 |
|
Christina Elizabeth Kurtzman
2626 Alexandria Pike |
$46.14 | 4,369 | 4,151 |
|
Drew Joseph Benedict Kurtzman
2626 Alexandria Pike |
$45.84 | 4,082 | 3,867 |
|
Katie Mcpherson
2626 Alexandria Pike |
$33.26 | 3,825 | 3,414 |
|
Victoria Renee Bobinski
1805 Alexandria Pike |
$44.03 | 3,600 | 3,326 |
|
William C Wring
2626 Alexandria Pike |
$27.45 | 3,020 | 2,740 |
|
Nancy L Beach
2626 Alexandria Pike |
$30.11 | 2,881 | 2,625 |
|
Ted George Pappas
1805 Alexandria Pike |
$41.67 | 2,651 | 2,434 |
|
Lauren Shiaoling Pan Harper
2626 Alexandria Pike |
$45.57 | 2,630 | 2,507 |
|
Alisha Ann Rust
2626 Alexandria Pike |
$40.28 | 2,356 | 2,140 |
|
Nicholas Thomas Gates
2626 Alexandria Pike Ste 100 |
$43.89 | 2,099 | 1,858 |
|
Christopher R Diroff
2626 Alexandria Pike |
$46.61 | 2,035 | 1,941 |
|
Forest Thomas Heis
2626 Alexandria Pike Ste 100 |
$42.04 | 1,996 | 1,735 |
|
Liane Marie Garrett
2885 Alexandria Way |
$72.88 | 1,927 | 1,734 |
|
Mark Bartruff
2626 Alexandria Pike |
$42.11 | 1,900 | 1,766 |
|
Bradley Schulte
2626 Alexandria Pike |
$70.26 | 1,779 | 1,636 |
|
Calyn Michele Crawford
2626 Alexandria Pike |
$48.83 | 1,310 | 1,263 |
|
Vickie C Chan
2626 Alexandria Pike |
$37.55 | 1,161 | 1,056 |
|
Susan C.P. Wenk
2626 Alexandria Pike |
$40.04 | 1,111 | 1,030 |
|
Jarrod R Walerstein
2626 Alexandria Pike |
$50.96 | 929 | 886 |
|
James Thomas Bilbo
2626 Alexandria Pike Ste 100 |
$38.96 | 851 | 737 |
|
Geoffrey Alan Pornoy
2626 Alexandria Pike |
$35.61 | 766 | 633 |
|
Stacey E Bishop Yeatman
2626 Alexandria Pike |
$36.35 | 754 | 682 |
|
Bernadette T Peak
2626 Alexandria Pike Ste 100 |
$43.83 | 625 | 514 |
|
Bryan Joel Berman
2626 Alexandria Pike |
$35.84 | 542 | 494 |
|
Sarah Vanover
1016 Town Dr |
$29.11 | 541 | 393 |
|
Melissa Lee Johnston
2626 Alexandria Pike |
$29.53 | 471 | 416 |
|
Elizabeth Marie Arnold
2626 Alexandria Pike |
$57.54 | 412 | 367 |
|
Douglas R Miles
2626 Alexandria Pike |
$33.94 | 211 | 194 |
|
Michael Douglas Bennett
2626 Alexandria Pike Ste 100 |
$33.59 | 184 | 165 |
|
Rachel Broering
460 University Drive |
$39.46 | 43 | 41 |
|
Heidi L Sharp
2626 Alexandria Pike |
$37.13 | 40 | 38 |
|
Lynnette Carol Chasteen
2626 Alexandria Pike |
$19.09 | 28 | 28 |
|
Danielle Marie Herbert
2626 Alexandria Pike |
$35.21 | 28 | 25 |
|
Kylie Rae Arey
1016 Town Dr |
$1.60 | 16 | 16 |
|
Heather Noelle Tapp
2515 Alexandria Pike |
$1.58 | 14 | 13 |
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 Highland Heights, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Highland Heights, KY is $40.64 per claim, based on 91,000 claims from 41 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 Highland Heights, KY?
There are 41 Medicaid providers offering Office Visit related services in Highland Heights, KY according to public payment data.
What is the price range for Office Visit in Highland Heights, KY?
Medicaid reimbursement for Office Visit in Highland Heights, KY ranges from $1.58 to $72.88 per claim, with an average of $40.64. 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 Highland Heights, KY
Psychiatric Evaluation
Avg $51.97
41,221 claims
Emergency Room Visit
Avg $64.64
13,695 claims
Physical Therapy
Avg $24.28
9,278 claims
Dental Cleaning & Exam
Avg $26.59
6,947 claims
Chiropractic Care
Avg $16.20
5,159 claims
X-Ray
Avg $16.06
4,972 claims
Case Management Services
Avg $290.37
3,680 claims
Blood Work & Lab Tests
Avg $6.55
3,433 claims