Average Medicaid Office Visit Payments in Hindman, KY: $30.31
Avg. Paid
$30.31
Range
$2.59 – $55.65
Total Claims
120,687
Providers
20
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 Hindman, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
North Fork Valley Community Health Board, Inc.
59 Cowtown Rd |
$2.59 | 13 | 12 |
|
Jaimee Jones
566 Highway 899 |
$24.66 | 330 | 272 |
|
East Ky Health Service Center
566 Highway 899 # 849 |
$29.09 | 471 | 348 |
|
Tansy Lee Hall
566 Highway 899 |
$19.16 | 579 | 406 |
|
Avery Blake Shrum
425 Hindman Byp |
$36.66 | 590 | 552 |
|
Marilyn Ritchie
566 Hwy 899 |
$19.79 | 911 | 641 |
|
Primary Care Centers Of Eastern Kentucky, Llc
58 West Hwy 80 |
$9.46 | 1,103 | 644 |
|
Kenneth Morris Slone
59 Cowtown Rd., |
$38.69 | 1,297 | 1,130 |
|
Kentucky River District Health Department
880 West Main Street |
$28.52 | 1,426 | 1,292 |
|
Morgan Walker
396 Highway 899 |
$29.67 | 2,083 | 1,774 |
|
Knott County Family Healthcare,Pllc
70 Holly Hills Mall Rd |
$17.00 | 2,555 | 1,410 |
|
Zachary Davis
396 Highway 899 |
$45.38 | 3,759 | 2,863 |
|
Kentucky River District Health Department
875 West Main Street |
$45.11 | 3,889 | 2,702 |
|
Kentucky River District Health Department
76 Patriot Lane |
$55.65 | 5,222 | 2,860 |
|
Melissa Moore
566 Highway 899 |
$22.53 | 6,360 | 4,919 |
|
Polly Johnson
59 Cowtown Rd |
$29.92 | 8,591 | 6,770 |
|
Warren Grady Stumbo
566 Highway 899 |
$24.48 | 9,020 | 6,668 |
|
Kristen Danielle Combs
396 Highway 899 |
$32.96 | 9,829 | 8,405 |
|
Melissa Candis Collett
59 Cowtown Rd |
$28.12 | 20,990 | 18,179 |
|
Kevin Davis
396 Highway 899 |
$28.98 | 41,669 | 30,487 |
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 Hindman, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hindman, KY is $30.31 per claim, based on 120,687 claims from 20 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 Hindman, KY?
There are 20 Medicaid providers offering Office Visit related services in Hindman, KY according to public payment data.
What is the price range for Office Visit in Hindman, KY?
Medicaid reimbursement for Office Visit in Hindman, KY ranges from $2.59 to $55.65 per claim, with an average of $30.31. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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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
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Hindman, KY
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Avg $6.66
19,950 claims
Substance Abuse Treatment
Avg $70.90
17,550 claims
Dental Cleaning & Exam
Avg $30.24
7,140 claims
Ambulance Transport
Avg $39.95
7,033 claims
Case Management Services
Avg $360.05
5,096 claims
Nursing Facility Care
Avg $12.14
5,044 claims
Prescription Medications
Avg $8.15
4,697 claims
Speech Therapy
Avg $8.70
3,626 claims