Average Medicaid Office Visit Payments in Hopkinsville, KY: $37.12
Avg. Paid
$37.12
Range
$0.00 – $220.32
Total Claims
639,100
Providers
161
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 Hopkinsville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christian County Foot And Ankle Center, Inc
1610 S Main St |
$12.13 | 12 | 12 |
|
Alissa K Daugherty
4044 Fort Campbell Blvd |
$42.84 | 14 | 13 |
|
Ashley Felts Boze
737B North Drive |
$53.70 | 18 | 13 |
|
Western Kentucky Pulmonary Clinic
1724 Kenton St |
$0.00 | 18 | 16 |
|
Helen H Cayce
222 W 18Th St |
$26.29 | 19 | 19 |
|
Pennyroyal Healthcare Services, Inc.
1102 S Virginia St |
$9.94 | 26 | 12 |
|
Mehreen Sheikh Hall
10755 Eagle Way Ste 202 |
$45.17 | 30 | 26 |
|
Fairview Physicians Network, Llc
1717 High St |
$14.31 | 30 | 25 |
|
Amber Cook Lane
205 W 15Th St |
$13.66 | 39 | 26 |
|
Dixon Lynn Craft
10755 Eagle Way Ste 200 |
$21.66 | 42 | 37 |
|
Brittany Whyte
222 W 18Th St |
$28.54 | 43 | 37 |
|
Matthew Scott Robinson
1722 High St |
$26.54 | 52 | 43 |
|
Michael J. Murray
1717 High St |
$17.27 | 56 | 41 |
|
Joseph Cory Bastin
1016 S Main St |
$66.99 | 56 | 51 |
|
Tiffany Patterson Baugh
10755 Eagle Way |
$92.25 | 82 | 77 |
|
Hannah Hodge
270 Walton Way |
$42.69 | 106 | 91 |
|
Dawn B Camp
522 Noel Ave Ste B |
$19.39 | 141 | 117 |
|
Eric Putty
260 Burley Ave. |
$46.22 | 153 | 134 |
|
Kristen Brooke Wilson
10755 Eagle Way |
$33.91 | 183 | 181 |
|
Kaitlin Marie Mcnamara
222 W 18Th St |
$41.17 | 191 | 169 |
|
Mary Amelia Oxford
1717 High St |
$1.67 | 203 | 171 |
|
Lee Andrew Evans
219 W 17Th St |
$40.08 | 225 | 183 |
|
Brenelly Lozada-Cruz
1717 High St Ste 1A |
$57.26 | 243 | 211 |
|
Morgan Haley Lackey
10755 Eagle Way Ste 100 |
$17.74 | 254 | 195 |
|
Pankajkumar C Shah
320 W 18Th St |
$30.89 | 288 | 230 |
|
Jeannie L Rowe
1717 High St Ste 4B |
$41.30 | 294 | 225 |
|
Jill Anne Morgan
111 Derrick Pl |
$23.15 | 334 | 253 |
|
Brett Anthony Bond
739 North Dr |
$43.94 | 362 | 332 |
|
Lorenetta Louise Graves
2955 Fort Campbell Blvd |
$54.41 | 384 | 370 |
|
Kati Suzanne Whiteford
1721 Canton St |
$43.01 | 443 | 324 |
|
Fairview Physicians Network, Llc
222 W 18Th St |
$32.36 | 445 | 377 |
|
Cindy Annette Rosenberger
231 Burley Ave |
$96.75 | 483 | 387 |
|
James Norman Mcnamara
223 Burley Ave |
$49.86 | 522 | 442 |
|
Candice Perkins
320 W 18Th St |
$15.64 | 535 | 409 |
|
Holly N Payne
2955 Fort Campbell Blvd |
$56.60 | 546 | 526 |
|
Deepak Patel
310 Cool Water Ct |
$27.83 | 581 | 424 |
|
Christina Entrup
4235 Fort Campbell Blvd |
$76.22 | 585 | 490 |
|
Mackenzie Denton
105 Keeton Dr |
$40.33 | 695 | 584 |
|
Lauren Ellen Gary
270 Burley Ave |
$64.65 | 695 | 656 |
|
Amanda E Sholar
1700 Canton St |
$32.29 | 698 | 636 |
|
Abhijay Jalota
1717 High St Fl 2 |
$18.91 | 722 | 615 |
|
Ebone Powers
1914 S Virginia St |
$24.65 | 730 | 580 |
|
Autumn Rae Smith
1717 High St Ste 4B |
$41.60 | 752 | 587 |
|
Hopkinsville Family Care Psc
315A W 16Th St |
$27.70 | 768 | 677 |
|
Lauren Brooke Johnson
1724 Kenton St Ste 1B |
$28.50 | 817 | 740 |
|
Lacey Jaye Thurman
500 Clinic Dr |
$44.67 | 821 | 776 |
|
Rachael-Catherine Hartnett
Vanderbilt Pediatric Associates |
$78.35 | 835 | 720 |
|
Sheila Rae Schmidt
1202 Skyline Dr |
$26.53 | 856 | 732 |
|
Melissa M Jenkins
1717 High St Ste 1A |
$31.37 | 880 | 668 |
|
Baptist Health Deaconess Medical Group Inc
500 Clinic Dr |
$38.15 | 885 | 771 |
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 Hopkinsville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hopkinsville, KY is $37.12 per claim, based on 639,100 claims from 161 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 Hopkinsville, KY?
There are 161 Medicaid providers offering Office Visit related services in Hopkinsville, KY according to public payment data.
What is the price range for Office Visit in Hopkinsville, KY?
Medicaid reimbursement for Office Visit in Hopkinsville, KY ranges from $0.00 to $220.32 per claim, with an average of $37.12. 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 Hopkinsville, KY
Blood Work & Lab Tests
Avg $9.11
380,071 claims
Physical Therapy
Avg $95.68
328,131 claims
X-Ray
Avg $14.92
149,883 claims
Emergency Room Visit
Avg $112.13
135,129 claims
Psychiatric Evaluation
Avg $60.87
110,197 claims
Vaccines & Immunizations
Avg $19.67
95,318 claims
Urinalysis & Urine Tests
Avg $3.54
88,024 claims
Substance Abuse Treatment
Avg $69.39
78,351 claims