Average Medicaid Office Visit Payments in Horse Cave, KY: $34.89
Avg. Paid
$34.89
Range
$18.30 – $42.29
Total Claims
32,473
Providers
6
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 Horse Cave, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Catrinia Druen
1495 S Dixie St |
$42.29 | 13,642 | 10,793 |
|
Shannon Renee Shirley
1501 S Dixie St |
$26.22 | 7,505 | 6,375 |
|
Courtney Layne Hawk
25 Hunter Ridge Rd |
$26.64 | 6,361 | 5,238 |
|
Swaranjit K Chani
207 E Main St |
$40.43 | 3,792 | 3,012 |
|
Bowling Green-Warren County Community Hospital Corporation
1495 S Dixie St |
$31.25 | 1,161 | 871 |
|
Kelsey Kennedy Newcome
1483 S Dixie St |
$18.30 | 12 | 12 |
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 Horse Cave, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Horse Cave, KY is $34.89 per claim, based on 32,473 claims from 6 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 Horse Cave, KY?
There are 6 Medicaid providers offering Office Visit related services in Horse Cave, KY according to public payment data.
What is the price range for Office Visit in Horse Cave, KY?
Medicaid reimbursement for Office Visit in Horse Cave, KY ranges from $18.30 to $42.29 per claim, with an average of $34.89. 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
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Avg $81.86
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Avg $24.20
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Avg $30.31
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Avg $82.40
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Avg $48.27
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Other Procedures in Horse Cave, KY
Blood Work & Lab Tests
Avg $9.39
99,973 claims
Emergency Room Visit
Avg $201.70
38,714 claims
Physical Therapy
Avg $32.97
12,725 claims
Urinalysis & Urine Tests
Avg $4.70
10,263 claims
X-Ray
Avg $73.47
8,916 claims
Dental Cleaning & Exam
Avg $31.85
7,585 claims
Durable Medical Equipment (DME)
Avg $42.46
6,892 claims
CT Scan (Computed Tomography)
Avg $450.73
4,156 claims