Average Medicaid Office Visit Payments in Irvine, KY: $31.56
Avg. Paid
$31.56
Range
$0.00 – $91.69
Total Claims
195,280
Providers
37
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 Irvine, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Allen
149 Richmond Rd |
$91.69 | 12 | 12 |
|
Julia D Browning
275 Court St |
$0.00 | 14 | 12 |
|
Mercy Health-Marcum & Wallace Hospital Llc
60 Mercy Ct |
$14.86 | 14 | 14 |
|
Kristi Leanne Muncie
1287 Blackburn Rd |
$40.16 | 60 | 48 |
|
Josie Gail Pippin
1100 Richmond Rd |
$62.17 | 77 | 64 |
|
Estill County Health Department
365 River Dr |
$24.07 | 108 | 103 |
|
Richard A Stone
60 Mercy Ct |
$45.31 | 266 | 223 |
|
Joyce Lynn Puckett
1100 Richmond Rd |
$26.45 | 415 | 368 |
|
Riverview Services Llc
417 River Dr |
$16.22 | 483 | 349 |
|
Kentucky One Health Medical Group, Inc.
417 River Dr |
$28.48 | 508 | 414 |
|
Sondra Jane Noble
1100 Richmond Rd |
$35.17 | 838 | 700 |
|
David Corey Lachman
30 Stacy Lane Rd |
$49.96 | 901 | 834 |
|
John-Michael Mcgaugh
30 Stacy Lane Rd |
$36.52 | 992 | 850 |
|
Debra Jean Wolf
275 Court St |
$30.92 | 1,052 | 798 |
|
Shelbi L Nolan
275 Court St |
$26.89 | 1,909 | 1,481 |
|
Maher Kassis
1100 Richmond Rd |
$34.81 | 2,395 | 2,135 |
|
Elizabeth J Clark
275 Court St |
$29.46 | 2,885 | 2,558 |
|
Bobbie Jean Allen
1100 Richmond Rd |
$26.46 | 2,983 | 2,552 |
|
Annette Williams
30 Stacy Lane Rd |
$36.87 | 3,618 | 3,209 |
|
Trina R. Mattingly
417 River Dr |
$37.81 | 3,775 | 3,206 |
|
Tamera Shea Spangler
1100 Richmond Rd |
$47.64 | 3,978 | 3,620 |
|
Mercy Health Clinics, Llc
1100 Richmond Road |
$20.52 | 4,744 | 3,793 |
|
Austin Chandler Sparkman
30 Stacy Lane Rd |
$29.35 | 5,073 | 4,439 |
|
Estill Medical Clinic, Psc
275 Court St |
$16.47 | 5,336 | 3,817 |
|
Vivian C Ong
223 River Dr |
$41.68 | 5,598 | 5,051 |
|
Herbert W Long
417 River Dr |
$33.79 | 6,858 | 5,901 |
|
Sarah Bess Tibbs
30 Stacy Lane Rd |
$44.25 | 6,877 | 6,082 |
|
Billie Jean Kelley
1100 Richmond Rd |
$36.31 | 7,040 | 6,115 |
|
Sherra Morgan
30 Stacy Lane Rd |
$33.45 | 7,762 | 6,836 |
|
Pamela Jones
1100 Richmond Rd |
$26.11 | 10,225 | 8,443 |
|
Melissa Barnett
110 River Dr |
$34.70 | 10,338 | 8,823 |
|
Kendra B Robertson
62 Mercy Ct |
$31.33 | 10,739 | 9,630 |
|
Amy M Newman
62 Mercy Ct |
$31.21 | 10,870 | 9,659 |
|
Tammy Michelle Gross
30 Stacy Lane Rd |
$30.50 | 12,253 | 10,061 |
|
Jenna Sigmon Mccracken
62 Mercy Ct |
$31.26 | 12,431 | 10,741 |
|
Donna R. Isfort
275 Court St |
$28.04 | 15,075 | 11,489 |
|
Jennifer Maupin
1561 Richmond Rd Ste B |
$29.74 | 36,778 | 26,731 |
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 Irvine, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Irvine, KY is $31.56 per claim, based on 195,280 claims from 37 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 Irvine, KY?
There are 37 Medicaid providers offering Office Visit related services in Irvine, KY according to public payment data.
What is the price range for Office Visit in Irvine, KY?
Medicaid reimbursement for Office Visit in Irvine, KY ranges from $0.00 to $91.69 per claim, with an average of $31.56. 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 Irvine, KY
Blood Work & Lab Tests
Avg $11.89
202,001 claims
Emergency Room Visit
Avg $111.03
59,222 claims
Physical Therapy
Avg $33.40
41,338 claims
Vaccines & Immunizations
Avg $13.81
37,049 claims
X-Ray
Avg $71.28
22,108 claims
Urinalysis & Urine Tests
Avg $8.22
20,049 claims
Ambulance Transport
Avg $43.60
18,626 claims
Dental Cleaning & Exam
Avg $32.47
17,998 claims