Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Jackson, KY: $32.51

Avg. Paid

$32.51

Range

$0.00 – $58.57

Total Claims

398,710

Providers

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 Jackson, KY

Provider	Avg. Paid	Claims	Patients
Cesar Ocampo Agtarap 1550 Highway 15 S	$18.11	36,952	29,539
Clemente V. Zulueta 95 Jackson Hts	$43.12	35,370	31,252
Paul E Smith 1550 Highway 15 S Ste 200	$38.28	33,105	13,365
Pablo Alabanza Merced 1389 Highway 15 N	$40.40	26,448	7,618
Cynthia Prather Bell 832 Highway 15 N	$29.75	22,575	12,392
Rebecca Mae Holbrook-Watkins 424 Jett Dr	$23.01	21,752	15,114
Edgar A D Mendoza 1484 Lakeside Drive	$41.10	20,147	17,108
Betty Faye Noble 832 Highway 15 N	$31.91	18,076	10,124
Carl Gross 540 Jett Dr	$28.15	17,474	13,253
Christopher Jackson 1550 Highway 15 S Ste 200	$43.06	17,399	7,705
June Elizabeth Abadilla 12 Jackson Hts	$26.83	14,643	11,396
Melecio G Abordo 12 Jackson Hts	$28.68	11,485	9,016
Kimerli Plumb-Moore 1484 Lakeside Drive	$39.60	10,422	9,320
George Edward Burnette 424 Jett Dr	$33.68	9,802	6,227
Allison Michelle Manning 1484 Lakeside Drive	$29.26	8,350	7,273
Stacy Kirby 832 Highway 15 N	$40.57	7,836	5,526
Hany M Oghia 726 Highway 15 N	$37.25	7,579	3,870
James B West 1484 Lakeside Dr	$30.32	6,541	5,695
Brittney Denise Herald 540 Jett Dr	$21.17	5,975	4,956
Scotty Dwayne Combs 1484 Lakeside Dr	$27.27	5,964	5,178
Amanda J. Blackburn 1484 Lakeside Dr	$28.90	5,640	5,005
Brittany Moore Fugate 1484 Lakeside Drive	$40.89	5,441	5,012
Jennifer Lynn Dickey 1484 Lakeside Dr	$29.08	4,755	4,151
Kelsea B Combs 1484 Lakeside Dr	$26.80	4,564	4,013
Aaron K. Jonan Memorial Clinic Inc. 832 Highway 15 N	$9.67	4,510	2,327
Heather R Banks 1484 Lakeside Dr	$27.16	4,252	3,790
Sreenivasa Reddy Alla 726 Highway 11 N, Suite 5	$58.57	3,317	3,008
Beverly Dawn Ellis 1484 Lakeside Drive	$30.25	3,097	2,740
Jackson Hospital Corporation 424 Jett Dr	$24.03	2,842	1,904
Madison Haley Trent 1550 Highway 15 S Ste 240	$32.73	2,680	2,361
Courtney Brooke Addison 1484 Lakeside Dr	$30.96	2,283	2,119
Adam Mcintosh 420 Jett Dr	$32.15	1,887	1,631
Aaron William Johnson 540 Jett Dr	$31.78	1,742	1,285
Jerry Lee Campbell 1550 Highway 15 S Ste 240	$30.28	1,665	1,358
Alan K Sloas 1484 Lakeside Dr	$29.96	1,536	1,403
Dennis B Campbell 3830 Highway 15 S	$34.59	1,407	1,165
Randall Keith Gaddis 100 Highway 15 S Ste 138	$20.29	1,392	1,010
Family Medical Specialty Clinic Pllc 12 Jackson Heights Drive	$8.84	1,354	739
Laken Nickell 1484 Lakeside Dr	$31.64	1,206	1,122
Clemente V. Zulueta, Jr., Md, Pllc 95 Jackson Hts	$24.50	1,154	1,071
Katrina Rose Turner 12 Jackson Hts	$30.93	746	655
Crystal Dawn Meyer 1484 Lakeside Dr	$29.91	693	651
Allie Clevenger 1484 Lakeside Dr	$33.36	615	581
Steven Ray Howard 1725 Highway 15 N	$27.81	556	455
Eunice Louise Johnson 540 Jett Dr	$36.08	476	435
Derrick Jack Hamilton 1484 Lakeside Drive	$31.59	452	385
Kimberly Smith 1550 Highway 15 S Ste 200	$35.98	256	242
Jerrica Duty 540 Jett Dr	$14.64	151	105
Jacqueline Campbell 1550 Highway 15 S Ste 240	$36.34	114	105
Juniper Health Inc 1484 Lakeside Drive	$0.00	18	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 Jackson, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jackson, KY is $32.51 per claim, based on 398,710 claims from 51 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 Jackson, KY?

There are 51 Medicaid providers offering Office Visit related services in Jackson, KY according to public payment data.

What is the price range for Office Visit in Jackson, KY?

Medicaid reimbursement for Office Visit in Jackson, KY ranges from $0.00 to $58.57 per claim, with an average of $32.51. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Jackson, KY: $32.51

Providers Offering Office Visit in Jackson, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Jackson, KY

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Psychiatric Evaluation

Emergency Room Visit

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X-Ray

Ambulance Transport

Physical Therapy

Vaccines & Immunizations