Average Medicaid Office Visit Payments in Lancaster, KY: $35.32
Avg. Paid
$35.32
Range
$8.96 – $55.86
Total Claims
96,572
Providers
19
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 Lancaster, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christian Matthew Wyler
304 Stanford St |
$51.62 | 13 | 13 |
|
Garrard County Health Dept
89 Farra Dr |
$55.86 | 26 | 26 |
|
Kevin Pettus
7786 Lexington Rd |
$36.90 | 32 | 23 |
|
Ephraim Mcdowell Health Resource, Inc.
501 N Camp Dick Rd |
$34.70 | 152 | 113 |
|
Ephraim Mcdowell Health Resource, Inc
405 Danville St |
$29.41 | 169 | 137 |
|
Kelly J Werkmeister
187 Farra Dr |
$22.99 | 228 | 176 |
|
Baillie Mccane
205 Northridge Rd |
$47.65 | 300 | 261 |
|
Robert Sean Cundiff
53 Farra Dr |
$49.22 | 571 | 530 |
|
Roxie Brooke Smith
2437 Fork Church Rd |
$31.81 | 608 | 511 |
|
Bluegrass Family Medicine & Pediatrics Pllc
90 Commerce Dr |
$16.07 | 1,423 | 892 |
|
V Care Health Solutions Llc
230 Lexington St Ste D |
$8.96 | 1,740 | 679 |
|
Jo Ann Noel
322 Crab Orchard St |
$30.39 | 3,168 | 2,509 |
|
Deborah Edelen
510 N Camp Dick Rd |
$37.62 | 4,631 | 4,094 |
|
James Robert Werkmeister
187 Farra Dr |
$36.65 | 5,402 | 4,545 |
|
Steven D Green
405 Danville St |
$40.13 | 5,943 | 5,077 |
|
Samantha Brooke Shell
324 W Maple Ave |
$25.59 | 9,098 | 7,713 |
|
Kristen Kuveikis
103 Southern Soul Way |
$27.17 | 9,587 | 7,123 |
|
Srinivas B Rapuri
230 Lexington Street |
$37.64 | 15,675 | 10,467 |
|
Tariq A Arain
90 Commerce Dr |
$39.73 | 37,806 | 22,486 |
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 Lancaster, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lancaster, KY is $35.32 per claim, based on 96,572 claims from 19 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 Lancaster, KY?
There are 19 Medicaid providers offering Office Visit related services in Lancaster, KY according to public payment data.
What is the price range for Office Visit in Lancaster, KY?
Medicaid reimbursement for Office Visit in Lancaster, KY ranges from $8.96 to $55.86 per claim, with an average of $35.32. 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 Lancaster, KY
Speech Therapy
Avg $8.51
21,108 claims
Chiropractic Care
Avg $18.70
14,637 claims
Ambulance Transport
Avg $45.89
9,673 claims
Eye Exam
Avg $41.57
7,848 claims
Physical Therapy
Avg $31.37
5,505 claims
Psychiatric Evaluation
Avg $64.62
4,620 claims
Vaccines & Immunizations
Avg $21.84
4,418 claims
Blood Work & Lab Tests
Avg $5.34
2,826 claims