Average Medicaid Office Visit Payments in Lawrenceburg, KY: $27.57
Avg. Paid
$27.57
Range
$15.77 – $65.21
Total Claims
97,916
Providers
26
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 Lawrenceburg, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Leeann Mckenna Spivey
512 Saffell St |
$15.77 | 19,073 | 13,614 |
|
Kimberly Dawn Phillips
512 Saffell St |
$30.12 | 16,125 | 13,704 |
|
Donna Marie Bragg
92 Plaza Dr |
$26.72 | 13,161 | 8,226 |
|
Erin Yvonne Johnson
1080 Glensboro Rd |
$35.24 | 8,913 | 7,563 |
|
Sara Ackerman
1080 Glensboro Rd |
$25.64 | 8,806 | 7,901 |
|
Jessica Anne Shewmaker
92 Plaza Dr |
$25.25 | 4,582 | 3,954 |
|
Jaime Cooper
1080 Glensboro Rd |
$40.34 | 3,912 | 3,290 |
|
Brittany M Lisby
512 Saffell St |
$38.69 | 3,855 | 3,612 |
|
Patricia Ann Warner
1055 Corporate Dr |
$28.25 | 2,589 | 2,102 |
|
Alexandria Coutts
1080 Glensboro Rd |
$38.43 | 2,287 | 2,040 |
|
Crystal S Gilbert
1080 Glensboro Rd |
$28.67 | 2,164 | 1,875 |
|
Shanna Langford
1080 Glensboro Rd |
$24.42 | 2,124 | 1,648 |
|
Angela Michele Buck
1100 Glensboro Rd Ste 8 |
$31.56 | 1,793 | 1,546 |
|
James Gilbert
1080 Glensboro Rd |
$35.14 | 1,737 | 1,352 |
|
Toni Nicole Wright
512 Saffell Street |
$28.87 | 1,352 | 1,144 |
|
Patrick Richardson
1004 Bypass N |
$31.55 | 1,217 | 1,106 |
|
Kenneth Bain
1080 Glensboro Rd |
$37.63 | 1,196 | 1,041 |
|
Cynthia L Mccann
1080 Glensboro Rd |
$27.65 | 943 | 824 |
|
Victoria Copley
1753 Hammonds Creek Rd |
$24.90 | 889 | 831 |
|
Elizabeth M Slone
500 W Broadway St |
$30.06 | 564 | 469 |
|
Heather Alyse Watkins
1080 Glensboro Rd |
$26.74 | 453 | 361 |
|
Jeneen C Haddix
1004 West Park Drive |
$39.65 | 89 | 84 |
|
Jennifer D Gordon
331 S Main St |
$25.12 | 39 | 29 |
|
Suzanne Kay Neukam
1004 Dewey Drive |
$19.38 | 27 | 25 |
|
Arthur Andrew Pangemanan
1004 Dewey Dr Ste C |
$40.67 | 14 | 14 |
|
Anderson County Health Dept
1180 Glensboro Road |
$65.21 | 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 Lawrenceburg, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lawrenceburg, KY is $27.57 per claim, based on 97,916 claims from 26 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 Lawrenceburg, KY?
There are 26 Medicaid providers offering Office Visit related services in Lawrenceburg, KY according to public payment data.
What is the price range for Office Visit in Lawrenceburg, KY?
Medicaid reimbursement for Office Visit in Lawrenceburg, KY ranges from $15.77 to $65.21 per claim, with an average of $27.57. 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 Lawrenceburg, KY
Substance Abuse Treatment
Avg $61.66
55,896 claims
Psychiatric Evaluation
Avg $36.52
26,244 claims
Chiropractic Care
Avg $19.23
25,011 claims
Physical Therapy
Avg $97.50
16,690 claims
Speech Therapy
Avg $7.91
15,721 claims
Dental Cleaning & Exam
Avg $37.97
12,943 claims
Vaccines & Immunizations
Avg $17.70
10,927 claims
Ambulance Transport
Avg $64.42
10,781 claims