Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lexington, KY: $40.42

Avg. Paid

$40.42

Range

$0.00 – $472.55

Total Claims

4,343,155

Providers

2,144

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 Lexington, KY

Provider	Avg. Paid	Claims	Patients
University Of Kentucky 800 Rose St	$50.85	267,242	220,241
Abdolreza Rabiee 1221 S Broadway	$46.21	253,987	231,233
Thomas William Howard, Iii 135 E Maxwell St Ste 401	$40.67	37,779	18,695
Bhawan Yamraj 245 Fountain Ct Ste 120	$36.25	28,320	23,681
Caleb Rowe 177 Burt Rd	$41.27	27,690	25,608
Timothy T Mims 2443 Sir Barton Way Ste 275	$33.76	27,188	25,284
David A. Wrede 1101 Veterans Dr	$41.12	26,622	12,584
Bobbie Michele Adams 1101 Veterans Dr	$30.33	26,467	11,123
Christopher M Lyon 2416 Regency Rd	$27.03	25,041	21,962
Richard A Lingreen 2416 Regency Rd	$30.34	24,473	19,230
Tammy Lynn Meade 575 W Main St	$32.00	24,152	12,924
Angela Michelle Ballard 177 Burt Rd	$34.30	22,783	21,383
Stacy Rose Frederick 2400 Greatstone Pt Ste A100	$31.65	22,718	15,304
Ronald Clay Bibb 365 Waller Ave Ste 100	$37.53	20,295	10,226
William R Crowe 2444 Harrodsburg Rd	$45.14	19,560	10,205
Andree Deifel 1301 Winchester Rd Ste 147	$40.25	19,474	10,941
Edwin Brian Robbins 120 N Eagle Creek Dr	$23.83	19,275	17,856
Saeed Hamid 1021 Majestic Drive	$36.96	19,155	10,679
Jerri L Campbell 1101 Veterans Dr	$33.57	18,717	8,134
Dennis R. Northrip 2416 Regency Road	$30.26	17,557	15,130
Oliver C James 120 Prosperous Pl Ste 102	$48.19	16,689	10,263
Lauren Elizabeth Maupin 177 Burt Rd	$38.64	16,361	14,279
Tricia Harvey Jackson 1401 Harrodsburg Rd Ste B165	$25.57	15,985	11,277
Joanna L Santiesteban 160 N Eagle Creek Dr Ste 400	$39.50	15,807	9,867
Rallie Louise Mcallister 575 W Main St	$53.71	15,660	12,553
Susan Combs 576 E Third St	$33.37	15,463	11,175
Cheryl Carter 535 Wellington Way Ste 330	$38.84	15,461	7,954
Nikita Sutton 1401 Harrodsburg Rd Ste A530	$36.79	15,031	8,455
Rose Pierson 1019 Majestic Dr	$27.29	14,953	13,497
Tiffany Nicole Wright 436 W2Nd St	$33.29	14,536	6,044
Anand Modadugu 2416 Regency Road	$34.29	14,406	12,156
Curtis Welling 360 W Loudon Ave	$49.35	13,941	9,793
Joel Craig Stephenson 1101 Veterans Dr	$33.60	13,894	7,738
Melanie H. Ledford 3470 Blazer Pkwy	$22.76	13,707	11,055
John W. Richard 989 Governors Ln Ste 240	$31.58	13,066	9,319
Lisa G Highland 1401 Harrodsburg Rd	$29.25	12,570	9,656
David M Arehart 800 Rose St	$18.53	12,545	10,754
Alaina Danielle Nevels 575 W Main St	$22.73	12,373	7,872
Nathan Bartley 3050 Rio Dosa Dr	$33.26	12,353	10,747
Julie E Zude 2220 Young Dr	$83.96	12,323	9,639
Ihab Youssef Labatia 853 Lane Allen Rd	$40.26	12,134	10,807
Jessica Leigh Lange 120 N Eagle Creek Dr Ste 102	$60.59	11,866	10,642
Timothy Smallwood 177 Burt Rd	$40.20	11,741	11,034
Christopher Haywood Azbell 740 South Limestone Ear Nose & Throat Clinic	$74.60	11,569	10,748
Kay G Wilson 3470 Blazer Pkwy Ste 300	$26.34	11,524	8,978
Allison C Barton 800 Rose St	$42.59	11,278	9,300
Laura Thomson 1255 Providence Place Pkwy Ste 115	$47.35	11,198	10,083
Tina Shelton-Coomer 1030 Monarch St Ste 100	$32.38	11,170	7,033
Kandace Marie Wall 1792 Alysheba Way	$45.59	10,905	9,600
Marikate Grogan 496 Southland Dr	$29.46	10,862	7,737

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 Lexington, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lexington, KY is $40.42 per claim, based on 4,343,155 claims from 2144 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 Lexington, KY?

There are 2144 Medicaid providers offering Office Visit related services in Lexington, KY according to public payment data.

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

Medicaid reimbursement for Office Visit in Lexington, KY ranges from $0.00 to $472.55 per claim, with an average of $40.42. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Lexington, KY: $40.42

Providers Offering Office Visit in Lexington, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit

X-Ray

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Physical Therapy

Substance Abuse Treatment

Dental Cleaning & Exam

CT Scan (Computed Tomography)