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
Ashish Kataria 800 Rose St	$38.82	12	12
Jacqueline Carey Fister 740 South Limestone	$54.51	12	12
Hai An Bui 3695 Nicholasville Rd Ste 150	$39.08	12	12
Ashar Mazhar Farooqi 740 S Limestone Ste B101	$96.53	12	12
Scott Anthony Graham 740 S Limestone Ste K201	$67.07	12	12
William Barlow Inabnet 125 E Maxwell	$96.38	12	12
Amr Mohamed 800 Rose St, Mn564	$29.82	12	12
Shasta Cecil 1720 Nicholasville Rd	$20.97	12	12
Heather L. Whitesel 740 S. Limestone K-454	$35.13	12	12
Alexandra Jamie Morell 800 Rose St	$66.91	12	12
Dawn C. Stratton 535 Wellington Way	$28.85	12	12
William Henry St. Clair 800 Rose St	$93.52	12	12
University Of Kentucky 770 Rose St Room D104	$53.53	12	12
Karam Ayoub 800 Rose St	$44.34	12	12
Jessica D Lee 740 S Limestone	$49.08	12	12
Andrew James Fink 100 N Eagle Creek Dr	$114.95	12	12
Lyndsey Pickett Witt 1760 Nicholasville Rd Ste 301	$50.33	12	12
Sarah Abdulsalam Y Ghaith 2195 Harrodsburg Rd Ste 125	$62.46	12	12
Darian Lewis 1401 Harrodsburg Rd Ste A540	$40.54	12	12
Jason S Harrod 3480 Yorkshire Medical Park	$73.25	12	12
Tana Lynn Repella 740 S Limestone Ste L104	$25.88	12	12
Nedda K Hughes 1101 Veterans Dr	$25.29	12	12
Cecilio Manuel Hernandez 740 S Limestone Ste B101	$58.11	12	12
Chlodys Elizabeth Johnstone Uk Division Of Endocrinology	$44.91	13	13
Lexington-Fayette Urban-County Health Department 4801 Athens Boonesboro Rd	$18.28	13	13
Walid A Abou-Jaoude 1760 Nicholasville Rd	$25.91	13	13
Jessica Mary Fairchild 1401 Harrodsburg Rd	$33.45	13	12
John C. Sartini 1221 S Broadway	$10.32	13	12
Haleigh Shelley Robertson 800 Rose St Dept Of	$41.74	13	13
Roger Alan Fleischman 800 Rose Street Cc180A Roach Bldg.	$28.81	13	12
Matthew John Neltner 830 S Limestone	$75.15	13	12
Shantelle Lacresha Stokely 800 Rose St	$55.52	13	12
Barbara Jean Crutchfield 740 S Limestone	$42.63	13	12
Tracy C. Moore 830 S Limestone Street	$22.18	13	13
Mary L Ireland 2195 Harrodsburg Rd Ste 125	$42.63	13	12
Sofeia Aslam 496 Southland Dr	$57.82	13	12
Sharon A Howard 1720 Nicholasville Road	$1.43	13	13
Favia Pope Sapp 3151 Beaumont Centre Cir	$49.68	13	13
Kimberly Renee Ringley 740 S Limestone	$24.05	13	12
Jessica Renea Cox 3175 Beaumont Centre Cir	$29.33	13	12
Damir Kusmic 160 N Eagle Creek Dr Ste 202	$42.01	13	13
Alison K Nickell 100 N Eagle Creek Dr	$34.84	13	12
Terrence Barrett Uk Division Of Digestive Diseases	$38.24	13	12
Payton Eberling 3101 Wall St	$67.73	13	13
Stephen Gbejule Odaibo 120 N Eagle Creek Dr Ste 500	$17.85	13	13
Said Chaaban Uk Division Of Pulmonary Critical Care 740 S	$44.71	13	12
Justin David Hilliard 740 S Limestone Ky Clinic 401	$38.00	13	12
Lexington-Fayette Urban-County Health Dept 2319 Clays Mill Road	$18.28	13	12
Aimee Elizabeth Williamson 740 S Limestone	$53.16	13	13
Christen Michelle Richardson 800 Rose St Fl 1	$22.69	13	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 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

Office Visit in Other Cities

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CT Scan (Computed Tomography)