Average Medicaid Office Visit Payments in London, KY: $33.74
Avg. Paid
$33.74
Range
$0.00 – $92.21
Total Claims
1,120,887
Providers
241
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 London, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicholas Benjamin Capal
1025 Saint Joseph Ln |
$92.21 | 15 | 15 |
|
Kindra Lee Cole
934 S Laurel Rd Ste 2 |
$11.06 | 15 | 12 |
|
Bruce Allen
1025 Saint Joseph Ln |
$33.88 | 16 | 12 |
|
Gilbert M Mamauag
346 Beechwood Dr |
$52.52 | 23 | 21 |
|
Samantha Nicole Reid
1907 E Pittsburg Church Rd |
$15.60 | 31 | 31 |
|
Laurel County Health Department
525 Whitley St. |
$57.86 | 31 | 30 |
|
Kristi Elrod
1380 Highway 192 E |
$9.69 | 37 | 18 |
|
Johnathan W. Oakley
130 Thompson Poynter Rd |
$61.03 | 43 | 40 |
|
Stephanie Somerville
1370 S Laurel Rd Ste 1 |
$66.28 | 44 | 41 |
|
Dana Powers
1130 W Laurel Rd |
$21.13 | 50 | 34 |
|
Loryn Elizabeth Cheek
73 Thompson Poynter Rd Ste A |
$44.22 | 63 | 55 |
|
Lindsey Maureen Landers
300 Dogpatch Trading Ctr |
$23.57 | 64 | 59 |
|
Barbara A Fee
102 Professional Dr Ste 2 |
$17.29 | 68 | 56 |
|
Luke Robinson
1025 Saint Joseph Ln |
$58.38 | 72 | 68 |
|
Alison Mcdonald Overley
975 S Laurel Rd Ste B |
$44.19 | 77 | 72 |
|
Holly P. De La Pena
200 City Hill Dr |
$1.48 | 82 | 48 |
|
Pinkesh Patel
302 Falls St |
$29.09 | 95 | 94 |
|
Seyed Kamran Hejazi Kenari
1025 Saint Joseph Ln |
$47.17 | 117 | 99 |
|
Dana E Campbell
1210 W 5Th St |
$23.57 | 129 | 104 |
|
Heartstrings Mental Health Pllc
125 S Laurel Road |
$44.92 | 140 | 124 |
|
Kentucky Family Practice Inc
195 Commercial Dr Ste 98 |
$29.55 | 145 | 109 |
|
Sarah Marie Logan
175 City Hill Dr |
$22.12 | 150 | 134 |
|
Denise Maynes
1001 Saint Joseph Ln |
$10.73 | 171 | 136 |
|
Don Michael Morring
1025 Saint Joseph Ln |
$42.69 | 180 | 145 |
|
Azure Noel Shelton
803 Meyers Baker Rd Ste 200 |
$33.22 | 203 | 180 |
|
Jessica Deshae Thompson
503 N Main St |
$27.05 | 205 | 184 |
|
Chad E Morgan
321 E 4Th St Ste 2 |
$16.47 | 210 | 198 |
|
Robert Brentwood Bux
1114 Reuben St |
$21.05 | 233 | 176 |
|
Teshawna Barker-Sutton
930 E 4Th St |
$36.35 | 251 | 192 |
|
Rebekah Huffman
503 N Main St |
$32.38 | 267 | 232 |
|
David Cody Dugger
160 London Mountain View Dr |
$33.25 | 269 | 245 |
|
Jerry Wayne Lewis
103 Sycamore St |
$30.36 | 270 | 137 |
|
Mark David Huffman
503 N Main St |
$22.01 | 313 | 265 |
|
Ryan Farris
272 London Mountain View Dr |
$25.48 | 329 | 213 |
|
Carlie Deeann Greer
195 Commercial Dr Ste 98 |
$45.64 | 351 | 254 |
|
Carla R. Phelps
1102 S Main St Ste 1 |
$32.82 | 365 | 281 |
|
Tamara Andrews
160 London Mountain View Dr |
$26.66 | 371 | 338 |
|
Adam J High
302 Falls St Ste A |
$34.78 | 374 | 347 |
|
Douglas Blake Saylor
222 N Main St |
$25.18 | 378 | 318 |
|
Lorie Jean Stines
160 London Mountain View Dr |
$31.71 | 380 | 337 |
|
Mirza W Ahmed
1210 W 5Th St |
$27.60 | 387 | 316 |
|
Jarrod Lee Napier
677 Meyers Baker Rd |
$39.34 | 396 | 344 |
|
Stephen George Sigrimis
1102 S Main St |
$36.05 | 400 | 302 |
|
Makayla Carr
1374 Highway 192 E Ste 400 |
$34.05 | 413 | 353 |
|
Jarred Jones
175 City Hill Dr |
$40.79 | 426 | 363 |
|
Stephanie B Manning
2645 N Laurel Rd |
$46.50 | 469 | 411 |
|
Ambrosia Peden
503 N Main St |
$39.45 | 480 | 438 |
|
Alexis Paige Mcwhorter
1025 Saint Joseph Ln |
$42.58 | 490 | 451 |
|
Chioma Nwagbara
1025 Saint Joseph Ln |
$41.23 | 492 | 455 |
|
Huffman And Huffman Psc
503 N Main St |
$0.00 | 498 | 472 |
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 London, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in London, KY is $33.74 per claim, based on 1,120,887 claims from 241 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 London, KY?
There are 241 Medicaid providers offering Office Visit related services in London, KY according to public payment data.
What is the price range for Office Visit in London, KY?
Medicaid reimbursement for Office Visit in London, KY ranges from $0.00 to $92.21 per claim, with an average of $33.74. 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 London, KY
Blood Work & Lab Tests
Avg $12.45
597,696 claims
Substance Abuse Treatment
Avg $54.12
328,567 claims
Physical Therapy
Avg $24.35
296,797 claims
Psychiatric Evaluation
Avg $43.43
279,325 claims
Emergency Room Visit
Avg $135.90
207,778 claims
EKG / ECG (Electrocardiogram)
Avg $23.49
130,330 claims
Speech Therapy
Avg $25.10
127,814 claims
Home Health Visit
Avg $54.53
123,868 claims