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Based on public Medicaid payment data.

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

Other Procedures in London, KY