Average Medicaid Office Visit Payments in Louisa, KY: $26.43
Avg. Paid
$26.43
Range
$14.83 – $65.80
Total Claims
798,312
Providers
73
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 Louisa, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Addiction Recovery Care Llc
125 S Main Cross St |
$41.68 | 12 | 12 |
|
Three Rivers Medical Clinics Inc
306 Commerce Dr Ste 700 |
$14.83 | 24 | 13 |
|
Shelby Pigmon Thompson
2485 Highway 644 |
$25.51 | 40 | 37 |
|
Louisa Eye Care, Pllc
112 S Vinson Ave |
$58.15 | 41 | 39 |
|
Dawn Rowe
125 S Main Cross St |
$14.97 | 42 | 33 |
|
Ohio Valley Physicians Inc
108 W Madison St |
$29.07 | 48 | 39 |
|
Jennifer Renee Burke-Bryant
125 S Main Cross St |
$50.73 | 109 | 102 |
|
Three Rivers Medical Clinics Inc
412 N Lock Ave |
$31.11 | 170 | 157 |
|
Jessica Ann Maupin
203 S Water St |
$53.64 | 268 | 239 |
|
Three Rivers Medical Clinics Inc
23 A St Ste B |
$26.76 | 386 | 300 |
|
Lawrence County Health Department
1080 Meadowbrook Ln |
$44.88 | 445 | 427 |
|
Charlie James France
Three Rivers Medical Center |
$15.45 | 450 | 254 |
|
Thomas Schrader
306 Commerce Dr |
$22.68 | 485 | 349 |
|
Kristen Nicole Smiddy
125 S Main Cross St |
$20.74 | 601 | 308 |
|
Ellen Margaret Newhouse
108 W Madison St |
$20.39 | 821 | 600 |
|
Kendra N Wiseman
203 S Water St |
$46.75 | 941 | 803 |
|
Lisa Diane Green
203 S Water St |
$34.41 | 1,112 | 886 |
|
Patrick Alexander Stiebling
203 S Water St |
$41.82 | 1,460 | 1,291 |
|
Thomas Hall Frazier
32 Professional Park Dr |
$41.00 | 1,724 | 1,500 |
|
Angel Adkins
125 S Main Cross St |
$25.52 | 1,725 | 1,616 |
|
Kurt Jaenicke
412 N Lock Ave |
$31.14 | 1,829 | 1,514 |
|
Jennifer Jude
2485 Highway 644 |
$24.34 | 1,872 | 1,734 |
|
Lindsey Nichole Winchester
203 S Water St |
$35.12 | 2,297 | 1,918 |
|
Jennifer Obannon
125 S Main Cross St |
$44.27 | 2,439 | 2,012 |
|
Kyle Clifton Mills
306 Commerce Dr Ste 700 |
$24.57 | 2,446 | 1,740 |
|
Joseph Ray Bowling
112 S Vinson Blvd |
$27.96 | 2,511 | 2,091 |
|
Joelle B Hagan
203 S Water St |
$33.91 | 2,565 | 2,143 |
|
Elizabeth Michelle Moore
125 S Main Cross St |
$26.65 | 2,677 | 2,025 |
|
Three Rivers Medical Clinics Inc
Hwy 644 |
$65.80 | 2,844 | 2,568 |
|
Christopher Lee Jude
203 S Water St |
$43.45 | 2,905 | 2,405 |
|
Timothy R Yoost
2483 Highway 644 |
$38.04 | 3,102 | 2,659 |
|
Brandon Hugh Webb
23 A St Ste B |
$29.79 | 3,585 | 2,994 |
|
Heather Denise Nickell
203 S Water St |
$33.29 | 4,005 | 2,835 |
|
Marc Alan Workman
412 N Lock Ave |
$26.03 | 4,421 | 3,662 |
|
Akshay Goel
2483 Highway 644 |
$39.64 | 4,474 | 3,698 |
|
Jill Delana Short
412 N Lock Ave |
$27.46 | 4,595 | 3,949 |
|
Tina Dulsena Turner
125 S Main Cross St |
$29.06 | 4,711 | 2,127 |
|
Carolyn Marie Marshall
203 S Water St |
$40.90 | 4,988 | 3,917 |
|
James Eric Flener
203 S Water St |
$39.62 | 5,511 | 4,893 |
|
Elizabeth Ann Saul-Collins
412 N Lock Ave |
$28.17 | 5,561 | 4,643 |
|
Stacie Leigh Green
125 S Main Cross St |
$34.09 | 5,843 | 4,587 |
|
Karen Marlene Moore
2483 Highway 644 |
$32.18 | 5,955 | 5,335 |
|
Rachel Maynard
108 W Madison St |
$43.34 | 6,245 | 5,131 |
|
Ashley E See
203 S Water St |
$30.71 | 6,280 | 5,414 |
|
Aprile Leigh Cook
203 S Water St |
$32.01 | 6,286 | 4,571 |
|
Stephanie Ann Hughes
125 S Main Cross St |
$30.85 | 6,337 | 4,622 |
|
Rodney Jason Brown
203 S Water St |
$25.96 | 6,446 | 4,669 |
|
Lauren Elizabeth Hall
203 S Water St |
$29.30 | 6,499 | 5,008 |
|
Tyrone Morris
108 W Madison St |
$22.62 | 6,776 | 4,949 |
|
Tracy Rowland
125 S Main Cross St |
$35.05 | 7,195 | 5,698 |
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 Louisa, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Louisa, KY is $26.43 per claim, based on 798,312 claims from 73 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 Louisa, KY?
There are 73 Medicaid providers offering Office Visit related services in Louisa, KY according to public payment data.
What is the price range for Office Visit in Louisa, KY?
Medicaid reimbursement for Office Visit in Louisa, KY ranges from $14.83 to $65.80 per claim, with an average of $26.43. 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 Louisa, KY
Substance Abuse Treatment
Avg $53.39
1,192,329 claims
Blood Work & Lab Tests
Avg $19.08
446,846 claims
Psychiatric Evaluation
Avg $37.24
290,363 claims
Behavioral & Mental Health Therapy
Avg $158.34
186,135 claims
Emergency Room Visit
Avg $141.78
108,719 claims
Case Management Services
Avg $297.41
58,029 claims
X-Ray
Avg $24.49
57,878 claims
Urinalysis & Urine Tests
Avg $4.32
40,941 claims