Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Louisville, KY: $41.24

Avg. Paid

$41.24

Range

$0.00 – $868.43

Total Claims

6,565,945

Providers

3,179

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 Louisville, KY

Provider	Avg. Paid	Claims	Patients
Erika Jaclyn Ruth 401 E Chestnut St Unit 610	$8.69	321,774	20,033
Abdul Haq 219 E Broadway	$68.76	77,721	65,632
Danya' Nicole Colbert-Trowel 2020 Newburg Rd	$65.46	65,244	56,889
Norton Hospitals Inc 234 E Gray St	$19.62	53,194	43,162
Daniel E Lynch 5129 Dixie Hwy Ste 201	$44.40	46,248	41,215
Richard H Cales 5722 Outer Loop	$41.51	46,076	24,364
Mohana Rao Arla 170 Dr Arla Way Ste 101	$35.59	44,586	32,928
Nathan Lamborn 11300 Maple Brook Dr	$26.45	35,151	31,394
Norton Hospitals, Inc 200 E Chestnut St	$20.62	32,726	28,160
Pamela E Taylor 3975 7Th Street Rd	$33.35	32,543	25,761
Asad E Ismail 645 S Roy Wilkins Ave Ste 200	$53.15	28,859	18,749
James Davis Tipton 4420 Dixie Hwy Ste 126	$43.03	26,156	24,268
Brenda Alexis Osborne 720 W Broadway	$31.11	24,138	22,412
David Michael Anderson 9702 Stonestreet Rd Ste 120	$51.06	23,105	16,972
Mariano A Galang 1406 Browns Ln Ste G	$45.59	22,798	13,246
Hisham A Alrefai 9720 Park Plaza Ave Unit 104	$36.80	22,363	19,503
Kevin Eric Buck 189 Outer Loop	$41.55	21,412	19,800
Beth Glass 9702 Stonestreet Rd Ste 120	$25.56	19,679	11,668
Lacy Brook Ware 200 Abraham Flexner Way	$47.84	18,319	12,613
Timothy Beacham 4201 Springhurst Blvd Ste 102	$32.55	16,670	15,616
Larry L Zhou 1230 S Hurstbourne Pkwy	$23.34	16,345	13,867
Kalpana Rangaswamy 5743 Preston Hwy	$24.90	15,920	13,341
Andrea S Burch 2307 Greene Way Ste C	$62.36	15,507	14,394
Nicholas Silvestros 4000 Poplar Level Rd	$36.89	15,168	11,056
Seven Counties Services, Inc. 10401 Linn Station Rd Ste 100	$28.67	14,399	10,823
Krishna S Nadar 1013 N Dupont Sq	$25.73	14,072	12,183
Xiaoli Wang 800 Zorn Ave	$41.04	14,046	11,836
Brittany L Engle 9850 Von Allmen Ct Ste 201	$26.18	13,715	11,570
Christina Marie Rollins 645 S Roy Wilkins Ave Ste 200	$32.80	13,689	11,032
John Mitchell Farmer 512 Executive Park	$44.08	13,650	10,566
Wes A Allison 3515 Poplar Level Road	$62.05	13,629	12,384
Mark Todd Harris 1505 S 7Th St	$29.68	13,571	12,056
Anna Ackerman 601 South Floyd Street	$41.22	13,471	11,577
Dorothy Elliott Thomas 305 W Broadway	$39.01	13,465	12,549
Community Medical Associates, Inc. 4803 Olympia Park Plz Ste 1100	$83.07	13,233	12,923
Catherine Brooke Collins 9702 Stonestreet Rd Ste 120	$50.23	13,041	9,081
Sarah Marie Hall 12450 La Grange Rd	$50.27	12,973	7,026
Molly Alexander 3604 Springhurst Blvd	$47.62	12,801	11,788
Laura J Donahue 7926 Preston Hwy Ste 106	$61.93	12,458	11,982
Barbara J Lemmons 120 Executive Park	$27.63	12,430	10,730
Billie Jo V Fletcher 120 Executive Park	$28.67	12,402	10,839
Mehdi Poorkay 210 E Gray St Ste 605	$49.32	12,195	11,211
Jameel Tamir Clark 4420 Dixie Hwy Ste 126	$37.79	12,069	11,361
Gabrielle Miller 210 E Gray St Ste 803	$49.15	11,973	7,710
Ajith Nair 3710 Chamberlain Ln	$24.19	11,606	6,334
James D Charasika 4010 Dupont Cir	$50.78	11,588	10,080
Praveen V Arla 170 Dr Arla Way	$35.23	11,555	8,831
Joshua Lynn 7926 Preston Hwy Ste 106	$24.78	11,450	7,639
Jeremy James Scobee 950 Breckenridge Ln Ste 200	$49.05	11,379	8,559
Jacob William Harvey 516 W Breckinridge St	$52.84	11,298	10,684

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 Louisville, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Louisville, KY is $41.24 per claim, based on 6,565,945 claims from 3179 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 Louisville, KY?

There are 3179 Medicaid providers offering Office Visit related services in Louisville, KY according to public payment data.

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

Medicaid reimbursement for Office Visit in Louisville, KY ranges from $0.00 to $868.43 per claim, with an average of $41.24. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Louisville, KY: $41.24

Providers Offering Office Visit in Louisville, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Louisville, KY

Blood Work & Lab Tests

Physical Therapy

Emergency Room Visit

Substance Abuse Treatment

Psychiatric Evaluation

X-Ray

Vaccines & Immunizations

Urinalysis & Urine Tests