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 |
|---|---|---|---|
|
John W. Wheatley
6801 Dixie Hwy |
$40.18 | 12 | 12 |
|
Josephine P Gomes
204 E Market St |
$1.62 | 12 | 12 |
|
Andrea Carol Jewell
4123 Dutchmans Ln Ste 606 |
$42.69 | 12 | 12 |
|
Andrea Michelle Sandifer
4000 Poplar Level Rd |
$35.52 | 12 | 12 |
|
Tammy Renee Gilbert
9510 Ormsby Station Rd Ste 100 |
$9.13 | 12 | 12 |
|
Gunjan Garg
615 S Preston St |
$76.25 | 12 | 12 |
|
Mark G Smith
13151 Magisterial Dr |
$42.63 | 12 | 12 |
|
Amy Riddell Quillo
401 E Chestnut St |
$86.08 | 12 | 12 |
|
Dephany Bibb
140 Whittington Pkwy |
$38.92 | 12 | 12 |
|
Wei Liu
401 E Chestnut St |
$63.52 | 12 | 12 |
|
Akshitkumar M. Mistry
220 Abraham Flexner Way Fl 15 |
$36.14 | 12 | 12 |
|
Katherine A. Witherington
2355 Poplar Level Rd |
$29.56 | 12 | 12 |
|
Mehdi Ghayoumi
4615 Dixie Hwy |
$68.50 | 12 | 12 |
|
Julie Hogan
1169 Eastern Pkwy |
$10.41 | 12 | 12 |
|
Amy Lee Delk
312 S 4Th St Ste 700 |
$25.02 | 12 | 12 |
|
Vincent Joseph Lang
12010 Shelbyville Rd |
$55.92 | 12 | 12 |
|
Domenic Craner
3 Audubon Plaza Dr Ste Ll2 |
$76.72 | 12 | 12 |
|
Melis Kabaalioglu Guner
301 E Muhammad Ali Blvd |
$29.35 | 12 | 12 |
|
Elizabeth Hillery Wise
401 E Chestnut St |
$75.54 | 12 | 12 |
|
Hadiatou Barry
1133 S 2Nd St |
$50.32 | 12 | 12 |
|
Michelle Erin Melton
401 E Chestnut St |
$36.06 | 12 | 12 |
|
Tonya Perkins
2400 Eastpoint Pkwy |
$39.08 | 12 | 12 |
|
Marie Elise Clements
411 E Chestnut St |
$83.55 | 12 | 12 |
|
Udaya Geetha Joseph
4003 Kresge Way |
$42.69 | 12 | 12 |
|
Tom L. Yao
210 E Gray St Ste 1105 |
$44.54 | 12 | 12 |
|
Abigail Justine Rao
4950 Norton Healthcare Blvd Ste 205 |
$67.40 | 12 | 12 |
|
Andrew Donovan
529 S Jackson St |
$72.59 | 12 | 12 |
|
Jennifer A Lash
3900 Kresge Way |
$55.92 | 12 | 12 |
|
Alexandra Maki
3 Audubon Plaza Dr |
$84.70 | 12 | 12 |
|
Joyce Hayden
9080 Taylorsville Rd |
$45.27 | 12 | 12 |
|
Miranda Bunge
3407 Fern Valley Rd |
$7.07 | 12 | 12 |
|
Vladimir Orlov
7926 Preston Hwy Ste 106 |
$22.82 | 12 | 12 |
|
Rebecca Anne Dearing
411 E Chestnut St # 5A |
$56.57 | 12 | 12 |
|
Carter Christopher Hahn
200 E Chestnut St Bldg Suite303 |
$38.87 | 12 | 12 |
|
Sarah A Landes
401 E Chestnut St Unit 310 |
$85.63 | 13 | 13 |
|
Sandra L. Kavalukas
401 E Chestnut St Unit 710 |
$37.02 | 13 | 12 |
|
Murali K Ankem
401 E Chestnut St Unit 520 |
$32.13 | 13 | 12 |
|
Sarika Chandiramani
4950 Norton Healthcare Blvd Ste 208 |
$15.79 | 13 | 12 |
|
Priscilla A Villaroman
825 Barret Ave |
$36.39 | 13 | 12 |
|
Donnell M. Proctor
676 S Floyd St |
$24.08 | 13 | 12 |
|
Renato V Larocca
315 E Broadway |
$52.00 | 13 | 12 |
|
Abigail Lawson
9815 Brownsboro Rd |
$63.49 | 13 | 13 |
|
Danny Ray Rose
4950 Norton Healthcare Blvd Ste 305 |
$38.44 | 13 | 12 |
|
Evelyn Rose Von Bell
9815 Brownsboro Rd |
$56.86 | 13 | 13 |
|
Jacqueline Blake Russ
4123 Dutchmans Ln Ste 307 |
$24.89 | 13 | 12 |
|
Alan Brooks
4915 Norton Healthcare Blvd Ste 202 |
$31.59 | 13 | 12 |
|
Hillary Lynn Simon
401 E Chestnut St Unit 710 |
$97.42 | 13 | 12 |
|
Shervin R Dashti
210 E Gray St Ste 1105 |
$26.79 | 13 | 12 |
|
Caley Elizabeth Blake
4915 Norton Healthcare Blvd Ste 202 |
$37.18 | 13 | 13 |
|
April Nicole Dougherty
4950 Norton Healthcare Blvd Ste 303 |
$39.23 | 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 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.
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 Louisville, KY
Blood Work & Lab Tests
Avg $9.84
7,166,442 claims
Physical Therapy
Avg $91.42
3,677,814 claims
Emergency Room Visit
Avg $161.52
2,991,678 claims
Substance Abuse Treatment
Avg $104.97
2,377,666 claims
Psychiatric Evaluation
Avg $62.63
2,356,243 claims
X-Ray
Avg $29.27
1,711,281 claims
Vaccines & Immunizations
Avg $12.91
1,314,351 claims
Urinalysis & Urine Tests
Avg $3.38
1,308,196 claims