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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
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

Other Procedures in Louisville, KY