Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Madisonville, KY: $36.41

Avg. Paid

$36.41

Range

$10.82 – $81.89

Total Claims

590,572

Providers

164

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 Madisonville, KY

Provider	Avg. Paid	Claims	Patients
Hopkins County Health Department 412 North Kentucky Ave	$38.04	30,026	19,610
Michael Jones 230 Madison Square Dr Ste C	$34.54	14,170	9,370
Abraham S. Galloway 444 S Main St	$38.11	12,632	11,423
Alicia Marie Combs 1851 N Main St	$31.30	11,193	10,326
Bradly C. Newcom 510 Ruby Dr	$30.70	10,934	10,336
John Haastrup 912 N Kentucky Ave # A16	$81.89	10,247	3,693
Carrie June Black 1756 E Center St	$35.56	9,986	9,247
Whitney Scott 200 Clinic Dr	$28.67	9,896	8,956
Shelly Chandler 200 Clinic Dr	$33.75	9,771	9,076
Ellen L. Parrish 510 Ruby Dr	$38.29	9,721	8,798
Jamie T. Miller 800 Hospital Dr	$35.06	9,382	8,421
David E Johnson 1915 S Main St	$26.06	9,071	7,694
William A Logan 800 Hospital Dr	$48.49	8,826	8,083
Melinda Nightingale 200 Clinic Dr	$33.86	8,810	7,677
William T Mcclure 200 Clinic Dr	$43.58	8,592	7,934
Amy Marie Hendon 510 Ruby Dr	$45.54	8,478	7,695
Lora A Russell 419 N Seminary St	$49.91	8,478	4,785
Cameron D Hammack 9 E Arch St	$28.40	8,209	6,625
Robert Lamont Wood 200 Clinic Dr	$41.25	8,028	6,919
Douglas J Hatler 200 Clinic Dr	$31.79	7,954	6,611
Sergio Chang Figueroa 800 Hospital Dr	$47.85	7,454	6,450
Jordan Freels Geary 1350 N Main St	$48.71	7,394	6,717
Leigh Ann Fox 800 Hospital Dr	$29.69	7,194	6,515
Heloise D Westbrook 200 Clinic Dr Fl 6	$24.19	7,060	5,746
Robert C Hughes 510 Ruby Dr	$34.73	6,902	5,778
Jayna Robyn Jones 230 Madison Square Dr Ste C	$34.65	6,748	5,718
Timothy Allran 900 Hospital Dr	$40.10	6,717	6,009
Russell E Peyton 200 Clinic Dr	$27.33	6,410	5,368
Robert G. Holzknecht 444 S Main St	$35.44	6,410	5,488
Kassy Rickard 1350 N Main St	$33.66	5,731	4,684
Sheena Diane Buchanan 200 Clinic Dr	$37.16	5,721	5,041
Kent E Jones 200 Clinic Dr	$42.20	5,652	4,955
Alyssa Louise Stubblefield 800 Hospital Drive	$30.14	5,636	4,586
Gina M Smith 200 Clinic Dr	$28.56	5,612	5,078
Thomas S Neely 44 Mccoy Avenue	$40.33	5,566	3,731
Amy Michele Mcdowell 200 Clinic Dr	$29.80	5,528	5,091
Tammy D Clayton 444 S Main St	$29.24	5,518	5,166
Tamara L Stroud 444 S Main St	$29.74	5,404	5,023
Bryce Gibson 200 Clinic Dr	$43.38	5,304	4,720
Kenneth R. Hargrove 200 Clinic Dr	$32.49	5,295	4,482
Alissa Delano 1851 N Main St	$32.54	5,294	4,581
Hopkins County Health Department 4515 Hanson Rd	$37.78	5,249	2,980
Ellen Louise Beach 950 Hospital Dr	$37.57	5,249	4,376
Hopkins County Health Department 1150 Hayes Ave	$38.06	5,226	2,781
Hopkins County Health Department 357 W Arch St	$38.46	5,173	2,817
Tejas J Modi 900 Hospital Dr	$34.86	5,149	4,255
Michele Deann Blair 200 Clinic Dr # 6	$19.90	4,947	3,648
Leslie Cook 800 Hospital Dr	$34.33	4,935	4,259
Leslie Johnson 1350 N Main St	$48.92	4,910	2,906
Walker Lee Estes 200 Clinic Dr	$38.43	4,729	4,050

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 Madisonville, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Madisonville, KY is $36.41 per claim, based on 590,572 claims from 164 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 Madisonville, KY?

There are 164 Medicaid providers offering Office Visit related services in Madisonville, KY according to public payment data.

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

Medicaid reimbursement for Office Visit in Madisonville, KY ranges from $10.82 to $81.89 per claim, with an average of $36.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Madisonville, KY: $36.41

Providers Offering Office Visit in Madisonville, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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