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
Baptist Health Deaconess Medical Group Inc 200 Clinic Dr Fl 3	$41.57	13	12
Jones Medical Corp 230 Madison Square Dr Ste C	$13.00	14	12
Marina Kay Mccay 38 Ridgewood Professional Court	$26.94	25	25
Ali Imtiaz Hussain 200 Clinic Dr	$29.84	27	27
Maria A Palacios 200 Clinic Dr	$57.99	47	42
Brenda Anne Stephens 800 Hospital Dr	$36.45	52	44
Melissa Givens 1350 N Main St	$16.71	55	51
Alyssa Sue Howell 1851 N Main St	$26.30	60	56
Baptist Health Deaconess Medical Group Inc 1851 N Main St	$11.37	63	41
T. Mark Stanfield 200 Clinic Dr	$45.36	71	61
Ronald Reagan Gilley 900 Hospital Dr	$43.64	72	63
Baptist Health Deaconess Medical Group Inc 200 Clinic Dr Fl 5	$26.54	85	65
Francinia Shermonica Mccartney 800 Hospital Dr	$22.41	159	146
Jessica Malachowski 200 Clinic Dr	$39.16	161	147
Jinee Marie Brooks 200 Clinic Dr	$33.85	167	147
Folaranmi Ajiboye 200 Clinic Dr	$30.52	176	151
Jared Leet 200 Clinic Dr	$38.04	182	148
Joshua Clapp 800 Hospital Dr Fl 3	$72.56	189	175
Natalia I Kovtun 200 Clinic Dr	$39.09	230	210
Rebecca V Tauil 444 S Main St	$29.66	248	236
Rennan M Quijano 550 Hospital Dr	$72.17	257	237
Shannon Arora 200 Clinic Dr	$53.31	259	257
Darren Craig Chapman 800 Hospital Dr	$42.00	263	215
John Thomas Stachurski 2720 N Main St	$20.98	316	229
Baptist Health Medical Group Inc 1851 N Main St	$17.63	349	243
Lindsey Erin Crook 800 Hospital Dr	$18.90	366	268
Jonathan Moore 200 Clinic Dr	$42.31	455	419
Cheryl W Edelen 800 Hospital Dr	$12.19	456	318
Sarah Ruth Peyton 1851 N Main St	$30.82	458	437
Dolph Martel Denny 800 Hospital Dr	$34.71	466	402
Kayla Marie Wester 900 Hospital Dr	$22.30	472	453
Tanya Dean Mckinsey 900 Hospital Dr	$36.52	476	439
Dianne L Goodale 200 Clinic Dr	$28.91	570	494
James M Bowles 200 Clinic Dr	$47.35	621	561
Eden J Elfrink 444 S Main St	$48.35	632	574
Jared Hall 1020 Waterfall Ct	$10.82	667	540
Keely Dawn Dukes 510 Ruby Dr	$50.02	750	716
James Diamond Mcnevin 200 Clinic Dr Fl 5	$48.79	807	730
Hari Krishna Ankem 200 Clinic Dr	$47.46	889	726
Michael Fisher 44 Mccoy Rd	$28.50	902	812
Kiona Shea Franklin 510 Ruby Dr	$38.19	936	752
Charlie Clay Davis 800 Hospital Dr	$19.50	947	788
Peter E Clemens 900 Hospital Dr	$39.76	955	900
Mohan K. Rao 800 Hospital Dr	$29.18	1,046	867
Jason Aaron Canterberry 510 Ruby Dr	$30.31	1,049	1,005
Michelle Lee Kelley 800 Hospital Dr	$35.15	1,066	956
Robert Craig Cranor 446 E Center St	$38.12	1,083	1,006
Joshua D Stevens 800 Hospital Dr	$35.35	1,124	825
Jessica Lynn Anglin 200 Clinic Dr Fl 6	$19.79	1,194	1,083
Lysbeth Franco 800 Hospital Dr	$32.39	1,307	997

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

Office Visit in Other Cities

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Other Procedures in Madisonville, KY

Blood Work & Lab Tests

Emergency Room Visit

Physical Therapy

Psychiatric Evaluation

Urinalysis & Urine Tests

Vaccines & Immunizations

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)