Average Medicaid Office Visit Payments in Manchester, KY: $31.36
Avg. Paid
$31.36
Range
$0.65 – $65.11
Total Claims
497,241
Providers
67
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 Manchester, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Betty Alevras
249 Old Us Highway 421 |
$23.56 | 26,942 | 18,234 |
|
Eva Angel Edwards
204 Town Branch Rd |
$19.06 | 26,357 | 18,381 |
|
Janice Morgan
515 Memorial Dr Ste 3 |
$26.54 | 25,866 | 16,105 |
|
Karen J Cheek
90 Garrard Sq |
$22.54 | 22,053 | 16,598 |
|
Carol Jean Napier
515 Memorial Dr Ste 3 |
$28.02 | 21,351 | 13,008 |
|
Rebecca A Roberts
86 Highway 638 |
$25.37 | 20,030 | 11,286 |
|
Memorial Hospital Inc.
56 Marie Langdon Dr |
$26.37 | 18,351 | 14,767 |
|
Betty Sizemore
509 Memorial Drive |
$36.24 | 17,798 | 15,921 |
|
Giriraj Gupta
120 Marie Langdon Dr |
$35.14 | 17,356 | 9,859 |
|
Amber Henson
56 Marie Langdon Dr |
$38.77 | 15,780 | 14,449 |
|
Sam Gbutue Vorkpor
509 Memorial Dr Ste 2 |
$41.80 | 15,557 | 11,576 |
|
Joyce A Parker
249 Old Us Highway 421 |
$23.16 | 15,389 | 11,275 |
|
Shawn R Gorden
56 Marie Langdon Dr |
$39.46 | 14,252 | 9,292 |
|
Nina Hensley
509 Memorial Dr Ste 2 |
$34.67 | 12,530 | 11,157 |
|
Teresa Keith Cole
509 Memorial Dr Ste 2 |
$39.24 | 12,409 | 11,023 |
|
Tammie Renee Hacker
56 Marie Langdon Dr |
$33.49 | 12,244 | 10,728 |
|
Tara Lee Smith
210 Marie Langdon Dr |
$35.36 | 12,204 | 8,244 |
|
Suzann Smith
56 Marie Langdon Dr |
$40.69 | 12,082 | 10,340 |
|
Cynthia Surer Maggard
56 Marie Langdon Dr |
$33.41 | 11,115 | 8,043 |
|
Kayla Renee Marcum
210 Marie Langdon Dr |
$30.08 | 10,734 | 9,219 |
|
Tracy Sizemore
515 Memorial Dr |
$30.88 | 10,596 | 9,279 |
|
Dana Phillip Edwards
204 Town Branch Rd |
$31.88 | 10,577 | 7,461 |
|
Jayme Elizabeth Norman
56 Marie Langdon Dr |
$38.31 | 10,087 | 9,272 |
|
Judy Hacker
94 Marie Langdon Dr |
$32.79 | 9,251 | 8,111 |
|
Natalie Nicole Gross
21 Crestview Dr |
$17.72 | 8,658 | 6,368 |
|
Ashley Brooke Munn
65 Glenndale Rd |
$33.93 | 8,596 | 7,580 |
|
Crystal Yeager
56 Marie Langdon Dr |
$38.94 | 8,471 | 7,574 |
|
Sherri Larae Smith
56 Marie Langdon Dr |
$36.64 | 8,046 | 7,484 |
|
April Hurley
85 Highway 80 |
$30.61 | 6,320 | 5,204 |
|
Rajiv M Naval Srinivas
65 Glendale Drive |
$39.78 | 6,274 | 5,321 |
|
Ashtin Danielle Nix
56 Marie Langdon Dr |
$47.79 | 6,100 | 5,466 |
|
Mountain Family Practice Clinic Of Manchester Inc
108 Manchester Sq Shopping Center |
$13.95 | 6,079 | 3,513 |
|
Karla Irene Sizemore
56 Marie Langdon Dr |
$31.62 | 5,506 | 4,894 |
|
Angela Yvonne Rice
94 Marie Langdon Dr Ste 2 |
$47.42 | 5,001 | 4,243 |
|
Becky F Stubblefield
65 Glenndale Drive |
$40.02 | 4,771 | 4,052 |
|
Anita F Cornett
210 Marie Langdon Dr |
$41.81 | 4,079 | 3,096 |
|
Alicia D. Myers
65 Glenndale Rd |
$34.32 | 3,925 | 3,676 |
|
Memorial Hospital, Inc.
210 Marie Langdon Dr |
$65.11 | 3,530 | 1,973 |
|
April Michelle Couch
65 Glenndale Rd |
$30.30 | 3,442 | 3,057 |
|
Neeraj Mahboob Internal Medicine Psc
515 Memorial Dr |
$16.78 | 2,972 | 1,795 |
|
Natasha L. Roberts
85 Highway 80 |
$32.58 | 2,666 | 2,188 |
|
Gregory Charles Wilkens
515 Memorial Dr Ste 1 |
$51.15 | 2,446 | 2,080 |
|
Khercie Smith
56 Marie Langdon Dr |
$48.28 | 2,353 | 2,158 |
|
Angela R Mitchell
509 Memorial Dr Ste 2 |
$29.06 | 2,149 | 1,268 |
|
Kayla Roach
21 Crestview Dr |
$21.47 | 2,081 | 1,701 |
|
Aaron Richard Napier
210 Marie Langdon Dr |
$33.00 | 1,797 | 1,693 |
|
Family Health Care Associates
249 Old Us Highway 421 Ste 3 |
$10.71 | 1,792 | 1,258 |
|
Gail Harkins
509 Memorial Dr |
$28.83 | 1,360 | 1,245 |
|
Kelly Evans
85 Highway 80 |
$28.61 | 1,130 | 886 |
|
Anthony Matthew Young
210 Marie Langdon Dr |
$10.87 | 971 | 464 |
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 Manchester, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Manchester, KY is $31.36 per claim, based on 497,241 claims from 67 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 Manchester, KY?
There are 67 Medicaid providers offering Office Visit related services in Manchester, KY according to public payment data.
What is the price range for Office Visit in Manchester, KY?
Medicaid reimbursement for Office Visit in Manchester, KY ranges from $0.65 to $65.11 per claim, with an average of $31.36. 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 Manchester, KY
Blood Work & Lab Tests
Avg $9.64
374,576 claims
Physical Therapy
Avg $31.23
117,194 claims
Emergency Room Visit
Avg $115.76
99,597 claims
Speech Therapy
Avg $15.63
63,332 claims
Urinalysis & Urine Tests
Avg $4.35
62,015 claims
X-Ray
Avg $57.56
51,190 claims
Psychiatric Evaluation
Avg $41.18
43,012 claims
Behavioral & Mental Health Therapy
Avg $184.43
41,151 claims