Average Medicaid Office Visit Payments in Marion, KY: $29.50
Avg. Paid
$29.50
Range
$9.59 – $42.85
Total Claims
77,408
Providers
19
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 Marion, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amy Jo Ratley
520 W Gum St |
$29.47 | 26 | 24 |
|
Jennifer S Johnson
909 S Main St |
$31.24 | 87 | 66 |
|
Crittenden County Hospital
520 W Gum St |
$9.59 | 97 | 88 |
|
Jessica Sigler
909 S Main St |
$42.85 | 331 | 265 |
|
Crittenden Community Hospital Llc
520 W Gum St |
$35.75 | 785 | 677 |
|
Howard G Maddux
518 West Gum Street |
$38.34 | 1,102 | 962 |
|
Tri-Rivers Healthcare Pllc
308 S Main St |
$17.23 | 1,926 | 941 |
|
Alicia H Clark
518 West Gum Street |
$26.47 | 2,019 | 1,595 |
|
Gary V James
518 West Gum Street |
$37.03 | 2,574 | 2,143 |
|
Pennyrile District Health Department
519 W Gum St |
$23.58 | 2,865 | 1,066 |
|
Ayrika Ann Winters
518 W Gum St |
$26.18 | 3,044 | 2,457 |
|
Family Practice Clinic Psc
518 West Gum Street |
$10.84 | 4,006 | 2,164 |
|
Pennyrile District Health Department
120 Autumn Ln |
$24.29 | 4,467 | 1,615 |
|
Lee Anna Boone
518 West Gum Street |
$29.39 | 4,685 | 4,128 |
|
Terry W Boone
308 S Main St |
$28.59 | 5,045 | 3,844 |
|
Marcie Ann Ellington
518 W Gum St |
$27.73 | 5,826 | 4,845 |
|
Graves County Health Department
519 W Gum St |
$32.76 | 7,869 | 3,541 |
|
Jonathan Patmor Maddux
518 West Gum Street |
$35.51 | 14,571 | 11,588 |
|
Graves County Health Department
120 Autumn Ln |
$30.78 | 16,083 | 6,598 |
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 Marion, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marion, KY is $29.50 per claim, based on 77,408 claims from 19 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 Marion, KY?
There are 19 Medicaid providers offering Office Visit related services in Marion, KY according to public payment data.
What is the price range for Office Visit in Marion, KY?
Medicaid reimbursement for Office Visit in Marion, KY ranges from $9.59 to $42.85 per claim, with an average of $29.50. 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 Marion, KY
Blood Work & Lab Tests
Avg $5.33
57,049 claims
Emergency Room Visit
Avg $110.75
15,272 claims
Speech Therapy
Avg $6.73
11,608 claims
Urinalysis & Urine Tests
Avg $3.24
9,179 claims
Vaccines & Immunizations
Avg $34.15
5,108 claims
Physical Therapy
Avg $42.68
2,925 claims
X-Ray
Avg $62.46
2,866 claims
Ambulance Transport
Avg $352.03
2,755 claims