Average Medicaid Office Visit Payments in Mayfield, KY: $32.71
Avg. Paid
$32.71
Range
$0.00 – $53.61
Total Claims
203,376
Providers
50
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 Mayfield, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tony Shawn Smith
1225 Paris Rd |
$7.58 | 17 | 12 |
|
Patricia Webb Smith
229 W Walnut St |
$29.67 | 18 | 16 |
|
Johnny W Williams
214 N 9Th Street |
$0.00 | 25 | 14 |
|
Danny A Howard
1019 Paducah Rd Ste B |
$27.71 | 116 | 102 |
|
Donise B. Sheridan
1400 Commonwealth Dr. |
$33.70 | 166 | 146 |
|
Pinelake Physician Practice, Llc
1029 Medical Center Cir |
$0.00 | 210 | 137 |
|
Chad Steven Young
1011 Paris Rd Ste 341 |
$53.61 | 213 | 188 |
|
Jennifer Michelle Kennedy
1029 Medical Center Cir Ste 202 |
$18.65 | 223 | 184 |
|
Anita Torok
1029 Medical Center Cir |
$33.10 | 246 | 182 |
|
Landon Blane Brewer
1400 Commonwealth Dr |
$44.61 | 405 | 336 |
|
Pinelake Physician Practice Llc
110 S 9Th St |
$23.52 | 675 | 439 |
|
Roberto Dos Remedios
1111 Medical Center Cir |
$29.61 | 700 | 508 |
|
Courtney L Coleman
1029 Medical Center Cir Ste 200 |
$26.72 | 891 | 825 |
|
Kristin Whipple
1111 Medical Center Cir |
$30.68 | 893 | 620 |
|
Pinelake Regional Hospital Llc
1099 Medical Center Cir |
$51.64 | 1,183 | 878 |
|
Caitlin Odom
1111 Medical Center Cir |
$26.33 | 1,245 | 1,041 |
|
Pooja Parshotam Makhija
1111 Medical Center Cir |
$37.99 | 1,351 | 1,055 |
|
Elias Pitaras
1029 Medical Center Cir |
$17.11 | 1,353 | 859 |
|
Dale E Jones
1029 Medical Center Cir |
$21.32 | 1,797 | 1,198 |
|
Mark D Irvin
1111 Medical Center Cir |
$41.84 | 1,953 | 1,724 |
|
Kathryn J Glass
305 Golf Club Ln |
$39.34 | 2,034 | 1,596 |
|
Bethanie M Apperson
1029 Medical Center Cir |
$24.75 | 2,094 | 1,685 |
|
Mary Graham
1099 Medical Center Cir |
$21.15 | 2,336 | 1,875 |
|
Jennifer Kaye Wilkerson
1019 Paducah Rd Ste B |
$27.58 | 2,355 | 2,142 |
|
Pavan Bejgum
110 South 9Th Street |
$27.81 | 2,782 | 1,569 |
|
Pinelake Physician Practice, Llc
1111 Medical Center Cir |
$31.89 | 2,867 | 2,344 |
|
Richard Darren Stone
1019 Paducah Rd Ste B |
$22.08 | 3,034 | 2,470 |
|
Patricia M Williams
1029 Medical Center Cir Ste 202 |
$23.77 | 3,075 | 2,118 |
|
Sarah Wilson
1029 Medical Center Cir |
$32.11 | 3,615 | 3,222 |
|
Lela Kristine Cole
110 S 9Th St |
$20.59 | 3,620 | 2,317 |
|
Jennifer L Carrico
1111 Medical Center Cir |
$23.36 | 4,307 | 3,405 |
|
Amanda Denise Kimbler
318 S 7Th St |
$25.58 | 4,745 | 4,224 |
|
Lacie Marie Parham
110 Kings Dr |
$33.40 | 4,925 | 4,371 |
|
Michelle Ann Jewell
1111 Medical Center Cir |
$29.56 | 5,750 | 4,861 |
|
Graves County Health Department
416 Central Avenue |
$38.02 | 5,886 | 4,940 |
|
John G Vansavage
1029 Medical Center Cir Ste 408 |
$35.00 | 6,076 | 4,871 |
|
Tanya S Goins-Harmon
318 S 7Th St |
$24.14 | 6,367 | 5,612 |
|
Jessica M Little
1029 Medical Center Cir |
$35.64 | 6,463 | 5,287 |
|
Tiffany Newhouse
110 Kings Dr |
$35.20 | 6,654 | 5,962 |
|
Michele A Stroud
1029 Medical Center Cir |
$21.84 | 6,738 | 4,707 |
|
Wayne E. Williams
1029 Medical Center Cir Ste 202 |
$26.54 | 6,847 | 4,540 |
|
Nicole Schmidt
417 S 6Th St |
$34.22 | 6,883 | 5,867 |
|
Rudolph Joseph Triana
1111 Medical Center Cir |
$42.03 | 6,894 | 5,933 |
|
Heather D Ballard
1029 Medical Center Cir |
$33.05 | 7,040 | 5,889 |
|
Christopher D Dobrose
1111 Medical Center Cir |
$42.63 | 7,476 | 6,402 |
|
Puneet Bhatia
1029 Medical Center Cir |
$37.12 | 10,065 | 7,787 |
|
Sandy Kay Riley
1099 Medical Center Cir |
$33.36 | 10,859 | 9,536 |
|
Jonathan Wynstra
1111 Medical Center Cir |
$34.04 | 12,760 | 7,703 |
|
Troy Marvin Nelson
211 S 8Th St |
$37.82 | 13,260 | 10,011 |
|
Abid Hussain
417 S 6Th St |
$36.13 | 21,889 | 18,525 |
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 Mayfield, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mayfield, KY is $32.71 per claim, based on 203,376 claims from 50 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 Mayfield, KY?
There are 50 Medicaid providers offering Office Visit related services in Mayfield, KY according to public payment data.
What is the price range for Office Visit in Mayfield, KY?
Medicaid reimbursement for Office Visit in Mayfield, KY ranges from $0.00 to $53.61 per claim, with an average of $32.71. 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 Mayfield, KY
Blood Work & Lab Tests
Avg $7.14
297,811 claims
Physical Therapy
Avg $78.62
147,531 claims
Speech Therapy
Avg $9.66
131,193 claims
Emergency Room Visit
Avg $137.80
122,464 claims
X-Ray
Avg $27.75
99,277 claims
Eye Exam
Avg $37.73
53,151 claims
Urinalysis & Urine Tests
Avg $5.64
48,554 claims
Vaccines & Immunizations
Avg $22.48
36,196 claims