Average Medicaid Office Visit Payments in Monticello, KY: $30.61
Avg. Paid
$30.61
Range
$8.26 – $59.10
Total Claims
369,394
Providers
56
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 Monticello, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sherrell L Roberts
1 S Creek Dr |
$28.23 | 29,830 | 19,319 |
|
Deanna Neal
166 Hospital St |
$31.29 | 28,623 | 26,289 |
|
Jason T Hicks
1 S Creek Dr Ste 102 |
$25.71 | 21,462 | 15,862 |
|
Matthew T Eaton
1 S Creek Dr Ste 102 |
$29.59 | 20,212 | 14,561 |
|
Stephanie Southard
166 Hospital St |
$41.77 | 19,582 | 16,764 |
|
Joseph Clay Brown
268 Rolling Hills Blvd. |
$39.89 | 17,097 | 14,608 |
|
Phillips Pratt & Mcfarland Psc
1 S Creek Dr Ste 102 |
$17.21 | 16,523 | 12,215 |
|
Brandy Jackson
895 N Main St |
$39.97 | 15,806 | 13,925 |
|
Raymond Bennett Speck
1 S Creek Dr Ste 102 |
$28.04 | 15,394 | 11,361 |
|
Amy Doris Edwards
268 Rolling Hills Bvld. |
$31.49 | 15,045 | 12,061 |
|
Jacob Dudley Coffey
1 S Creek Dr Ste 102606 |
$27.39 | 14,579 | 11,269 |
|
Heather Ann Thompson
1520 N Main St Ste 3 |
$39.01 | 13,243 | 8,754 |
|
Ginger Conn
895 N Main St |
$32.13 | 11,724 | 10,168 |
|
Misty A Cundiff
1 S Creek Dr |
$26.44 | 9,666 | 8,188 |
|
Stephanie Maggard
126 Franklin Rd |
$24.10 | 8,103 | 6,072 |
|
Monticello Medical Associates, Inc
1 S Creek Dr Ste 102 |
$12.83 | 7,786 | 3,013 |
|
Ashleigh Renee Williamson
268 Rolling Hills Blvd |
$44.12 | 7,340 | 6,825 |
|
Michelle Dennis
126 Franklin Rd |
$22.35 | 6,800 | 6,091 |
|
Amber Dawn Ball
268 Rolling Hills Blvd. |
$30.75 | 6,131 | 5,302 |
|
Cory M Ryan
166 Hospital St |
$34.03 | 6,121 | 4,998 |
|
Sandra Lee Braswell
126 Franklin Drive |
$32.87 | 5,999 | 5,259 |
|
Marguerite G Root
1025 S Main Street |
$28.67 | 5,291 | 4,127 |
|
Danielle Choate
268 Rolling Hills Blvd. |
$35.67 | 5,065 | 4,459 |
|
Teina R Thrasher
1025 S Main Street |
$32.43 | 5,048 | 4,589 |
|
Yanire C Martinez
1 S Creek Dr |
$30.13 | 4,881 | 3,719 |
|
Jatessia Marcum
268 Rolling Hills Blvd |
$34.09 | 4,615 | 4,168 |
|
Sheryl E Polk
1 S Creek Dr |
$23.50 | 3,947 | 2,976 |
|
Darin L. Hale
166 Hospital St |
$22.19 | 3,633 | 1,816 |
|
James Richard Woody
166 Hospital St |
$40.54 | 3,619 | 3,212 |
|
Bonnie Cardona Stockton
1 S Creek Dr Ste 102 |
$25.67 | 3,223 | 2,519 |
|
Misty Gail Atkinson
1 S Creek Dr Ste 102 |
$28.53 | 2,912 | 2,198 |
|
David Bailey Mayer
One South Creek Dr |
$42.87 | 2,803 | 2,526 |
|
Peter Petrenko
1 S Creek Dr |
$38.08 | 2,780 | 1,782 |
|
Faith Healthcare Inc
126 Franklin Drive |
$8.29 | 2,698 | 1,438 |
|
Tiffany L Gross
1025 S Main Street |
$37.52 | 2,170 | 1,963 |
|
Jessica Bertram
268 Rolling Hills Blvd |
$31.22 | 2,081 | 1,815 |
|
Lake Cumberland Pediatrics Pllc
268 Rolling Hills Blvd. |
$19.54 | 2,009 | 1,098 |
|
Matt J Hesse
211 Cumberland Xing |
$33.56 | 1,822 | 1,464 |
|
Emilee Burton Greenwood
1215 N Main St Ste 2 |
$31.93 | 1,821 | 1,371 |
|
Kendra Rachelle Catron
470 N Main St |
$19.75 | 1,652 | 1,489 |
|
Pamela R. Hancock
63 Breezy Hl |
$26.54 | 1,602 | 1,238 |
|
Wayne County Hospital Inc
166 Hospital St |
$10.54 | 1,463 | 1,224 |
|
Sarah Leigh Weddle
1 S Creek Dr Ste 102 |
$27.21 | 1,361 | 1,107 |
|
Jessica Renea Mckinney
166 Hospital St |
$25.59 | 1,080 | 921 |
|
Christine M Foster
1293 N Main St Ste 102 |
$50.12 | 809 | 672 |
|
Robin Cherron Duncan
166 Hospital St |
$27.82 | 771 | 695 |
|
Lake Cumberland District Health Department
39 Jim Hill Service Rd |
$39.71 | 738 | 704 |
|
Richard B Mayer
1 S Creek Dr |
$33.86 | 570 | 502 |
|
Sojnia Irene Johnson
166 Hospital St |
$29.17 | 520 | 487 |
|
Jeffery Todd Smith
1104 N Main St |
$59.10 | 478 | 445 |
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 Monticello, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monticello, KY is $30.61 per claim, based on 369,394 claims from 56 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 Monticello, KY?
There are 56 Medicaid providers offering Office Visit related services in Monticello, KY according to public payment data.
What is the price range for Office Visit in Monticello, KY?
Medicaid reimbursement for Office Visit in Monticello, KY ranges from $8.26 to $59.10 per claim, with an average of $30.61. 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 Monticello, KY
Blood Work & Lab Tests
Avg $12.62
184,932 claims
Psychiatric Evaluation
Avg $55.23
131,708 claims
Emergency Room Visit
Avg $135.90
74,762 claims
Physical Therapy
Avg $20.59
64,772 claims
Eye Exam
Avg $47.87
43,337 claims
Chiropractic Care
Avg $15.44
41,256 claims
Dental Cleaning & Exam
Avg $30.85
32,463 claims
Speech Therapy
Avg $15.81
29,185 claims