Average Medicaid Office Visit Payments in Morgantown, KY: $29.77
Avg. Paid
$29.77
Range
$10.76 – $57.90
Total Claims
79,744
Providers
18
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 Morgantown, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ghayth Mahmoud Hammad
234 West Porter St |
$29.22 | 41,950 | 31,004 |
|
Curtina Leigh Beliles
101 W Roberts St |
$40.35 | 7,413 | 6,607 |
|
Donna Jean Embry
210 N Main St |
$32.80 | 5,690 | 4,928 |
|
Deborah S Clark
210 N Main St |
$36.27 | 5,401 | 4,737 |
|
Pamela Denise Phelps
1132 Brooklyn Chapel Rd |
$16.16 | 3,780 | 2,932 |
|
Shira Beth Hughes
234 Porter St |
$14.57 | 3,365 | 2,513 |
|
Deanna E Tarter
1116 S Main St Ste 5 |
$31.30 | 2,360 | 2,221 |
|
Jessica Danielle Johnson
234 West Porter St |
$16.01 | 2,275 | 1,827 |
|
Jordan Thomas Pharris
1238 S Main St |
$57.90 | 2,166 | 1,962 |
|
Kerissa M Daughenbaugh
234 W Porter Street |
$15.93 | 1,190 | 988 |
|
Shalini Chhabra
101 W Roberts St |
$40.89 | 1,026 | 875 |
|
Teara Albin
1116 S Main St |
$18.85 | 817 | 785 |
|
Tara Hewitt
234 Porter St |
$16.85 | 688 | 535 |
|
Ohio County Hospital Corporation
210 N Main St |
$21.53 | 623 | 268 |
|
Vicky Ann Lease
1116 S Main St |
$20.31 | 390 | 335 |
|
Lena M Gokey
101 W Roberts St |
$21.65 | 360 | 206 |
|
Andrea Terry Hampton
234 Porter St |
$10.76 | 214 | 171 |
|
Shaye Tomblinson
263 Huntsville Quality Rd |
$32.57 | 36 | 31 |
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 Morgantown, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Morgantown, KY is $29.77 per claim, based on 79,744 claims from 18 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 Morgantown, KY?
There are 18 Medicaid providers offering Office Visit related services in Morgantown, KY according to public payment data.
What is the price range for Office Visit in Morgantown, KY?
Medicaid reimbursement for Office Visit in Morgantown, KY ranges from $10.76 to $57.90 per claim, with an average of $29.77. 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 Morgantown, KY
Speech Therapy
Avg $4.99
26,384 claims
Psychiatric Evaluation
Avg $61.21
23,342 claims
Physical Therapy
Avg $20.47
19,013 claims
Chiropractic Care
Avg $17.02
11,861 claims
X-Ray
Avg $16.45
11,364 claims
Ambulance Transport
Avg $42.16
11,049 claims
Blood Work & Lab Tests
Avg $10.31
10,502 claims
Nursing Facility Care
Avg $4.04
8,089 claims