Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Mount Sterling, KY: $34.45

Avg. Paid

$34.45

Range

$0.00 – $72.07

Total Claims

125,002

Providers

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 Mount Sterling, KY

Provider	Avg. Paid	Claims	Patients
Jose Alzadon 250 Foxglove Dr Ste 3	$34.80	20,534	7,132
Jennifer Elizabeth Blair 401 Commerce Cir	$35.44	12,617	10,892
Lori A Wells 209 N Maysville St Ste 200	$29.21	11,880	10,319
Leslie Highley 148 Skyview Dr	$31.74	10,726	8,709
Jennifer N Tabor-Curtis 209 N Maysville St	$30.65	8,075	6,693
Shane M Hirst 635 Maysville Rd # A	$31.84	6,910	5,566
Angelica Tuttle 624 Maysville Rd	$42.56	6,856	6,073
Sarah Marie Zalone 805 Alexa Dr Ste D	$44.51	5,653	2,359
Barry Ralph Williams 633 Maysville Rd	$42.54	5,484	4,798
Sooksai Kaewbua 633 Maysville Rd	$40.50	4,947	3,741
Richard A Hall 633 Maysville Rd	$40.07	4,527	3,740
Alexandra Pearcy 148 Skyview Dr	$30.55	4,344	3,742
Jessica Elisabeth Ison 209 N Maysville St Ste 200	$37.65	4,151	3,578
Katherine Laura Breeden Rodriguez-Guerrant 480 Indian Mound Dr	$27.89	2,351	2,100
Steven Hovermale 125 Foxglove Dr Ste D	$30.71	2,173	1,837
Carleigh Jean Sapp 209 N Maysville St Ste 200	$30.07	2,037	1,762
Connie Smith 209 North Maysville Road	$30.88	2,017	1,823
Joseph Barkley Hill 209 N Maysville St Ste 200	$25.73	1,890	1,750
Sterling Health Solutions, Inc 633 Maysville Rd	$1.82	1,285	1,114
Lauren N Conner 209 N Maysville St Ste 200	$22.64	1,274	1,027
Leslie Aslam 103 Commonwealth Dr	$53.83	1,186	1,003
Justin Eric Coleman 25 Sterling Way	$33.32	1,113	985
Rebecca Conrad 25 Sterling Way Ste C	$33.43	810	694
Makayla Lewis 209 N Maysville St Ste 200	$49.44	699	593
Ashley Arnett Green 148 Skyview Dr	$25.12	465	354
Edward T Jacobs 1 N Maysville St	$32.42	308	256
Haley Sue Back 601 Doe Run Dr	$72.07	208	184
Marvin Chad Faulkner 113 Maloney Way	$6.36	207	100
Wayne A Helderman 1 N Maysville St	$18.81	124	114
Charlotte Farris 29 N Maysville St	$44.94	59	53
Wesley Simmons 25 Sterling Way Ste C	$31.97	32	26
Montgomery Family Care Llc 125 Foxglove Dr Ste B	$12.09	30	25
Sterling Health Solutions Inc 635 Maysville Rd Ste A	$0.00	16	14
Kourtney G Stevens 209 N Maysville St Ste 200	$0.00	14	12

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 Mount Sterling, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Sterling, KY is $34.45 per claim, based on 125,002 claims from 34 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 Mount Sterling, KY?

There are 34 Medicaid providers offering Office Visit related services in Mount Sterling, KY according to public payment data.

What is the price range for Office Visit in Mount Sterling, KY?

Medicaid reimbursement for Office Visit in Mount Sterling, KY ranges from $0.00 to $72.07 per claim, with an average of $34.45. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Mount Sterling, KY: $34.45

Providers Offering Office Visit in Mount Sterling, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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