Average Medicaid Office Visit Payments in Mount Vernon, KY: $36.99
Avg. Paid
$36.99
Range
$14.73 – $61.49
Total Claims
153,628
Providers
35
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 Vernon, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Kevin Rowe
140 Newcomb Ave |
$48.17 | 14,999 | 13,871 |
|
Rockcastle County Hospital, Inc.
140 Newcomb Ave |
$19.47 | 14,577 | 11,891 |
|
Deana P. Hale
140 Newcomb Ave |
$39.02 | 10,910 | 10,224 |
|
Kacey Nicely
145 Newcomb Ave |
$34.49 | 10,299 | 9,693 |
|
David Shirley Bullock
140 Newcomb Ave |
$47.73 | 9,202 | 8,363 |
|
Thomas W Fowles
942 W Main St Unit B |
$38.92 | 8,420 | 5,439 |
|
Ruby Bishop
116 Progress Dr |
$29.15 | 7,615 | 6,598 |
|
Sarah Catherine Oliver
140 Newcomb Ave |
$42.45 | 7,491 | 6,906 |
|
Courtney Parrish Browning
140 Newcomb Ave |
$33.81 | 7,185 | 6,588 |
|
Jordan Dale Whitaker
1770 Lake Cumberland Rd |
$30.97 | 7,109 | 6,470 |
|
Callie E Shaffer
140 Newcomb Ave |
$42.03 | 6,108 | 5,606 |
|
Jon Anthony Arvin
116 Progress Dr |
$27.16 | 5,070 | 4,212 |
|
Megan Taylor Pittman
140 Newcomb Ave |
$30.66 | 5,062 | 4,622 |
|
Crystal D Brown
140 Newcomb Ave |
$28.24 | 4,910 | 4,097 |
|
Brandon Cowan
140 Newcomb Ave |
$44.87 | 3,545 | 2,958 |
|
Nancy G. Owens
145 Newcomb Ave |
$37.01 | 3,206 | 3,081 |
|
Angela Richelle Debord Isaacs
140 Newcomb Ave |
$50.79 | 3,159 | 2,970 |
|
William F. Stewart
140 Newcomb Ave Ste 1 |
$40.02 | 3,126 | 2,743 |
|
Mary Joenborg
140 Newcomb Ave |
$47.29 | 2,888 | 2,696 |
|
Vicki Chapman
140 Newcomb Ave |
$29.53 | 2,461 | 2,239 |
|
Brittany Perkins-Saylor
140 Newcomb Ave |
$33.00 | 2,240 | 2,096 |
|
Karen B Saylor
140 Newcomb Ave |
$47.07 | 2,102 | 1,904 |
|
Virginia Lee Mink-Cash
140 Newcomb Ave |
$40.45 | 2,041 | 1,789 |
|
Rebecca Dawn Hammond
140 Newcomb Ave |
$50.51 | 2,012 | 1,900 |
|
Jennifer T. Cash
140 Newcomb Ave |
$41.84 | 1,927 | 1,825 |
|
Justin Allen Williams
145 Newcomb Ave |
$28.27 | 1,373 | 1,253 |
|
Kelsey Ladd
140 Newcomb Ave |
$61.49 | 929 | 786 |
|
Jessica Carpenter
140 Newcomb Ave |
$32.36 | 920 | 864 |
|
William Bakhos
140 Newcomb Ave |
$41.09 | 803 | 745 |
|
Chasity Frakes
140 Newcomb Ave |
$56.01 | 695 | 626 |
|
Rockcastle County Hospital, Inc.
1770 Lake Cumberland Rd |
$14.73 | 551 | 435 |
|
Angela L. Parsons-Woods
140 Newcomb Ave |
$27.48 | 400 | 358 |
|
George W Griffith
140 Newcomb Ave |
$34.61 | 160 | 134 |
|
Hannah Renee Bullock
140 Newcomb Ave |
$41.88 | 106 | 100 |
|
Thelma Rose Hampton
145 Newcomb Ave |
$14.81 | 27 | 16 |
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 Vernon, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Vernon, KY is $36.99 per claim, based on 153,628 claims from 35 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 Vernon, KY?
There are 35 Medicaid providers offering Office Visit related services in Mount Vernon, KY according to public payment data.
What is the price range for Office Visit in Mount Vernon, KY?
Medicaid reimbursement for Office Visit in Mount Vernon, KY ranges from $14.73 to $61.49 per claim, with an average of $36.99. 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 Mount Vernon, KY
Blood Work & Lab Tests
Avg $6.55
220,867 claims
Physical Therapy
Avg $31.52
72,411 claims
Emergency Room Visit
Avg $108.98
66,581 claims
Speech Therapy
Avg $26.27
65,408 claims
X-Ray
Avg $20.59
62,325 claims
Urinalysis & Urine Tests
Avg $4.15
25,215 claims
Vaccines & Immunizations
Avg $12.18
17,447 claims
CT Scan (Computed Tomography)
Avg $192.86
17,350 claims