Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Mt Sterling, KY: $35.71

Avg. Paid

$35.71

Range

$6.31 – $87.15

Total Claims

256,590

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 Mt Sterling, KY

Provider	Avg. Paid	Claims	Patients
Muhammad Farhan 148 Skyview Dr	$29.74	19,809	15,982
Samuel George Welch 300 Foxglove Drive	$42.93	14,911	12,896
Byram Newton Ratliff 635 Maysville Rd Ste A	$32.74	13,104	9,641
Ashley M Ward 401 Commerce Cir	$36.35	12,496	10,767
Ginger Bond Mcdaniel 209 N Maysville St Ste 200	$32.79	10,201	9,303
Michelle Dawn Stone 148 Skyview Dr	$31.35	9,535	8,218
Ashley Elizabeth Johnson 125 Foxglove Dr	$31.89	8,979	7,201
Sarah Ashley Banks 125 Foxglove Dr	$30.03	8,661	6,881
Brian Clifford Badger 401 Commerce Cir	$50.22	8,414	7,742
Makenzie Kinder 401 Commerce Cir	$38.14	8,252	7,072
Brandy Bromagen Fouch 401 Commerce Cir	$50.70	7,633	6,892
Alesandra Conley Turner 401 Commerce Cir	$38.37	7,551	6,758
Kemberly Spencer 103 Commonwealth Dr	$30.01	7,384	6,469
Jan M Veloso 624 Maysville Rd	$38.21	7,017	5,951
Robert S. Coleman 624 Maysville Rd	$31.05	6,287	5,495
Monica Lynn Johnson 125 Foxglove Dr Ste D	$28.97	5,884	4,555
Laura H Carroll 103 Commonwealth Dr	$28.87	5,865	5,086
Brian Christopher Glover 40 S Bank St	$40.65	5,718	4,884
Jeffrey B Mcginnis 103 Commonwealth Drive	$35.61	5,538	4,827
Fred V Lause' 1107 Indian Mound Dr	$31.51	5,387	4,481
Jo A Elbert 601 Doe Run Dr Ste 5	$57.72	4,956	4,245
Taylor R Elam 624 Maysville Rd	$31.46	4,932	4,248
Emilee Bailey-Offill 805 Alexa Dr Ste D	$45.70	4,822	2,151
Jenna High Newkirk 624 Maysville Rd	$30.51	4,790	4,194
Muhammad-Ali Akram Zaydan 644 Maysville Rd	$21.49	4,682	3,092
Anup Singh Chattha 624 Maysville Rd	$37.59	4,467	3,871
James Roy Rollins 624 Maysville Rd	$32.58	4,208	3,613
Kayla Jones 624 Maysville Rd	$29.56	3,614	3,244
Thomas Collier Thornberry 40 S Bank St	$31.01	3,448	2,853
William Ryan Sutherland 227 Falcon Dr Ste 104	$65.41	3,411	3,040
Brianna L Kendrick 644 Maysville Rd	$47.77	3,309	2,757
Means Adult Primary Care Clinic Of Kentucky Pllc 148 Skyview Dr.	$14.57	2,584	2,049
Lica Mae Monobe 148 Skyview Dr	$32.80	2,361	2,107
Shawnda Carter 601 Doe Run Dr Ste 5	$53.87	2,029	1,743
Andrew R Bouwkamp 624 Maysville Rd	$28.50	1,902	1,558
Michelle Egar Yeasayer 227 Falcon Dr Ste 104	$22.00	1,794	1,571
Emily R Bilan 624 Maysville Rd	$26.58	1,792	1,566
Robert J. Linton 107 Brandon Way	$41.86	1,647	1,508
Paige Jean Gallas 227 Falcon Dr Ste 104	$38.05	1,564	1,513
Saint Joseph Health System, Inc 225 Falcon Dr	$34.85	1,499	1,234
Kelli Annette-Isaacs Keller 410 Good Life Pl	$43.97	1,452	1,233
Matthew S Miller 227 Falcon Dr Ste 104	$39.29	1,247	1,052
Holly Craycraft 125 Foxglove Dr Ste B	$28.85	1,217	1,068
Brenda Jean Drennen 644 Maysville Rd	$32.75	1,138	981
Cynthia Bohen 425 N Maysville St	$29.88	985	856
Dan E Calleja 100 Sterling Way	$32.08	980	816
Sharrie Dennille Reynolds 227 Falcon Dr Ste G03	$29.92	950	859
Renita L. Crouch 227 Falcon Dr # 101	$32.11	916	852
Ray B Terrell 227 Falcon Dr Ste G03	$28.27	824	647
Montgomery County Health Department 117 Civic Ctr	$59.18	751	721

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 Mt Sterling, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mt Sterling, KY is $35.71 per claim, based on 256,590 claims from 63 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 Mt Sterling, KY?

There are 63 Medicaid providers offering Office Visit related services in Mt Sterling, KY according to public payment data.

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

Medicaid reimbursement for Office Visit in Mt Sterling, KY ranges from $6.31 to $87.15 per claim, with an average of $35.71. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Mt Sterling, KY: $35.71

Providers Offering Office Visit in Mt Sterling, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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