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
63
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 |
|---|---|---|---|
|
Lucas Andrew Wright
129 Stone Trace Dr |
$87.15 | 54 | 53 |
|
Robert Harris
624 Maysville Rd |
$24.39 | 119 | 107 |
|
Elizabeth Majorie Snedeker
401 Commerce Cir |
$39.23 | 124 | 115 |
|
Lee W. Burns
225 Indian Mound Dr |
$6.31 | 152 | 49 |
|
Abby R. Moore Mason
644 Maysville Rd |
$33.20 | 158 | 139 |
|
Brigitte Danielle King
100 Sterling Way |
$33.61 | 192 | 169 |
|
Dustin Lee Combs
225 Indian Mound Dr |
$31.82 | 244 | 206 |
|
Community Family Clinic Pllc
125 Foxglove Dr |
$20.52 | 293 | 260 |
|
Erin Elaine Farkas
401 Commerce Cir |
$35.23 | 333 | 298 |
|
Tara Leslie Blair
227 Falcon Dr Ste 101 |
$26.52 | 420 | 342 |
|
Thomas K Mccormick
40 S Bank St |
$33.91 | 468 | 400 |
|
Alexandra Marie Berry
148 Skyview Dr |
$31.00 | 553 | 490 |
|
Harold Robert Hescock
101 Suite B |
$21.10 | 583 | 423 |
|
Montgomery County Health Department
117 Civic Ctr |
$59.18 | 751 | 721 |
|
Ray B Terrell
227 Falcon Dr Ste G03 |
$28.27 | 824 | 647 |
|
Renita L. Crouch
227 Falcon Dr # 101 |
$32.11 | 916 | 852 |
|
Sharrie Dennille Reynolds
227 Falcon Dr Ste G03 |
$29.92 | 950 | 859 |
|
Dan E Calleja
100 Sterling Way |
$32.08 | 980 | 816 |
|
Cynthia Bohen
425 N Maysville St |
$29.88 | 985 | 856 |
|
Brenda Jean Drennen
644 Maysville Rd |
$32.75 | 1,138 | 981 |
|
Holly Craycraft
125 Foxglove Dr Ste B |
$28.85 | 1,217 | 1,068 |
|
Matthew S Miller
227 Falcon Dr Ste 104 |
$39.29 | 1,247 | 1,052 |
|
Kelli Annette-Isaacs Keller
410 Good Life Pl |
$43.97 | 1,452 | 1,233 |
|
Saint Joseph Health System, Inc
225 Falcon Dr |
$34.85 | 1,499 | 1,234 |
|
Paige Jean Gallas
227 Falcon Dr Ste 104 |
$38.05 | 1,564 | 1,513 |
|
Robert J. Linton
107 Brandon Way |
$41.86 | 1,647 | 1,508 |
|
Emily R Bilan
624 Maysville Rd |
$26.58 | 1,792 | 1,566 |
|
Michelle Egar Yeasayer
227 Falcon Dr Ste 104 |
$22.00 | 1,794 | 1,571 |
|
Andrew R Bouwkamp
624 Maysville Rd |
$28.50 | 1,902 | 1,558 |
|
Shawnda Carter
601 Doe Run Dr Ste 5 |
$53.87 | 2,029 | 1,743 |
|
Lica Mae Monobe
148 Skyview Dr |
$32.80 | 2,361 | 2,107 |
|
Means Adult Primary Care Clinic Of Kentucky Pllc
148 Skyview Dr. |
$14.57 | 2,584 | 2,049 |
|
Brianna L Kendrick
644 Maysville Rd |
$47.77 | 3,309 | 2,757 |
|
William Ryan Sutherland
227 Falcon Dr Ste 104 |
$65.41 | 3,411 | 3,040 |
|
Thomas Collier Thornberry
40 S Bank St |
$31.01 | 3,448 | 2,853 |
|
Kayla Jones
624 Maysville Rd |
$29.56 | 3,614 | 3,244 |
|
James Roy Rollins
624 Maysville Rd |
$32.58 | 4,208 | 3,613 |
|
Anup Singh Chattha
624 Maysville Rd |
$37.59 | 4,467 | 3,871 |
|
Muhammad-Ali Akram Zaydan
644 Maysville Rd |
$21.49 | 4,682 | 3,092 |
|
Jenna High Newkirk
624 Maysville Rd |
$30.51 | 4,790 | 4,194 |
|
Emilee Bailey-Offill
805 Alexa Dr Ste D |
$45.70 | 4,822 | 2,151 |
|
Taylor R Elam
624 Maysville Rd |
$31.46 | 4,932 | 4,248 |
|
Jo A Elbert
601 Doe Run Dr Ste 5 |
$57.72 | 4,956 | 4,245 |
|
Fred V Lause'
1107 Indian Mound Dr |
$31.51 | 5,387 | 4,481 |
|
Jeffrey B Mcginnis
103 Commonwealth Drive |
$35.61 | 5,538 | 4,827 |
|
Brian Christopher Glover
40 S Bank St |
$40.65 | 5,718 | 4,884 |
|
Laura H Carroll
103 Commonwealth Dr |
$28.87 | 5,865 | 5,086 |
|
Monica Lynn Johnson
125 Foxglove Dr Ste D |
$28.97 | 5,884 | 4,555 |
|
Robert S. Coleman
624 Maysville Rd |
$31.05 | 6,287 | 5,495 |
|
Jan M Veloso
624 Maysville Rd |
$38.21 | 7,017 | 5,951 |
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.
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 Mt Sterling, KY
Blood Work & Lab Tests
Avg $8.45
240,683 claims
Tooth Extraction
Avg $107.17
155,513 claims
Physical Therapy
Avg $33.46
88,614 claims
Emergency Room Visit
Avg $129.76
79,331 claims
Psychiatric Evaluation
Avg $47.91
59,792 claims
Durable Medical Equipment (DME)
Avg $25.46
54,871 claims
Dental Cleaning & Exam
Avg $40.47
52,367 claims
X-Ray
Avg $51.58
52,198 claims