Average Medicaid Office Visit Payments in Newport, KY: $39.64
Avg. Paid
$39.64
Range
$5.92 – $110.80
Total Claims
157,863
Providers
65
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 Newport, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Lowe
215 E 11Th St |
$37.56 | 10,955 | 9,452 |
|
Carol Roark
215 E 11Th St |
$38.85 | 8,377 | 7,336 |
|
Phillip Lee Kiser
1400 Grand Ave |
$40.97 | 8,178 | 7,778 |
|
Mary Lou Braun
12 E 5Th St |
$29.14 | 7,668 | 6,293 |
|
Laura Lynn Barczewski
1400 Grand Ave |
$39.60 | 6,608 | 6,083 |
|
Walter Wilson
215 E 11Th St |
$66.97 | 5,890 | 5,539 |
|
Tyler William Browning
1400 Grand Avenue |
$42.81 | 5,805 | 5,304 |
|
Alexandra Sorrell
215 E 11Th St |
$26.10 | 5,613 | 4,715 |
|
Keneta Lachelle Thomas
215 E 11Th St |
$38.99 | 5,593 | 4,423 |
|
Jeffery Braden Blankenship
200 W 3Rd St |
$46.25 | 5,440 | 5,055 |
|
Michelle C Garrison
1400 Grand Ave |
$36.78 | 4,830 | 4,430 |
|
Lily Elsaidi Hahn
1400 Grand Ave |
$40.60 | 4,652 | 4,041 |
|
Sarah Jessica Uebel
215 E 11Th St |
$35.38 | 4,525 | 4,191 |
|
Abby Elizabeth Loftus-Smith
1400 Grand Ave |
$40.49 | 4,519 | 3,931 |
|
Sherri Lynne Schwartz
1400 Grand Avenue |
$40.20 | 4,433 | 4,043 |
|
Linda D'Erminio
12 E 5Th St |
$26.67 | 4,376 | 3,498 |
|
Anna Ridder
215 E 11Th St |
$26.73 | 4,249 | 3,839 |
|
Joshua Taylor Napier
1400 Grand Ave |
$47.00 | 4,152 | 3,899 |
|
Erin Renee Tischner
1400 Grand Avenue |
$41.77 | 3,070 | 2,730 |
|
Gihan Nabil Abdel Razik
215 E 11Th St |
$49.62 | 2,959 | 2,423 |
|
Soumya Janardan
215 E 11Th St |
$36.32 | 2,823 | 2,469 |
|
Tonya A Kallmeyer
1400 Grand Ave |
$41.56 | 2,720 | 2,292 |
|
Tamara England
215 E 11Th St |
$32.64 | 2,687 | 2,553 |
|
Sean Joseph Sester
1400 Grand Ave |
$45.16 | 2,602 | 2,429 |
|
Richard Ira Abrahamson
1400 Grand Ave |
$36.65 | 2,511 | 2,240 |
|
Suzanne Mary Kreger
1400 Grand Ave |
$35.39 | 2,473 | 2,347 |
|
Darren P Di Iulio
200 W 3Rd St |
$34.04 | 2,254 | 1,927 |
|
Jonathan Ray Varney
1400 Grand Avenue |
$32.10 | 2,249 | 2,173 |
|
Mark Allen Schroer
17 East Sixth Street |
$38.84 | 2,121 | 1,872 |
|
Robert James Shields
200 West 3Rd Street |
$32.80 | 1,868 | 1,550 |
|
Sarah Amarylis Roadhouse
1400 Grand Ave |
$59.70 | 1,773 | 1,562 |
|
Gina Battaglia Grove
200 W 3Rd St |
$36.94 | 1,729 | 1,587 |
|
Jennafer Barker
215 E 11Th St |
$28.33 | 1,565 | 1,433 |
|
Patricia Danielle Walsh
1400 Grand Avenue |
$53.97 | 1,283 | 1,236 |
|
Savanna Paige Bolin
85 Carothers Rd |
$43.85 | 1,169 | 1,003 |
|
Robert J Toltzis
1400 Grand Ave |
$37.42 | 1,165 | 1,085 |
|
Colleen Connaughton
215 E 11Th St |
$24.99 | 1,141 | 1,043 |
|
Casie Wiley
200 West 3Rd Street |
$46.14 | 1,106 | 1,011 |
|
Adriane Ann Redmond
730 Columbia St |
$56.23 | 935 | 862 |
|
Abby L. Lauer
1400 Grand Ave |
$49.67 | 895 | 836 |
|
Amanda M Evans
200 W 3Rd St |
$46.21 | 889 | 822 |
|
Kami Attarhaye Tehrani
1400 Grand Ave |
$41.94 | 888 | 831 |
|
Heather Columbia-Kinney
1400 Grand Ave |
$43.95 | 754 | 649 |
|
Benjamin Costello
1400 Grand Ave |
$55.11 | 678 | 617 |
|
Gerald Wayne Homan
52 Carothers Rd |
$22.44 | 646 | 466 |
|
Cameron Mackenzie Terrell
215 E 11Th St |
$65.14 | 555 | 487 |
|
Elizabeth Walsh Czirr
1400 Grand Ave |
$48.26 | 541 | 483 |
|
Steven Lee Willett
1400 Grand Ave |
$38.24 | 510 | 489 |
|
Niva Khan
1400 Grand Ave |
$36.98 | 494 | 465 |
|
Darek Sanford
1400 Grand Avenue |
$43.20 | 480 | 459 |
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 Newport, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newport, KY is $39.64 per claim, based on 157,863 claims from 65 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 Newport, KY?
There are 65 Medicaid providers offering Office Visit related services in Newport, KY according to public payment data.
What is the price range for Office Visit in Newport, KY?
Medicaid reimbursement for Office Visit in Newport, KY ranges from $5.92 to $110.80 per claim, with an average of $39.64. 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 Newport, KY
Blood Work & Lab Tests
Avg $17.63
138,574 claims
Dental Cleaning & Exam
Avg $28.61
25,260 claims
Vaccines & Immunizations
Avg $17.13
21,670 claims
Psychiatric Evaluation
Avg $63.50
20,802 claims
Chiropractic Care
Avg $14.03
18,058 claims
EKG / ECG (Electrocardiogram)
Avg $6.96
17,149 claims
Ambulance Transport
Avg $35.22
16,023 claims
Speech Therapy
Avg $8.56
13,754 claims