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Based on public Medicaid payment data.

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
Elaine Annette Shields

410 Lindsey St

$5.92 16 14
Keith L. Sellers

59 Carothers Rd

$50.97 28 25
John Brewer

708 Overton St

$31.67 31 31
Lori A Catanzaro

1400 Grand Ave

$51.09 40 40
Michael Steven Wehmann

1400 Grand Ave

$15.91 45 37
Northern Kentucky Independent District Health Department

1098 Monmouth St

$45.01 45 40
Sarah C Rank

130 Pavilion Pkwy

$49.86 84 73
Laura Anne Bertrand

1400 Grand Ave

$24.26 107 100
Donald A Saelinger

17 E. Sixth St

$40.99 117 112
Audrey Ertel

1400 Grand Avenue

$110.80 129 122
John Thomas Merrill

7 E Ridge Pl

$67.51 267 261
Noah B Allen

1400 Grand Ave

$56.90 282 265
Irene Cheruiyot

85 Carothers Rd

$37.45 396 380
Lily J Ning

1400 Grand Ave

$36.18 428 392
James Ronald Uebel

1400 Grand Avenue

$52.50 452 405
Darek Sanford

1400 Grand Avenue

$43.20 480 459
Niva Khan

1400 Grand Ave

$36.98 494 465
Steven Lee Willett

1400 Grand Ave

$38.24 510 489
Elizabeth Walsh Czirr

1400 Grand Ave

$48.26 541 483
Cameron Mackenzie Terrell

215 E 11Th St

$65.14 555 487
Gerald Wayne Homan

52 Carothers Rd

$22.44 646 466
Benjamin Costello

1400 Grand Ave

$55.11 678 617
Heather Columbia-Kinney

1400 Grand Ave

$43.95 754 649
Kami Attarhaye Tehrani

1400 Grand Ave

$41.94 888 831
Amanda M Evans

200 W 3Rd St

$46.21 889 822
Abby L. Lauer

1400 Grand Ave

$49.67 895 836
Adriane Ann Redmond

730 Columbia St

$56.23 935 862
Casie Wiley

200 West 3Rd Street

$46.14 1,106 1,011
Colleen Connaughton

215 E 11Th St

$24.99 1,141 1,043
Robert J Toltzis

1400 Grand Ave

$37.42 1,165 1,085
Savanna Paige Bolin

85 Carothers Rd

$43.85 1,169 1,003
Patricia Danielle Walsh

1400 Grand Avenue

$53.97 1,283 1,236
Jennafer Barker

215 E 11Th St

$28.33 1,565 1,433
Gina Battaglia Grove

200 W 3Rd St

$36.94 1,729 1,587
Sarah Amarylis Roadhouse

1400 Grand Ave

$59.70 1,773 1,562
Robert James Shields

200 West 3Rd Street

$32.80 1,868 1,550
Mark Allen Schroer

17 East Sixth Street

$38.84 2,121 1,872
Jonathan Ray Varney

1400 Grand Avenue

$32.10 2,249 2,173
Darren P Di Iulio

200 W 3Rd St

$34.04 2,254 1,927
Suzanne Mary Kreger

1400 Grand Ave

$35.39 2,473 2,347
Richard Ira Abrahamson

1400 Grand Ave

$36.65 2,511 2,240
Sean Joseph Sester

1400 Grand Ave

$45.16 2,602 2,429
Tamara England

215 E 11Th St

$32.64 2,687 2,553
Tonya A Kallmeyer

1400 Grand Ave

$41.56 2,720 2,292
Soumya Janardan

215 E 11Th St

$36.32 2,823 2,469
Gihan Nabil Abdel Razik

215 E 11Th St

$49.62 2,959 2,423
Erin Renee Tischner

1400 Grand Avenue

$41.77 3,070 2,730
Joshua Taylor Napier

1400 Grand Ave

$47.00 4,152 3,899
Anna Ridder

215 E 11Th St

$26.73 4,249 3,839
Linda D'Erminio

12 E 5Th St

$26.67 4,376 3,498

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

Other Procedures in Newport, KY