Average Medicaid Office Visit Payments in Nicholasville, KY: $37.60
Avg. Paid
$37.60
Range
$1.93 – $206.50
Total Claims
282,538
Providers
81
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 Nicholasville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Leslie N. Sullivan
1250 Keene Rd Ste 104 |
$31.15 | 13 | 12 |
|
Rita M Egan
3260 Lexington Rd |
$38.03 | 17 | 17 |
|
Joseph M Jeffries
994 N Main St |
$35.53 | 25 | 25 |
|
Olivia Marie Walker
110 Village Pkwy |
$18.63 | 27 | 26 |
|
Lawrence P Frick
110 Village Pkwy |
$30.81 | 27 | 26 |
|
Margaret Elkins
506 N Main St |
$41.54 | 33 | 22 |
|
Hannah Elizabeth Noger
249 E Brannon Rd |
$1.93 | 38 | 25 |
|
Kimberly Ann Thompson
110 Village Pkwy |
$37.18 | 41 | 41 |
|
Clay S Mattson
1024 N Main St |
$31.76 | 51 | 45 |
|
Phillip H. Hoffman
100 Providence Way |
$40.80 | 84 | 70 |
|
Sarah Huff
110 Village Pkwy |
$33.76 | 92 | 85 |
|
Stacey Nichole Kroggel
104 Fairfield Dr |
$36.99 | 96 | 91 |
|
Terry C Thoroughman
702 S Main St |
$33.70 | 125 | 97 |
|
Kenneth Ngocha Morfaw
128 Lansdowne Dr |
$206.50 | 128 | 97 |
|
Stephanie T Moore
110 Village Pkwy |
$26.92 | 152 | 145 |
|
Lyndsey Nicole Roesch
110 Village Pkwy |
$21.59 | 165 | 156 |
|
Angela D Stone
110 Village Pkwy |
$21.14 | 175 | 144 |
|
Erin M Rooks
324 Southview Dr |
$29.19 | 204 | 117 |
|
Wayne A. Marlowe
110 Village Pkwy |
$23.81 | 236 | 180 |
|
Carie Ann Tull
208 Bellaire Dr |
$30.23 | 238 | 186 |
|
Kimberly N Jones
204 Bellaire Dr |
$45.90 | 258 | 229 |
|
Katharine Mcdowell Clemmer
110 Village Pkwy |
$33.03 | 292 | 264 |
|
Melissa S Kinsolving
101 Orchard Dr |
$30.35 | 314 | 296 |
|
Alyssa Katherine Winebrenner
610 E Brannon Rd Ste 201 |
$36.27 | 355 | 314 |
|
Stephen P. Royse
110 Village Pkwy |
$16.77 | 402 | 314 |
|
Amanda Jean Shackelford
101 Orchard Dr |
$33.51 | 471 | 442 |
|
Sherry Dishong Guiler
615 E. Brannon Rd. |
$27.07 | 504 | 400 |
|
Saranne Perman
110 Village Pkwy |
$34.15 | 582 | 476 |
|
Daniel Kevin Epperly
800 S Main St |
$32.61 | 687 | 488 |
|
Jessamine County Health Department
210 E Walnut St |
$61.89 | 864 | 850 |
|
Michael L. Mckinney
100 Providence Way |
$38.19 | 886 | 732 |
|
Krista M Elkins
1024 N Main St |
$23.60 | 909 | 689 |
|
Sally Elizabeth Campbell
1250 Keene Rd Ste 102 |
$54.00 | 1,048 | 980 |
|
Brett Darrell Akers
315 Whispering Brook Dr |
$41.10 | 1,297 | 1,017 |
|
Alicia T Carlos
324 Southview Dr |
$45.44 | 1,372 | 1,251 |
|
John Peters
457 Keene Centre Dr |
$18.83 | 1,440 | 1,005 |
|
Bradley J Ihrig
110 Village Pkwy |
$27.86 | 1,452 | 1,213 |
|
Andrew Ray Usery
110 Village Pkwy |
$35.31 | 1,493 | 1,330 |
|
Kendall Morgan Joest
110 Village Pkwy |
$52.72 | 1,516 | 1,413 |
|
Benjamin Simms Cloyd
100 Providence Way Ste 200 |
$42.53 | 1,695 | 1,475 |
|
Jessica Lynne Henry
610 E Brannon Rd Ste 100 |
$32.36 | 1,873 | 1,662 |
|
Alexander Hykle Wade
100 Providence Way Ste 200 |
$46.86 | 1,877 | 1,629 |
|
William Longworth
1250 Keene Rd Ste 102 |
$52.46 | 1,940 | 1,666 |
|
Susanna Moberly
459 Keene Centre Dr |
$30.42 | 1,961 | 1,801 |
|
Amy Dove
125 S Main St |
$27.29 | 1,992 | 1,691 |
|
Rebecca O'Hair
500 Thames Cir |
$37.17 | 2,156 | 1,742 |
|
Kaye Overstreet
101 Orchard Dr |
$29.13 | 2,464 | 2,091 |
|
Sheryl Ann Stack
610 E Brannon Rd Ste 100 |
$28.97 | 2,624 | 2,445 |
|
Janet Rae Mcfarland
110 Village Pkwy |
$42.53 | 2,791 | 2,589 |
|
John Scott Reece
110 Village Pkwy |
$59.64 | 3,166 | 2,905 |
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 Nicholasville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nicholasville, KY is $37.60 per claim, based on 282,538 claims from 81 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 Nicholasville, KY?
There are 81 Medicaid providers offering Office Visit related services in Nicholasville, KY according to public payment data.
What is the price range for Office Visit in Nicholasville, KY?
Medicaid reimbursement for Office Visit in Nicholasville, KY ranges from $1.93 to $206.50 per claim, with an average of $37.60. 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 Nicholasville, KY
Blood Work & Lab Tests
Avg $7.74
414,805 claims
Physical Therapy
Avg $42.50
133,061 claims
Dental Cleaning & Exam
Avg $35.72
80,180 claims
Psychiatric Evaluation
Avg $52.60
77,814 claims
Speech Therapy
Avg $17.75
66,240 claims
Substance Abuse Treatment
Avg $54.01
53,587 claims
Vaccines & Immunizations
Avg $17.66
53,180 claims
Urinalysis & Urine Tests
Avg $2.68
39,346 claims