Average Medicaid Office Visit Payments in Paintsville, KY: $34.84
Avg. Paid
$34.84
Range
$4.63 – $96.37
Total Claims
255,105
Providers
45
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 Paintsville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yassin Khattab
822 S Mayo Trl |
$41.47 | 40,086 | 33,761 |
|
Jason Rh Castle
713 Broadway |
$35.17 | 27,440 | 13,554 |
|
Loey J Kousa
538 Main Street |
$34.69 | 22,033 | 12,892 |
|
Kitta Kousa
538 Main Street |
$38.49 | 21,291 | 17,568 |
|
Jason T Rice
604 James S Trimble Boulevard |
$28.47 | 15,903 | 13,023 |
|
Tammy Webb
958 Broadway St |
$23.60 | 15,354 | 13,286 |
|
Kevin Robert Bayes
404 Euclid Ave |
$38.36 | 14,230 | 12,881 |
|
Brittany Ann Nicole Fairchild
830 S Mayo Trl |
$29.86 | 12,318 | 10,357 |
|
Brandi Lemaster Collins
336 N Mayo Trl |
$38.57 | 9,081 | 8,051 |
|
Donetta Wallace
336 N Mayo Trl |
$27.80 | 7,483 | 6,457 |
|
James Dumas
1101 S May Trail |
$42.56 | 6,205 | 4,484 |
|
Jennifer Lynn Martin
228 Church St |
$18.14 | 5,974 | 3,366 |
|
Mark Paul Caruso
713 Broadway St Ste 203 |
$30.51 | 5,577 | 4,514 |
|
Kelli Jo Pratt
450 S Mayo Trl |
$40.17 | 4,963 | 4,471 |
|
Tonya Workman
628 Jefferson Ave |
$41.71 | 4,595 | 3,268 |
|
Kelley D Cochran
607 S Mayo Trl Ste B |
$31.06 | 3,779 | 3,235 |
|
Kelly Mcguire
826 S Mayo Trl |
$30.46 | 3,716 | 3,372 |
|
Milot F Faria
301 Euclid Ave |
$34.36 | 3,172 | 2,548 |
|
Dustin K Devers
713 Broadway St |
$48.36 | 2,897 | 2,520 |
|
Kimberly W Nordin
917 Broadway St |
$38.22 | 2,634 | 2,344 |
|
Heather Dawn Eperson
604 James S Trimble Blvd |
$11.00 | 2,397 | 1,573 |
|
Ashley Dawn Spriggs
336 N Mayo Trl |
$29.25 | 2,187 | 2,051 |
|
Jason Scott Short
503 Depot Road |
$32.41 | 2,121 | 1,906 |
|
Harold Gregory Horn
520 N Mayo Trl Ste 3 |
$50.95 | 2,051 | 1,827 |
|
Mashonna L Austin
604 James Trimble Blvd Ste 3 |
$29.03 | 1,988 | 1,477 |
|
Rebecca Mae Caudill
604 James S Trimble Blvd |
$26.70 | 1,834 | 1,485 |
|
Eric J Dennis
604 James S Trimble Blvd |
$36.27 | 1,802 | 1,645 |
|
Lyndsay Jordan Cantrell
607 S Mayo Trl |
$28.10 | 1,642 | 1,483 |
|
Rebecca Haut
470 N Mayo Trl |
$96.37 | 1,410 | 1,355 |
|
Mark E Nordin
917 Broadway St |
$35.95 | 1,402 | 1,236 |
|
Kayla Barrett
1025 Euclid Ave |
$30.06 | 1,388 | 1,314 |
|
Patricia Lynn Adams
404 Euclid Ave |
$31.80 | 1,082 | 965 |
|
Andrew Brown
354 North Mayo Trail |
$47.82 | 954 | 858 |
|
Brian Charles Dewire
705 Broadway St |
$19.75 | 890 | 660 |
|
Mountain Comprehensive Care Center, Inc.
838 S Mayo Trl |
$8.37 | 779 | 505 |
|
Paintsville Hospital Company, Llc
625 James Trimble Blvd |
$14.35 | 708 | 384 |
|
Johnson County Health Department
630 James S Trimble Blvd |
$29.98 | 671 | 522 |
|
Sarah Margaret Belhasen
838 South Mayo Tr |
$32.78 | 369 | 287 |
|
Mark Elliot Nordin
917 Broadway St |
$40.27 | 198 | 183 |
|
Frontier Medical Associates Of Paintsville Inc
713 Broadway St Ste 301B |
$8.79 | 170 | 121 |
|
Kenzie Nicole Hammond
450 S Mayo Trl |
$32.06 | 135 | 126 |
|
Ohio Valley Physicians Inc
404 Euclid Ave |
$4.63 | 102 | 79 |
|
Laura Kristen Rice
354 N Mayo Trl |
$51.47 | 59 | 55 |
|
Arh Tug Valley Health Services, Inc.
604 James S. Trimble Blvd |
$17.93 | 22 | 15 |
|
Jason Evans Od Llc
470 N Mayo Trl |
$38.48 | 13 | 12 |
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 Paintsville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Paintsville, KY is $34.84 per claim, based on 255,105 claims from 45 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 Paintsville, KY?
There are 45 Medicaid providers offering Office Visit related services in Paintsville, KY according to public payment data.
What is the price range for Office Visit in Paintsville, KY?
Medicaid reimbursement for Office Visit in Paintsville, KY ranges from $4.63 to $96.37 per claim, with an average of $34.84. 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 Paintsville, KY
Blood Work & Lab Tests
Avg $8.53
277,806 claims
Emergency Room Visit
Avg $128.08
109,164 claims
Eye Exam
Avg $60.67
61,407 claims
Physical Therapy
Avg $21.19
48,648 claims
X-Ray
Avg $36.22
34,513 claims
Urinalysis & Urine Tests
Avg $2.66
31,380 claims
CT Scan (Computed Tomography)
Avg $153.08
27,271 claims
EKG / ECG (Electrocardiogram)
Avg $13.90
25,694 claims