Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Pikeville, KY: $34.50

Avg. Paid

$34.50

Range

$0.00 – $99.05

Total Claims

1,279,513

Providers

264

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 Pikeville, KY

Provider	Avg. Paid	Claims	Patients
Pikeville Medical Center Inc 911 Bypass Rd	$40.82	81,951	64,123
John E. Pappas 255 Church St Ste 101	$38.03	33,401	16,718
Ahsen Ali Butt 238 Cassidy Blvd	$32.12	29,076	16,378
Stan Michael Johnson 238 Cassidy Blvd	$46.85	27,677	23,732
Sujata Rao Gutti 515 N Bypass Rd	$38.54	23,899	21,101
William T Fannin 9 Flora Street	$49.65	23,480	17,919
James R. Hager 255 Church St Ste 101	$33.56	23,224	17,242
Naveed Ahmed 911 Bypass Rd Bldg A	$40.19	21,459	19,325
Jack Byron Crider 387 Town Mountain Rd	$47.95	21,346	18,458
Maurice Michael Trivette 9783 Meta Hwy	$39.50	21,306	9,869
Shirley H Goff 255 Church St Ste 101	$30.60	21,304	17,220
Jeffery S Potter 50 Weddington Branch Rd Ste B	$39.48	20,919	11,048
David Farler 255 Church St Ste 101	$36.42	19,607	12,409
Suzanne D Ford 50 Weddington Branch Rd Ste B	$34.35	19,332	15,764
Angela K Maggard 238 Cassidy Blvd	$33.03	19,240	16,288
David Sammons 484 Tollage Crk	$31.84	18,990	16,201
Debra R. Bailey 238 Cassidy Blvd	$44.59	18,961	16,473
Erica Blackburn 238 Cassidy Blvd	$29.36	18,714	15,063
Lesley Kyle Bow 484 Tollage Crk	$46.02	18,609	15,264
Sarah Ann Coleman 156 Island Creek Rd	$29.85	17,427	10,247
Jay Vallabh Narola 1330 South Mayo Trail	$35.11	16,906	8,976
Callie Jo Jervis 255 Church St Ste 101	$29.46	15,130	12,023
Charles G Nichols 255 Church St Ste 101	$48.22	14,776	10,474
Nicole Elizabeth Isaac 255 Church St Ste 102B	$28.95	14,490	11,831
Bernie Justice 238 Cassidy Blvd	$33.59	14,095	11,391
Pikeville Medical Center Inc. 911 Bypass Rd Bldg A	$39.07	13,206	10,560
Jamie D Newsome 238 Cassidy Blvd	$25.15	13,057	11,341
Sai P Gutti 515 N Bypass Rd	$31.75	13,052	10,848
Leonor Salamanca Pagtakhan So 156 Island Creek Rd	$39.41	12,683	7,214
Jamie B Varney 911 Bypass Rd Bldg A	$50.10	11,792	10,675
Ginger Webb 50 Weddington Branch Rd Ste C	$26.87	11,737	7,822
Crystal L Branham 174 W Cedar Dr	$27.58	11,681	8,124
Paul L Maynard 3889 N Mayo Trl # 200	$33.83	11,454	7,818
Michelle Renee Scearse 911 Bypass Rd	$31.57	11,221	10,118
Rebecca L. Ramey 238 Cassidy Blvd	$25.65	11,023	9,500
Kristi Hall 484 Tollage Crk	$32.10	10,961	9,460
Zonia G Barbosa Caceres 911 Bypass Rd Bldg A	$31.37	10,542	9,637
Rebekah Hall 911 Bypass Rd	$15.93	10,461	9,670
Aaronda D Wells 238 Cassidy Blvd	$38.68	10,290	9,187
Charles E Lowe 5425 North Mayo Trail	$49.44	10,228	9,477
Janey Lynn Watts 238 Cassidy Blvd	$38.62	10,092	8,924
Katherine Lynn Cornett 484 Tollage Crk	$24.72	9,725	8,998
William Patrick Hoskins 911 Bypass Rd Bldg A	$40.75	9,534	8,571
Rebecca Francis 255 Church St Ste 101	$31.32	8,982	8,147
Lauren Ann Thacker 484 Tollage Crk	$39.69	8,720	5,868
Alexander M Saurer 140 Adams Ln Ste 300	$38.49	8,353	6,849
Benita Amick 238 Cassidy Blvd	$23.65	8,294	6,985
Kimberly Cook 911 Bypass Rd Bldg A	$27.06	8,242	7,130
Ashley Nicole Prater 184 S Mayo Trl	$30.86	8,229	6,142
Keith Brian Hall 911 Bypass Rd Bldg A	$42.10	7,977	7,202

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 Pikeville, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pikeville, KY is $34.50 per claim, based on 1,279,513 claims from 264 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 Pikeville, KY?

There are 264 Medicaid providers offering Office Visit related services in Pikeville, KY according to public payment data.

What is the price range for Office Visit in Pikeville, KY?

Medicaid reimbursement for Office Visit in Pikeville, KY ranges from $0.00 to $99.05 per claim, with an average of $34.50. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Pikeville, KY: $34.50

Providers Offering Office Visit in Pikeville, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit

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