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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
Andrea Shae Lee

911 Bypass Rd Bldg A

 $26.86 12 12
Abdel Rahman Lataifeh

911 Bypass Rd

 $24.59 14 12
Rachel L Fitzgerald

147 Sycamore St

 $29.30 15 15
Charles Phillip Wheeler

911 Bypass Rd Bldg A

 $97.30 15 13
Ohio Valley Physicians, Inc

9613 Millard Hwy

 $63.49 15 14
Obaeda Harfoush

908 Bypass Rd

 $82.22 15 12
Trevor Jones

911 Bypass Rd Bldg A

 $20.92 17 12
John S Colston

184 S Mayo Trl

 $29.35 20 14
Dana C Shaffer

184 S Mayo Trl

 $22.78 21 15
Aaron W Crum

911 Bypass Rd Bldg A

 $29.35 27 27
Robin Sue Spurlock

911 Bypass Rd Bldg A

 $15.72 30 16
James Turner Altman

147 Hibbard St

 $4.13 37 24
Rahul Dhawan

911 Bypass Rd Bldg A

 $30.42 38 38
Cynthia S Acosta

911 Bypass Rd Bldg A

 $17.72 41 28
Emily Williams Konig

810 Hambley Blvd

 $57.43 44 39
Apostolos Dimitroulias

911 Bypass Rd

 $57.87 45 45
Brandy M Meadows

7077 Millard Hwy

 $25.59 45 38
Shadi Falah Obeidat

911 Bypass Rd Bldg A

 $18.82 46 43
Mark Jackson

911 Bypass Rd Bldg A

 $24.08 48 40
Kelly Jo Belcher

911 Bypass Rd Bldg A

 $19.20 52 44
Whitney P. Burton

911 Bypass Rd Bldg A

 $18.22 56 44
Samir Softic

911 Bypass Rd Bldg A

 $65.91 59 53
Jamessa C Scott

911 Bypass Rd Bldg A

 $9.91 63 41
Jennifer Elizabeth Keathley

911 Bypass Rd Bldg A

 $47.01 69 67
Haitem Mezughi

911 Bypass Rd Bldg A

 $28.59 69 64
Rizvon Chaudhary

911 Bypass Rd

 $38.30 70 65
Kay Hazelett

911 Bypass Rd Bldg A

 $23.44 72 46
Young Min Cho

911 Bypass Rd Bldg A

 $66.11 72 71
Kiristan Dials

911 Bypass Rd Bldg A

 $36.95 77 74
Faisal Khan

911 Bypass Rd Bldg A

 $49.64 78 70
Jodelle Lynne Yount

911 Bypass Rd

 $99.05 79 42
Michael Joe Asher

911 Bypass Rd Bldg A

 $30.42 79 76
Douglas Mitchell Reeves

911 Bypass Rd Bldg A

 $49.00 80 65
Brandon Thomas Nelson

911 Bypass Rd Bldg A

 $36.38 81 68
Subash Nepal

911 Bypass Rd Bldg A

 $43.02 82 74
Timothy Michael Ferguson

911 Bypass Rd Bldg A

 $18.56 123 117
Linda E. Williams

172 S Mayo Trl

 $22.62 125 110
Big Sandy Health Care Inc

50 Weddington Branch Rd Ste B

 $7.57 128 59
Caroline R Neff

911 Bypass Rd Bldg A

 $18.54 135 93
Antoinette Justice

184 S Mayo Trl

 $30.79 141 125
Breanna Jean Ramsey

911 Bypass Rd

 $26.95 151 140
Nisrine Bou Malhab

911 Bypass Rd Bldg A

 $32.40 152 138
Ummerubab Syeda

911 Bypass Rd Bldg A

 $23.84 157 145
Danielle Justice

131 Summit Dr Fl 3

 $15.68 160 154
Raja Sekhar Goli

911 Bypass Rd Bldg A

 $32.87 167 156
Jason Brian Howard

140 Adams Ln Ste 300

 $53.10 198 184
Daniel A Knausz

911 Bypass Rd Bldg A

 $18.63 205 175
John M Triplett

911 Bypass Rd Bldg A

 $36.65 208 189
Elizabeth Hope Branham

50 Weddington Branch Rd Ste C

 $15.42 221 163
Vibha P Amblihalli

911 Bypass Rd Bldg A

 $57.61 228 211

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.

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 Pikeville, KY

Blood Work & Lab Tests

Avg $13.27

1,226,959 claims

Emergency Room Visit

Avg $104.28

349,778 claims

Psychiatric Evaluation

Avg $55.70

290,250 claims

X-Ray

Avg $36.48

249,058 claims

Substance Abuse Treatment

Avg $43.54

225,767 claims

Urinalysis & Urine Tests

Avg $4.44

169,795 claims

Physical Therapy

Avg $23.66

158,566 claims

EKG / ECG (Electrocardiogram)

Avg $24.30

133,378 claims