Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Powderly, KY: $32.63

Avg. Paid

$32.63

Range

$14.96 – $42.38

Total Claims

88,971

Providers

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 Powderly, KY

Provider	Avg. Paid	Claims	Patients
Kristy G Chappell 1010 Medical Center Drive	$37.55	13,030	8,800
Kelly Henson 1010 Medical Center Dr	$29.17	7,975	6,721
Crystal Lynn Ward 1010 Medical Center Dr	$28.39	6,153	4,331
Mitzi Nicole Gardner 1010 Medical Center Dr	$40.19	6,072	5,228
Timothy I Durbin 1010 Medical Center Dr	$34.67	6,060	5,373
Gabrielle Harris 2025 W Everly Brothers Blvd Ste 1A	$30.51	5,976	5,080
Amy Lynn Hale 1010 Medical Center Dr	$30.66	5,351	4,981
Brittany Nicole Grega 1010 Medical Center Dr	$28.60	4,386	3,679
Jane Hope Reed 1010 Medical Center Dr	$27.88	4,114	3,412
Jessica Leigh Anderson-Brown 1010 Medical Center Dr	$30.62	3,971	3,052
Baptist Health Medical Group Inc 1010 Medical Center Dr	$23.03	3,896	2,498
Willard L Keith 1010 Medical Center Dr	$38.24	3,323	2,788
Kylee Stroud 2025 W Everly Brothers Blvd Ste 1A	$35.23	3,267	3,008
Ashley L Gabbard 2025 W Everly Brothers Blvd Ste 2A	$42.38	3,139	2,927
Tracey E. Sloan 2025 W Everly Brothers Blvd Ste 1A	$28.92	2,982	2,790
Ashley J Houchin 2025 W Everly Brothers Blvd Suite 1A	$33.68	2,638	2,492
April Hollis 2025 W Everly Brothers Blvd	$27.70	1,658	1,498
Mark A. Tackett 2025 W Everly Brothers Blvd	$31.01	1,339	1,249
Oh Muhlenberg, Llc 2025 W Everly Brothers Blvd Ste 2A	$26.94	1,239	1,061
Hilary A. Vandiver 2025 W Everly Brothers Blvd	$32.21	628	579
Brian Wayne Chaney 1010 Medical Center Drive	$37.98	602	499
Tiffany Caudill 1010 Medical Center Dr	$35.36	497	460
Baptist Health Deaconess Medical Group Inc 1010 Medical Center Dr	$29.45	362	285
Eric L Bandy 1010 Medical Center Dr	$40.32	299	221
Heloise D Westbrook Md Pc 2233 W Everly Brothers Blvd Ste Ii-C	$14.96	14	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 Powderly, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Powderly, KY is $32.63 per claim, based on 88,971 claims from 25 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 Powderly, KY?

There are 25 Medicaid providers offering Office Visit related services in Powderly, KY according to public payment data.

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

Medicaid reimbursement for Office Visit in Powderly, KY ranges from $14.96 to $42.38 per claim, with an average of $32.63. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Powderly, KY: $32.63

Providers Offering Office Visit in Powderly, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Powderly, KY

Speech Therapy

Blood Work & Lab Tests

Ambulance Transport

Non-Emergency Medical Transportation

X-Ray

Physical Therapy

Urinalysis & Urine Tests

Emergency Room Visit