Average Medicaid Office Visit Payments in Prestonsburg, KY: $36.84
Avg. Paid
$36.84
Range
$14.03 – $64.60
Total Claims
889,997
Providers
146
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 Prestonsburg, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mountain Comprehensive Care Center, Inc.
104 S Front Ave |
$51.13 | 53,223 | 48,834 |
|
Louisa Elizabeth Farley
286 Us Highway 23 N |
$25.44 | 53,098 | 36,641 |
|
Christopher M Bailey
400 University Dr |
$43.61 | 41,836 | 22,078 |
|
Peter Smithwick Oliver
104 S Front Ave |
$43.54 | 30,254 | 18,118 |
|
Susie Michelle Howard
4851 Ky Route 321 |
$32.15 | 25,970 | 21,149 |
|
Krissy L Marcum
104 S Front Ave |
$32.70 | 19,914 | 14,001 |
|
Courtney B Hixson
104 S Front Ave |
$31.82 | 18,870 | 14,828 |
|
Kristy Kate Shutts
4851 Ky Route 321 |
$42.75 | 18,390 | 16,168 |
|
Nakeesha M Layne
4851 Ky Route 321 |
$31.33 | 18,190 | 16,546 |
|
Mazen Jaafar
5000 Ky Route 321 Ste 3124 |
$41.07 | 17,864 | 14,613 |
|
William Brian Helton
5322 Ky Route 321 |
$43.03 | 17,724 | 15,057 |
|
Mark J Veronneau
5322 Ky Route 321 |
$44.45 | 16,526 | 14,122 |
|
Robert B Hays
286 Us Highway 23 N |
$44.91 | 16,199 | 14,990 |
|
Maudella Grace Jones
154 N Lake Dr |
$32.51 | 16,152 | 10,201 |
|
Tracey Hedrick-Hamilton
147 N Highland Ave |
$23.30 | 15,401 | 13,261 |
|
Robert Nathan Royalty
5000 Ky Route 321 |
$39.66 | 12,770 | 11,075 |
|
Charlotte Wells
104 S Front Ave |
$31.39 | 12,334 | 5,794 |
|
Zelda Mcintosh
104 S Front Ave |
$35.26 | 12,194 | 6,393 |
|
Deanna S Pratt
104 S Front Ave |
$33.99 | 12,118 | 5,629 |
|
Amanda Marie Helton
5230 Ky Route 321 Ste 4 |
$30.48 | 12,008 | 10,810 |
|
Martha A Stephens
4851 Ky Route 321 |
$30.26 | 11,797 | 10,268 |
|
Antoin Hana
4851 Ky Route 321 |
$41.42 | 11,659 | 10,505 |
|
Kristen Bentley Jones
5000 Ky Route 321 Ste 4139 |
$22.24 | 11,003 | 9,068 |
|
Rakesh Sachdeva
104 S Front Ave |
$36.35 | 10,774 | 9,301 |
|
Jessica Lee Branham
104 S Front Ave |
$37.56 | 9,271 | 6,276 |
|
Patricia Patton
104 S Front Ave |
$54.27 | 9,244 | 7,706 |
|
Seema Sachdeva
104 S Front Ave |
$38.53 | 8,935 | 7,968 |
|
Tiffany M Mills
1709 Ky Route 321 |
$39.90 | 8,799 | 7,306 |
|
Bahram Forouzandeh
5000 Ky Route 321 |
$47.15 | 8,451 | 7,442 |
|
Mohammed Akhlack Hossain Mazumder
92 Pickett Ln |
$37.22 | 8,236 | 5,744 |
|
Sammie S. Gibson
5000 Ky Route 321 |
$37.77 | 8,210 | 5,709 |
|
Carolyn Compton
104 S Front Ave |
$38.25 | 8,124 | 4,095 |
|
Courtney Elizabeth Turner
104 S Front Ave |
$47.01 | 7,858 | 6,745 |
|
Angela Dawn Howard
104 S Front Ave |
$32.51 | 7,843 | 4,487 |
|
Deonna Campbell
104 S Front Ave |
$29.81 | 7,811 | 4,945 |
|
Bethany S. Sullivan
4851 Ky Route 321 |
$33.86 | 7,748 | 4,690 |
|
Manmohan Pothuloori
104 S Front Ave |
$47.84 | 7,593 | 6,262 |
|
Cara Gailynn Mccoy
1709 Ky Route 321 |
$29.60 | 7,453 | 6,296 |
|
Ashley Jo Bostic Adams
1279 Old Abbott Mountain Rd |
$38.65 | 6,977 | 6,371 |
|
Debra Karen Hall
723 S Lake Dr |
$35.56 | 6,899 | 6,151 |
|
Andrea L Jones
4851 Ky Route 321 |
$31.17 | 6,745 | 6,236 |
|
Highlands Hospital Corp
5000 Ky Route 321 |
$50.12 | 6,689 | 5,711 |
|
Joshua Timothy Minix
5000 Ky Route 321 Ste 3141 |
$37.54 | 6,586 | 5,630 |
|
Kendra M Burgess
5000 Ky Route 321 |
$26.88 | 6,252 | 5,101 |
|
Matthew Kyle Turner
400 University Dr |
$33.36 | 6,148 | 5,024 |
|
Sheena Lynn Mosley
1709 Ky Route 321 |
$28.26 | 5,946 | 5,308 |
|
Tiffany Amanda Thompson
5000 Ky Route 321 Ste 3124 |
$27.86 | 5,720 | 4,765 |
|
Angela M Campbell
104 S Front Ave |
$45.85 | 5,670 | 4,645 |
|
Kristin J Bowman
104 S Front Ave |
$44.81 | 5,613 | 5,035 |
|
Traci Cornett
104 S Front Ave |
$42.27 | 5,592 | 4,617 |
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 Prestonsburg, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Prestonsburg, KY is $36.84 per claim, based on 889,997 claims from 146 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 Prestonsburg, KY?
There are 146 Medicaid providers offering Office Visit related services in Prestonsburg, KY according to public payment data.
What is the price range for Office Visit in Prestonsburg, KY?
Medicaid reimbursement for Office Visit in Prestonsburg, KY ranges from $14.03 to $64.60 per claim, with an average of $36.84. 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 Prestonsburg, KY
Psychiatric Evaluation
Avg $57.42
1,166,008 claims
Blood Work & Lab Tests
Avg $10.88
539,849 claims
Substance Abuse Treatment
Avg $64.31
347,061 claims
Home Health Visit
Avg $102.83
345,431 claims
Behavioral & Mental Health Therapy
Avg $150.21
341,524 claims
Physical Therapy
Avg $63.45
255,460 claims
Case Management Services
Avg $310.04
123,130 claims
Dental Cleaning & Exam
Avg $37.71
105,678 claims