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 |
|---|---|---|---|
|
Bethany Ann Boyd
5000 Ky Route 321 Ste 2127 |
$14.64 | 15 | 13 |
|
Bailey Heubi
104 S Front Ave |
$24.13 | 19 | 16 |
|
Dana Leigh Smith
5000 Ky Route 321 Ste 4102 |
$32.00 | 49 | 49 |
|
Appalachian Regional Healthcare, Inc
4851 Kentucky Highway 321 |
$28.52 | 66 | 43 |
|
Hallie Redden
104 S Front Ave |
$55.36 | 74 | 68 |
|
Janessa Baarda Johnson-Melton
286 Us Highway 23 N |
$29.55 | 77 | 74 |
|
Kyndra Boone
104 S Front Ave |
$55.31 | 114 | 105 |
|
Muhammad Sheheryar Khan
5000 Ky Route 321 |
$52.81 | 165 | 157 |
|
Marissa Ann Deboard
5000 Ky Route 321 |
$36.91 | 186 | 171 |
|
Gerald E Payne
286 Us Highway 23 N |
$32.27 | 189 | 179 |
|
Charles Franklin Arnett
283 Goble St |
$40.46 | 215 | 207 |
|
Elizabeth Le'Ann Browning
104 S Front Ave |
$57.03 | 231 | 200 |
|
Anthony C Stumbo
5000 Ky Rt 321 |
$21.92 | 256 | 220 |
|
Frontier Medical Associates Of Prestonsburg Inc
400 University Dr Ste 211A |
$16.31 | 306 | 244 |
|
Kacee Akers
104 S Front Ave |
$30.88 | 313 | 295 |
|
Jimmy Joshua Mosley
104 S Front Ave |
$31.21 | 414 | 366 |
|
Robert R Miller
5230 Ky Rt 321 |
$50.89 | 452 | 404 |
|
Kathy Jo Hamilton
104 S Front Ave |
$23.25 | 458 | 404 |
|
Kristen M Henley
104 S Front Ave |
$32.07 | 505 | 442 |
|
Andrea Mullins Quillen
104 S Front Ave |
$24.77 | 524 | 454 |
|
Sujatha S Reddy
61 Dewey St |
$22.49 | 531 | 445 |
|
Jayme Lynn Rice
5000 Ky Route 321 |
$21.64 | 532 | 466 |
|
Randall Mann
104 S Front Ave |
$34.99 | 563 | 514 |
|
Lakin Michele Oliver
104 S Front Ave |
$64.60 | 572 | 519 |
|
Havilah Rey Adkins
400 University Dr Ste 101 |
$31.02 | 580 | 555 |
|
Diana Lynn Herald
104 S Front Ave |
$36.68 | 592 | 535 |
|
Clayton Victor Bowman
1279 Old Abbott Mountain Rd |
$39.97 | 671 | 609 |
|
April Prater
5000 Ky Route 321 |
$36.79 | 690 | 595 |
|
Ginger Osborne
5000 Ky Route 321 Ste 4139 |
$21.22 | 745 | 595 |
|
Beth Rhodes
104 S Front Ave |
$56.77 | 773 | 699 |
|
Christina Nix
104 S Front Ave |
$58.96 | 873 | 797 |
|
Catherine Stacks
5000 Ky Route 321 |
$54.60 | 928 | 841 |
|
Samantha Lee Fraley
4958 Kentucky Hwy 321 |
$31.41 | 1,022 | 855 |
|
Carla Smith-Joseph
104 S Front Ave |
$55.91 | 1,105 | 833 |
|
Artour G Asrian
5000 Ky Route 321 |
$39.87 | 1,168 | 1,004 |
|
Floyd County Health Department
283 Goble St |
$33.26 | 1,200 | 1,114 |
|
Tyara Lynn Hughes
104 S Front Ave |
$27.43 | 1,223 | 983 |
|
Timothy A Webb
5230 Ky Rt 321 |
$54.01 | 1,372 | 1,247 |
|
Amelia Kiser
104 S Front Ave |
$58.26 | 1,400 | 1,262 |
|
Natalie Glime
5311 Ky Route 321 Ste 7 |
$32.01 | 1,418 | 1,336 |
|
Leyton Childers
530 S Lake Dr |
$39.94 | 1,486 | 1,288 |
|
Sarah J Campbell
104 S Front Ave |
$26.57 | 1,559 | 1,295 |
|
Karen Kennedy
104 S Front Ave |
$27.45 | 1,584 | 1,210 |
|
Sandra Pratt
104 S Front Ave |
$14.03 | 1,613 | 1,023 |
|
Lorna Isaac
104 S Front Ave |
$53.32 | 1,689 | 1,318 |
|
Joel David Talley
5000 Ky Route 321 |
$28.63 | 1,747 | 1,321 |
|
Beverly Jane Daniel
5230-Ky-321#8 |
$48.77 | 1,805 | 1,431 |
|
Angela Dawn Spurlock
5000 Ky Route 321 |
$17.48 | 2,068 | 1,719 |
|
Eastern Kentucky Tender Care Pediatrics Llc
400 University Dr Ste 101 |
$16.80 | 2,099 | 1,572 |
|
Brooke Leemae Bays
104 S Front Ave |
$33.90 | 2,141 | 1,783 |
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
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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
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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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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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