Average Medicaid Office Visit Payments in Princeton, KY: $31.49
Avg. Paid
$31.49
Range
$18.05 – $51.72
Total Claims
41,220
Providers
21
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 Princeton, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charles Michael Littlejohn
320 Micbeth Dr |
$36.44 | 8,098 | 6,637 |
|
Chelsey Farless
605 S Jefferson St Ste B |
$34.84 | 5,975 | 5,146 |
|
Deborah Jean Stovall
320 Micbeth Dr |
$27.56 | 3,608 | 3,020 |
|
Lezlie Getz
302 Micbeth Dr |
$35.13 | 3,592 | 3,117 |
|
Mary Hall James
323 S Jefferson St Ste C |
$26.39 | 3,529 | 3,057 |
|
Chelcia Wright
310 Hawthorne St |
$26.32 | 3,244 | 2,545 |
|
Stephanie L Mundy
100 Medical Center Dr |
$25.97 | 2,990 | 1,898 |
|
Bradley Joseph Hutchins
550 Us Highway 62 W |
$32.95 | 2,895 | 2,353 |
|
Lorie Rashelle Wydotis
100 Medical Center Dr |
$27.72 | 2,473 | 1,996 |
|
Ellery H. Naghtin
310 Hawthorne St |
$27.21 | 1,181 | 969 |
|
Ralph L Cash
302 Micbeth Drive |
$32.64 | 963 | 761 |
|
Caldwell County Hospital, Inc
302 Micbeth Dr |
$23.01 | 873 | 567 |
|
James Rushing
505 W Main St |
$51.72 | 825 | 728 |
|
Tonya Mcgowan
100 Medical Center Dr |
$23.15 | 355 | 278 |
|
Martiza Chantay Stallins
605 S Jefferson St |
$21.93 | 190 | 143 |
|
Pennyrile District Health Department
600 South Jefferson Street |
$21.91 | 159 | 140 |
|
Tammy Dunaway
310 Hawthorne St |
$26.86 | 104 | 82 |
|
Caldwell County Hospital Inc
320 Micbeth Dr |
$18.05 | 72 | 51 |
|
David P Hall
114 Edwards St |
$24.41 | 66 | 53 |
|
Anna Murphy
100 Medical Center Dr |
$33.78 | 15 | 12 |
|
Ed Settle
605 S Jefferson St |
$37.38 | 13 | 13 |
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 Princeton, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Princeton, KY is $31.49 per claim, based on 41,220 claims from 21 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 Princeton, KY?
There are 21 Medicaid providers offering Office Visit related services in Princeton, KY according to public payment data.
What is the price range for Office Visit in Princeton, KY?
Medicaid reimbursement for Office Visit in Princeton, KY ranges from $18.05 to $51.72 per claim, with an average of $31.49. 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 Princeton, KY
Blood Work & Lab Tests
Avg $14.34
80,895 claims
Emergency Room Visit
Avg $217.00
30,269 claims
X-Ray
Avg $63.97
12,809 claims
Physical Therapy
Avg $40.46
12,308 claims
Chiropractic Care
Avg $16.08
12,010 claims
Psychiatric Evaluation
Avg $46.52
9,614 claims
Urinalysis & Urine Tests
Avg $12.42
8,894 claims
CT Scan (Computed Tomography)
Avg $581.00
7,896 claims