Average Medicaid Office Visit Payments in Prospect, KY: $41.92
Avg. Paid
$41.92
Range
$21.43 – $62.44
Total Claims
38,359
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 Prospect, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Azmi Draw
10214 Worthington Ln |
$55.97 | 10,679 | 9,733 |
|
Kellie Sheehy
9503 Norton Commons Blvd |
$28.69 | 7,801 | 4,854 |
|
Patrick K Hynes
9217 Us Highway 42 |
$40.23 | 2,714 | 2,428 |
|
John L Snell
10614 Meeting St Unit 101 |
$37.17 | 2,498 | 2,146 |
|
Janet Elizabeth Thorley
5929 Timber Ridge Dr |
$32.88 | 2,067 | 1,919 |
|
Shannon Lee Williams
5807 Harrods Glen Dr |
$43.28 | 2,023 | 1,825 |
|
Rebecca Bruner
5807 Harrods Glen Dr |
$42.37 | 1,993 | 1,400 |
|
Rhonda Ernst Welenken
13102 Springhill Way |
$30.30 | 1,641 | 1,132 |
|
Brianna Sue Redman
9217 Us Highway 42 Ste E |
$29.81 | 1,534 | 1,386 |
|
Pamela C Biddle
9217 Us Highway 42 Ste E |
$41.26 | 1,273 | 1,179 |
|
Terence P Mckenna
9217 Us Highway 42 |
$42.58 | 1,128 | 1,010 |
|
Corrissa D Brown
5807 Harrods Glen Dr |
$62.44 | 1,111 | 798 |
|
Jessica A Henningsen
9301 Dayflower St Ste 100 |
$56.49 | 571 | 353 |
|
Vedad Seremet
9501 Norton Commons Blvd |
$32.61 | 475 | 350 |
|
Spencer Ryan Idstein
6341 Meeting St Ste 102 |
$45.06 | 416 | 365 |
|
Christine M Schupp
5807 Harrods Glen Dr |
$24.23 | 293 | 285 |
|
Nicole B Strecker
6341 Meeting St Ste 102 |
$44.10 | 67 | 55 |
|
Alyson Nicole Cooper
5929 Timber Ridge Dr |
$21.43 | 27 | 27 |
|
Elizabeth Rose
5807 Harrods Glen Dr |
$56.57 | 22 | 13 |
|
Vicki Moore
5929 Timber Ridge Dr |
$35.17 | 13 | 12 |
|
Nikki Lee Armstrong
5929 Timber Ridge Dr |
$34.49 | 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 Prospect, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Prospect, KY is $41.92 per claim, based on 38,359 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 Prospect, KY?
There are 21 Medicaid providers offering Office Visit related services in Prospect, KY according to public payment data.
What is the price range for Office Visit in Prospect, KY?
Medicaid reimbursement for Office Visit in Prospect, KY ranges from $21.43 to $62.44 per claim, with an average of $41.92. 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 Prospect, KY
Dental Cleaning & Exam
Avg $37.13
14,324 claims
Speech Therapy
Avg $35.70
13,674 claims
Blood Work & Lab Tests
Avg $19.54
12,751 claims
Nursing Facility Care
Avg $12.44
7,871 claims
Emergency Room Visit
Avg $76.64
7,648 claims
Physical Therapy
Avg $22.44
7,091 claims
Psychiatric Evaluation
Avg $55.26
3,391 claims
Pulmonary Function Test
Avg $10.86
2,686 claims