Average Medicaid Office Visit Payments in Providence, KY: $34.08
Avg. Paid
$34.08
Range
$8.38 – $47.70
Total Claims
93,148
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 Providence, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kathy Lynne Vincent
215 E Main St |
$39.51 | 131 | 117 |
|
Regional Health Care Affiliates, Inc.
215 E Main St |
$8.38 | 825 | 495 |
|
Elizabeth Ashley Strader
215 E Main St |
$36.34 | 1,530 | 1,267 |
|
Kelly L Cole
121 E Main St |
$34.28 | 1,844 | 1,614 |
|
Jennifer J Collins
215 E Main St |
$47.70 | 1,999 | 1,800 |
|
Heather T. Davis
121 E Main St |
$38.19 | 2,354 | 2,175 |
|
Raymond T Quatro
215 E Main St |
$45.26 | 2,365 | 1,869 |
|
Kenneth W Cloern
215 E Main St |
$40.11 | 2,387 | 2,109 |
|
Christina Cole Chumley
121 E Main St |
$28.21 | 2,938 | 2,646 |
|
Beth A Devine
215 East Main Street |
$32.64 | 3,497 | 3,172 |
|
Melissa Harmon
215 E Main St |
$27.69 | 3,731 | 2,917 |
|
Christy Tapp
215 E Main St |
$31.77 | 3,832 | 3,344 |
|
Green River District Health Department
470 S Broadway St |
$39.26 | 5,120 | 3,115 |
|
Winona F Lambdin
215 E Main St |
$32.56 | 5,186 | 4,505 |
|
Tristan K Lineberry
215 E Main St |
$40.19 | 5,467 | 4,994 |
|
Sharon Hodges
215 E Main St |
$44.21 | 6,121 | 3,835 |
|
Chelsey Aikins Bell
215 E Main St |
$28.57 | 7,137 | 5,788 |
|
Jami T Perry
215 E Main St |
$33.98 | 7,222 | 6,006 |
|
Emma Buchanan
215 E Main St |
$32.16 | 9,287 | 8,035 |
|
Joseph Lowery
215 E Main St |
$31.35 | 9,320 | 7,833 |
|
Lori R Marrero
215 E Main St |
$30.65 | 10,855 | 9,536 |
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 Providence, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Providence, KY is $34.08 per claim, based on 93,148 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 Providence, KY?
There are 21 Medicaid providers offering Office Visit related services in Providence, KY according to public payment data.
What is the price range for Office Visit in Providence, KY?
Medicaid reimbursement for Office Visit in Providence, KY ranges from $8.38 to $47.70 per claim, with an average of $34.08. 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 Providence, KY
Vaccines & Immunizations
Avg $8.71
19,024 claims
Physical Therapy
Avg $31.00
12,736 claims
Blood Work & Lab Tests
Avg $25.71
10,480 claims
Eye Exam
Avg $70.14
3,419 claims
Psychiatric Evaluation
Avg $43.42
3,392 claims
Dental Cleaning & Exam
Avg $32.98
2,977 claims
Ambulance Transport
Avg $63.71
2,134 claims
Urinalysis & Urine Tests
Avg $0.70
605 claims