Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Richmond, KY: $36.72

Avg. Paid

$36.72

Range

$12.02 – $72.89

Total Claims

689,221

Providers

159

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 Richmond, KY

Provider	Avg. Paid	Claims	Patients
Marcel Simo 519 Hampton Way Ste 8	$32.00	35,553	22,469
Heather Mcclure 2013 Merchant Dr Ste 3	$32.55	32,758	13,379
Kimberly H Sowden 2161 Lexington Rd	$27.88	31,097	20,442
Bijaya Ghimire 103 Keystone Dr Ste 5	$28.77	24,624	15,278
Diana L Spring 1042 Center Dr Ste 100	$35.76	21,665	6,156
Samantha R. Caldwell 1049 Center Dr	$42.17	18,349	10,091
Michael R Heilig 318 Highland Park Dr	$29.39	18,275	12,258
Mansoor Ahmed 2130 Lexington Rd Ste A-B	$48.20	17,995	16,122
Anthony Joseph Smith 1054 Center Dr	$41.66	16,404	9,661
Tina Holbrook 312 Jason Dr Ste 9	$28.32	15,769	9,553
Brandon H Embry 235 Boggs Ln Ste 7	$34.29	15,724	14,011
Heidi Rhodes Schweder 103 Alycia Dr	$39.19	15,584	7,568
Rhonda Blevins 206 Dunbar Ln	$47.27	13,598	10,897
Denis A Yalkut 2161 Lexington Rd Ste 2	$35.41	13,207	10,830
Shanna Sharber 401 Highland Park Dr	$40.53	9,407	8,244
William Matthew Collier 795 Eastern Byp	$41.30	9,337	8,083
Alison Moncayo 401 Highland Park Dr	$42.56	9,328	8,365
Gulena Yvonne Reffett 316 Highland Park Dr	$50.07	9,249	5,717
Alison Mullins 1012 Center Dr	$24.10	9,244	6,012
Janine Teresa Lippert 2161 Lexington Road	$29.47	9,238	7,551
Ian Blake Holbrook 793 Eastern Byp	$50.77	9,222	7,984
George Michael Pittman 3190 Irvine Rd	$25.36	9,212	6,758
Gaurang B Shah 2025 Corporate Dr	$23.39	8,642	6,974
Clarice Y. Dicks 2161 Lexington Rd	$27.10	8,457	6,133
Scott Hazelwood 793 Eastern Byp	$41.86	8,395	7,367
Alan K Richards 793 Eastern Byp	$40.33	8,259	7,124
Christina W Callihan 1012 Center Dr	$34.27	7,343	5,822
Melody Stewart-Cyrus 401 Highland Park Dr	$40.08	7,342	6,675
Praveena M Salins 793 Eastern Byp	$43.43	7,199	6,352
Delena H Young 415 Gibson Ln Ste 2	$40.93	7,011	5,999
Gina L Land 795 Eastern Bypass	$53.88	6,789	5,991
Leann S Brown 401 Highland Park Dr	$32.04	6,734	6,138
Valerie Breeding 890 Richmond Plz	$29.98	6,686	5,278
Brandi Hunley Dyer 2008 Merchant Dr Ste 11	$51.20	6,506	6,116
Fred P Kinnicutt 415 Gibson Ln	$72.89	6,295	5,617
Jenna Richards 793 Eastern Byp Ste 110	$40.25	5,865	4,937
Rick Angel 646 University Shopping Ctr	$47.29	5,708	5,256
Gregory Allen Rupp 401 Highland Park Dr	$53.94	5,622	4,863
Deborah A Foster 311A Radio Park Dr	$34.95	5,620	4,957
Hamilton D Taylor 124 S Keeneland Dr Ste A-4	$26.70	5,236	4,785
Michael Hamilton 2187 Lexington Rd Ste B1	$14.68	4,991	4,015
Amy Leigh Gregg 235 Boggs Ln Ste 12	$47.57	4,979	4,305
Roberta B Higgins 795 Eastern Byp Ste 5	$36.00	4,760	3,963
Jennifer Lynn Whittington 789 Eastern Bypass Medical Office 1	$40.79	4,697	4,317
Ananth Netrakere Kumar 789 Eastern Byp	$27.47	4,658	3,928
Sinduja Jayaraj 401 Highland Park Dr	$43.37	4,638	4,246
Casey Fitzpatrick 793 Eastern Byp Ste 110	$38.83	4,521	3,835
Angela M Smitha 795 Eastern Byp	$30.79	4,506	4,130
Heather Lynn Bishop 1054 Center Dr Ste 2	$30.16	4,374	3,785
Muhammad H Iqbal 793 Eastern Byp	$49.76	4,350	3,940

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 Richmond, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Richmond, KY is $36.72 per claim, based on 689,221 claims from 159 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 Richmond, KY?

There are 159 Medicaid providers offering Office Visit related services in Richmond, KY according to public payment data.

What is the price range for Office Visit in Richmond, KY?

Medicaid reimbursement for Office Visit in Richmond, KY ranges from $12.02 to $72.89 per claim, with an average of $36.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Richmond, KY: $36.72

Providers Offering Office Visit in Richmond, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Richmond, KY

Blood Work & Lab Tests

Physical Therapy

Substance Abuse Treatment

Psychiatric Evaluation

Speech Therapy

Dental Cleaning & Exam

Emergency Room Visit

Chiropractic Care