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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
Keri Robbins

801 Eastern Byp

$39.75 12 12
Kathryn Anne Savage

858 Eastern Byp

$27.10 13 13
David J Shafran

576 Avawam Dr

$31.80 17 15
Advanced Primary & Behavioral Health Llc

2013 Merchant Dr Ste 3

$21.81 17 13
Rebecca Geile

858 Eastern Byp

$18.04 18 13
Taylor Lauren Waggoner

1020 Gibson Bay Dr

$33.90 30 26
Angela Maria Benrey

789 Eastern Byp Ste 14

$16.36 33 31
Mark Jeffery Fields

820 Eastern Byp

$51.57 38 36
Baptist Health Medical Group Inc

648 University Shopping Ctr

$16.16 47 36
Neil J Klemek

103 Alycia Dr

$28.42 56 44
Chelsea Nicole Taylor

789 Eastern Byp Ste 10

$58.36 62 56
Thomas D Cervoni

789 Eastern Byp

$32.74 71 60
Cassie Napier

1020 Gibson Bay Dr

$29.65 84 72
Jennifer Williams

501 S Keeneland Dr

$23.48 85 70
John Paul Gillespie

2013 Merchant Dr Ste 3

$31.71 92 73
Anil Harrison

1054 Center Dr

$25.18 104 86
Lauren Renee Lodholz

1020 Gibson Bay Dr

$45.15 113 106
Rachel M Powell

401 Highland Park Dr

$34.02 115 112
Jessica Whitaker

858 Eastern Byp

$17.72 116 84
Patrick Scott Campbell

5006 Atwood Dr Ste 5

$47.86 143 120
Rebekah Quinn

Po Box 255

$39.32 147 129
Stephanie Brianne Hamm

801 Eastern Byp

$30.41 152 147
Alexis N Mcanally

1054 Center Dr Ste 2

$31.91 160 137
Heather Kelly

890 Richmond Plz

$37.07 171 153
Margaret Ruth Lake

131 Jolly Ridge Rd

$60.73 175 161
Breanna Lauren Whitaker

890 Richmond Plz

$26.67 182 165
Michelle Lynn Ferguson

1018 Ival James Blvd Ste C

$38.04 207 193
Shobhna R. Joshi

2019 Corporate Dr

$27.46 227 193
Ashish Madhoop Patel

107 Meridian Way

$38.46 262 231
Jessica Ann Feltner

890 Richmond Plz

$21.81 280 235
John Moser Johnstone

2161 Lexington Road

$22.28 317 220
Matthew Allen Butler

1020 Gibson Bay Dr

$29.59 329 277
Nuzhat Naqvi

1024 Ival James Blvd Ste B

$28.61 381 340
Vernon Dwayne Brewer

103 Alycia Dr

$35.22 401 349
Matthew Lawson

801 Eastern Byp

$37.96 429 395
Katrina Antonette Montgomery

107 Meridian Way

$54.02 439 397
Rajan R. Joshi

2019 Corporate Dr

$26.76 462 402
David M O'Dell

2187 Lexington Rd

$26.73 531 475
Matthew Tighe

1012 Center Dr

$28.60 531 452
Madison County Health Department

214 Boggs Lane

$48.93 567 541
Corri Collins Dixon

1020 Gibson Bay Dr

$31.65 568 479
Anna Maurine Hume

415 Gibson Ln

$23.97 577 524
Amy Melinda Sanderson

789 Eastern Byp

$32.26 610 542
Casandra Kendrick

858 Eastern Byp

$27.70 794 688
Landi Marie Cranstoun

103 Alycia Dr Ste 2

$55.03 802 667
Austin Tyler Barrett

103 Keystone Dr

$24.20 834 761
Shamik Aikat

128 Mahogany Dr

$24.90 899 681
William T Reynolds

1020 Gibson Bay Dr

$28.31 903 788
Marilyn K Vermeesch

107 Meridian Way

$37.33 932 813
Barry Martin Rebeck

401 Highland Park Dr

$58.60 934 826

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.

Office Visit in Other Cities

Other Procedures in Richmond, KY