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
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 Richmond, KY
Blood Work & Lab Tests
Avg $12.81
396,143 claims
Physical Therapy
Avg $52.19
320,531 claims
Substance Abuse Treatment
Avg $84.59
250,705 claims
Psychiatric Evaluation
Avg $59.44
227,989 claims
Speech Therapy
Avg $25.54
174,710 claims
Dental Cleaning & Exam
Avg $38.35
156,403 claims
Emergency Room Visit
Avg $158.07
151,769 claims
Chiropractic Care
Avg $16.03
138,026 claims