Average Medicaid Office Visit Payments in Russellville, KY: $35.60
Avg. Paid
$35.60
Range
$19.20 – $51.22
Total Claims
145,270
Providers
38
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 Russellville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David L Mcclain
60 Shelton Ln |
$28.58 | 18,561 | 14,905 |
|
Cheryl Ann Vickers
1497 Nashville St |
$29.76 | 10,252 | 9,152 |
|
Steven Zeller
1497 Nashville St |
$43.16 | 9,909 | 9,058 |
|
Kayla Steele
1151 W 9Th St |
$36.46 | 9,204 | 8,405 |
|
Danielle Crystin Kennedy Foster
1621 Nashville St |
$46.81 | 8,551 | 7,293 |
|
Patrick Kevin Hayden
1719 Nashville St |
$31.37 | 8,224 | 6,501 |
|
Rhonda L Barrineau
1497 Nashville St |
$35.88 | 7,620 | 6,715 |
|
Britney Anne Bertsch
1497 Nashville St |
$42.99 | 6,674 | 5,910 |
|
Rebecca Lewellyn
1151 W 9Th St |
$29.39 | 5,976 | 4,430 |
|
Varsha Humble
1497 Nashville St |
$42.66 | 5,966 | 5,223 |
|
Steve G Salyers
1623 Nashville St |
$30.05 | 4,986 | 3,817 |
|
Tracey Lynn Barker
1497 Nashville St |
$32.96 | 4,910 | 4,314 |
|
Katherine Hindman Gilliam
1405 Nashville St |
$51.22 | 4,858 | 4,211 |
|
Lindsay Nichole Vonderahe
1621 Nashville St Ste 106 |
$34.65 | 4,299 | 3,687 |
|
Muhammad Altaf Ahmed
1623 Nashville St |
$38.06 | 4,202 | 3,761 |
|
Ronald B Elder
1623 Nashville St |
$42.25 | 4,005 | 3,361 |
|
Kushal P Singh
1405 Nashville St |
$41.92 | 3,987 | 3,246 |
|
Sydney Caron
1151 W 9Th St |
$34.11 | 2,635 | 2,467 |
|
Amy J. Webster
1405 Nashville St |
$38.89 | 2,551 | 2,151 |
|
James Carlisle Dodson
147 E 5Th St |
$26.96 | 2,485 | 1,845 |
|
Priority Primary Care Llc
60 Shelton Ln |
$19.20 | 2,282 | 1,737 |
|
Erinn Lynn Basista
1719 Nashville St Ste C |
$28.46 | 1,798 | 1,483 |
|
Kamal P Singh
1405 Nashville St |
$35.36 | 1,505 | 1,324 |
|
Melissa D Corbin
975 Hopkinsville Rd |
$20.87 | 1,486 | 1,152 |
|
Sydney Word
1497 Nashville St |
$23.93 | 1,299 | 1,180 |
|
Sydnee Tynes
1151 W 9Th St |
$40.29 | 1,222 | 1,165 |
|
Natalie Suzanne Hutton
1497 Nashville St |
$49.01 | 1,123 | 936 |
|
Sherry Ann Siegelman
1497 Nashville St |
$32.64 | 900 | 805 |
|
Adam Wesley Ellis
1623 Nashville St |
$23.86 | 895 | 605 |
|
Amber Nagornay
1621 Nashville St Ste 106 |
$41.92 | 728 | 626 |
|
Lashawnda Lee
60 Shelton Lane |
$27.91 | 630 | 545 |
|
Kimberly Cheree Buckner
252 N Main St |
$26.13 | 455 | 356 |
|
Jesse A Hays
1405 Nashville St |
$36.20 | 326 | 270 |
|
Caroline-Camilla Eugenie Saunders
1621 Nashville St Ste 106 |
$30.11 | 269 | 249 |
|
Barren River District Health Department
151 S Franklin St |
$36.70 | 238 | 199 |
|
David Alan Poe
909 W 9Th St Ste A |
$33.30 | 192 | 186 |
|
Carol Yvonne Oyenuga
1151 W 9Th St |
$33.64 | 54 | 48 |
|
Darla Sherrod Barrow
709 East 4Th Street |
$32.79 | 13 | 12 |
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 Russellville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Russellville, KY is $35.60 per claim, based on 145,270 claims from 38 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 Russellville, KY?
There are 38 Medicaid providers offering Office Visit related services in Russellville, KY according to public payment data.
What is the price range for Office Visit in Russellville, KY?
Medicaid reimbursement for Office Visit in Russellville, KY ranges from $19.20 to $51.22 per claim, with an average of $35.60. 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 Russellville, KY
Blood Work & Lab Tests
Avg $7.25
114,127 claims
Emergency Room Visit
Avg $114.27
63,542 claims
Vaccines & Immunizations
Avg $13.34
39,390 claims
Physical Therapy
Avg $23.32
24,803 claims
Urinalysis & Urine Tests
Avg $6.67
18,147 claims
Eye Exam
Avg $41.78
17,065 claims
X-Ray
Avg $53.43
16,530 claims
Speech Therapy
Avg $7.71
15,672 claims