Average Medicaid Office Visit Payments in Salem, KY: $29.35
Avg. Paid
$29.35
Range
$13.38 – $42.92
Total Claims
52,254
Providers
18
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 Salem, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kara Ann Phillips
141 Hospital Dr Ste 102 |
$27.31 | 11,787 | 8,562 |
|
Justin J Lewis
141 Hospital Dr |
$24.91 | 8,916 | 6,383 |
|
Ghassan Yazigi
141 Hospital Dr |
$35.97 | 6,397 | 5,478 |
|
Joseph D. Drawdy
117 E Main St |
$26.73 | 4,302 | 3,143 |
|
Kristee Croft Shoulders
141 Hospital Dr |
$42.92 | 3,916 | 3,290 |
|
James Todd Bergin
141 Hospital Dr |
$25.18 | 2,999 | 2,431 |
|
Michael Philip Gavin
141 Hospital Dr |
$33.41 | 2,576 | 2,050 |
|
Robin Leidecker
141 Hospital Dr |
$25.06 | 2,182 | 1,814 |
|
Tri-Rivers Healthcare Pllc
141 Hospital Dr |
$13.38 | 1,801 | 990 |
|
Kaitlin Loveless
117 E Main St |
$41.55 | 1,470 | 1,242 |
|
Demetrius L Patton
141 Hospital Dr |
$28.96 | 1,317 | 1,076 |
|
William Edris Barnes
141 Hospital Dr Ste 102 |
$38.54 | 1,314 | 1,113 |
|
Lee Ann Grainger Keller
141 Hospital Dr Ste 102 |
$25.69 | 1,006 | 693 |
|
Livingston Hospital And Healthcare Services, Inc.
131 Hospital Dr |
$26.16 | 761 | 502 |
|
Robert M Wilkinson
141 Hospital Dr Ste 103 |
$27.19 | 630 | 554 |
|
Jennifer Rae Alexander
141 Hospital Dr |
$29.20 | 556 | 501 |
|
Crittenden County Hospital
117 E Main St |
$14.57 | 205 | 115 |
|
Stephen B Burkhart
117 E Main St |
$34.02 | 119 | 69 |
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 Salem, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Salem, KY is $29.35 per claim, based on 52,254 claims from 18 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 Salem, KY?
There are 18 Medicaid providers offering Office Visit related services in Salem, KY according to public payment data.
What is the price range for Office Visit in Salem, KY?
Medicaid reimbursement for Office Visit in Salem, KY ranges from $13.38 to $42.92 per claim, with an average of $29.35. 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 Salem, KY
Blood Work & Lab Tests
Avg $21.44
50,976 claims
Emergency Room Visit
Avg $127.31
13,747 claims
Urinalysis & Urine Tests
Avg $9.10
6,945 claims
EKG / ECG (Electrocardiogram)
Avg $28.78
5,119 claims
X-Ray
Avg $42.65
4,992 claims
Upper Endoscopy (EGD)
Avg $179.65
3,693 claims
Prescription Medications
Avg $9.11
2,058 claims
Nursing Facility Care
Avg $25.25
1,889 claims