Average Medicaid Office Visit Payments in Shelbyville, KY: $40.59
Avg. Paid
$40.59
Range
$14.38 – $79.31
Total Claims
215,699
Providers
71
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 Shelbyville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eric J Siegel
71 Mack Walters Rd |
$50.80 | 15,969 | 14,438 |
|
Ronald Everson
213 Midland Blvd |
$33.94 | 10,812 | 6,364 |
|
Ashok S Kanthawar
720 Hospital Dr Ste 201 |
$49.70 | 9,767 | 8,123 |
|
Angelito L Samson
150 Frankfort Rd Ste 101 |
$44.27 | 9,055 | 8,484 |
|
Lisa B Stephens
150 Frankfort Rd Ste 101 |
$43.96 | 8,911 | 8,334 |
|
Arlyn E. Lua-Canby
150 Frankfort Rd |
$41.41 | 8,888 | 8,407 |
|
Jennifer Mary Seib
71 Mack Walters Rd |
$42.85 | 8,244 | 7,604 |
|
Kimberly Wright
150 Frankfort Rd Ste 103 |
$39.77 | 8,015 | 7,326 |
|
Jessica N B Easterling
150 Frankfort Rd Ste 101 |
$44.38 | 7,409 | 6,615 |
|
Heiko B Adams
1701 Midland Trl |
$34.92 | 7,267 | 6,397 |
|
Katherine S Garcia
71 Mack Walters Rd |
$38.87 | 7,042 | 6,591 |
|
Tia M Alton
150 Frankfort Rd Ste 101 |
$42.97 | 6,872 | 6,519 |
|
Sarah Hawkins
150 Frankfort Rd Ste 101 |
$44.49 | 5,800 | 5,368 |
|
Casey Mae Jensen
140 Stonecrest Rd Ste 101 |
$32.91 | 5,753 | 5,122 |
|
Leticia Kathryn Allen
60 Mack Walters Rd |
$31.68 | 5,146 | 4,591 |
|
Brook Thomas Massey
60 Mack Walters Rd |
$35.41 | 5,045 | 4,540 |
|
Jennifer Heer Ford
140 Stonecrest Rd Ste 201 |
$43.22 | 4,756 | 3,304 |
|
Steve Wayne Smith
140 Stonecrest Road |
$48.82 | 4,663 | 4,374 |
|
Andrew Richard Duffee
101 Stonecrest Rd |
$47.25 | 4,624 | 4,065 |
|
Justina Marie Ellis
515 Hospital Dr Ste 1 |
$41.15 | 4,399 | 3,949 |
|
Laura P White
140 Stonecrest Rd |
$34.23 | 4,304 | 3,545 |
|
Donna Lynn Betz
140 Stonecrest Rd Ste 101 |
$36.39 | 4,055 | 3,565 |
|
Sara Frank
150 Frankfort Rd Ste 101 |
$39.76 | 4,041 | 3,679 |
|
Renee G Ryan
515 Hospital Dr |
$33.72 | 3,987 | 3,698 |
|
Ana Maria Gonzalez
515 Hospital Dr Ste 1 |
$41.73 | 3,597 | 2,900 |
|
Kenneth Reed Gravett
517 Washington St |
$33.97 | 3,449 | 3,066 |
|
Heath E Brown
140 Stonecrest Rd |
$45.72 | 3,420 | 2,741 |
|
Mark A Myers
1741 Midland Trl |
$34.95 | 3,321 | 2,600 |
|
Laura Elizabeth Davis
515 Hospital Dr |
$38.02 | 3,159 | 2,711 |
|
Kenneth Edwin Marshall
150 Frankfort Rd Ste 103 |
$45.90 | 3,012 | 2,619 |
|
Meredith Lea Kehrer
140 Stonecrest Rd Ste 101 |
$35.61 | 2,782 | 2,470 |
|
Laura Martin
130 Stonecrest Rd Ste 106 |
$39.67 | 2,583 | 2,324 |
|
Amy Michelle Morehead
515 Hospital Dr |
$29.40 | 2,504 | 2,197 |
|
Anna Elizabeth Barrickman
515 Hospital Dr Ste 1 |
$31.08 | 2,478 | 2,197 |
|
Taryn Alyse Coleman
311 Boone Station Rd |
$30.64 | 2,058 | 1,898 |
|
Mhd Haitham Chaker
140 Stonecrest Rd Ste 203 |
$24.45 | 2,023 | 1,885 |
|
Emily Ann Blake
71 Mack Walters Rd |
$47.15 | 1,844 | 1,757 |
|
Michael John Light
1108 Main Street |
$45.44 | 1,297 | 900 |
|
John T Mahan
1741 Midland Trl |
$39.24 | 1,292 | 1,120 |
|
Diana Cole
30 Stonecrest Ct |
$19.33 | 1,175 | 954 |
|
Gregory J Pfister
727 Hospital Dr |
$26.39 | 1,073 | 966 |
|
Anthony D Weaver
60 Mack Walters Rd |
$30.38 | 1,035 | 890 |
|
Edward L Sames
515 Hospital Dr |
$42.07 | 755 | 688 |
|
Angela Dean Chisholm
161 Alpine Dr |
$32.50 | 681 | 520 |
|
Virginia Catherine Evans
150 Frankfort Rd Ste 103 |
$38.72 | 626 | 564 |
|
Christopher J Theuer
30 Stonecrest Ct |
$64.69 | 613 | 575 |
|
Kellie Marie Lisby
515 Hospital Dr Ste 1 |
$35.47 | 576 | 435 |
|
Brian Trent
311 Boone Station Rd |
$32.36 | 546 | 509 |
|
Samuel L. Evans
311 Boone Station Rd |
$34.92 | 541 | 500 |
|
Kaela Marie Turley
150 Frankfort Rd Ste 103 |
$38.19 | 497 | 435 |
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 Shelbyville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shelbyville, KY is $40.59 per claim, based on 215,699 claims from 71 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 Shelbyville, KY?
There are 71 Medicaid providers offering Office Visit related services in Shelbyville, KY according to public payment data.
What is the price range for Office Visit in Shelbyville, KY?
Medicaid reimbursement for Office Visit in Shelbyville, KY ranges from $14.38 to $79.31 per claim, with an average of $40.59. 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 Shelbyville, KY
Substance Abuse Treatment
Avg $48.11
404,550 claims
Speech Therapy
Avg $39.15
170,495 claims
Physical Therapy
Avg $53.08
150,791 claims
Blood Work & Lab Tests
Avg $7.48
109,553 claims
Emergency Room Visit
Avg $141.54
90,906 claims
Psychiatric Evaluation
Avg $60.21
75,727 claims
Dental Cleaning & Exam
Avg $35.81
63,841 claims
Vaccines & Immunizations
Avg $14.08
55,634 claims