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 Leonard Ribenboim
26 Mack Walters Rd |
$74.18 | 13 | 13 |
|
Ron E Creque
101 Stonecrest Road |
$69.48 | 13 | 12 |
|
Derek Adam Schroering
1618 Midland Trl |
$33.14 | 15 | 12 |
|
Lauren Mckinch Bowling
403 Washington St |
$25.58 | 20 | 14 |
|
Adam Jonathan Greene
130 Stonecrest Rd Ste 106 |
$30.40 | 25 | 25 |
|
Tara Beth Coyle
144 Haley Rd |
$39.17 | 39 | 36 |
|
Hayley Elizabeth Absher
727 Hospital Dr |
$20.73 | 44 | 38 |
|
Denise L Epperson
250 Alpine Dr |
$79.31 | 82 | 75 |
|
Taylor House
2169 Midland Trl |
$14.38 | 140 | 93 |
|
Ray C Kennedy
727 Hospital Dr |
$45.72 | 140 | 127 |
|
Lori Nation Legrand
213 Midland Blvd |
$50.10 | 144 | 141 |
|
Rebekah Dunn
1618 Midland Trl |
$18.05 | 157 | 132 |
|
Michelle Dawn Peterson
615 Washington St |
$37.23 | 167 | 160 |
|
David Picklesimer
140 Stonecrest Rd Ste 101 |
$52.78 | 208 | 188 |
|
Daniel Mark Bowersox
403 Washington St |
$34.36 | 274 | 236 |
|
James R Smith
515 Hospital Dr |
$31.69 | 320 | 236 |
|
Stuart Boyd Young
403 Washington St |
$37.88 | 403 | 352 |
|
Theresa Lynn Clifford
60 Mack Walters Rd |
$26.30 | 406 | 327 |
|
North Central District Health Dept.
615 11Th St |
$56.83 | 408 | 220 |
|
Richele Williams
60 Mack Walters Rd |
$60.10 | 440 | 397 |
|
James Patrick Stapleton
1713 Midland Trl |
$33.76 | 480 | 447 |
|
Kaela Marie Turley
150 Frankfort Rd Ste 103 |
$38.19 | 497 | 435 |
|
Samuel L. Evans
311 Boone Station Rd |
$34.92 | 541 | 500 |
|
Brian Trent
311 Boone Station Rd |
$32.36 | 546 | 509 |
|
Kellie Marie Lisby
515 Hospital Dr Ste 1 |
$35.47 | 576 | 435 |
|
Christopher J Theuer
30 Stonecrest Ct |
$64.69 | 613 | 575 |
|
Virginia Catherine Evans
150 Frankfort Rd Ste 103 |
$38.72 | 626 | 564 |
|
Angela Dean Chisholm
161 Alpine Dr |
$32.50 | 681 | 520 |
|
Edward L Sames
515 Hospital Dr |
$42.07 | 755 | 688 |
|
Anthony D Weaver
60 Mack Walters Rd |
$30.38 | 1,035 | 890 |
|
Gregory J Pfister
727 Hospital Dr |
$26.39 | 1,073 | 966 |
|
Diana Cole
30 Stonecrest Ct |
$19.33 | 1,175 | 954 |
|
John T Mahan
1741 Midland Trl |
$39.24 | 1,292 | 1,120 |
|
Michael John Light
1108 Main Street |
$45.44 | 1,297 | 900 |
|
Emily Ann Blake
71 Mack Walters Rd |
$47.15 | 1,844 | 1,757 |
|
Mhd Haitham Chaker
140 Stonecrest Rd Ste 203 |
$24.45 | 2,023 | 1,885 |
|
Taryn Alyse Coleman
311 Boone Station Rd |
$30.64 | 2,058 | 1,898 |
|
Anna Elizabeth Barrickman
515 Hospital Dr Ste 1 |
$31.08 | 2,478 | 2,197 |
|
Amy Michelle Morehead
515 Hospital Dr |
$29.40 | 2,504 | 2,197 |
|
Laura Martin
130 Stonecrest Rd Ste 106 |
$39.67 | 2,583 | 2,324 |
|
Meredith Lea Kehrer
140 Stonecrest Rd Ste 101 |
$35.61 | 2,782 | 2,470 |
|
Kenneth Edwin Marshall
150 Frankfort Rd Ste 103 |
$45.90 | 3,012 | 2,619 |
|
Laura Elizabeth Davis
515 Hospital Dr |
$38.02 | 3,159 | 2,711 |
|
Mark A Myers
1741 Midland Trl |
$34.95 | 3,321 | 2,600 |
|
Heath E Brown
140 Stonecrest Rd |
$45.72 | 3,420 | 2,741 |
|
Kenneth Reed Gravett
517 Washington St |
$33.97 | 3,449 | 3,066 |
|
Ana Maria Gonzalez
515 Hospital Dr Ste 1 |
$41.73 | 3,597 | 2,900 |
|
Renee G Ryan
515 Hospital Dr |
$33.72 | 3,987 | 3,698 |
|
Sara Frank
150 Frankfort Rd Ste 101 |
$39.76 | 4,041 | 3,679 |
|
Donna Lynn Betz
140 Stonecrest Rd Ste 101 |
$36.39 | 4,055 | 3,565 |
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