Average Medicaid Office Visit Payments in Shepherdsville, KY: $42.23
Avg. Paid
$42.23
Range
$9.98 – $99.39
Total Claims
179,746
Providers
55
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 Shepherdsville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sally Ann Fogg
185 Adam Shepherd Pkwy |
$74.60 | 16 | 16 |
|
Jarod Allen Richards
1905 W Hebron Ln |
$46.78 | 18 | 17 |
|
Shepherdsville Family Health Clinic, Psc
181 Highway 44 E |
$9.98 | 20 | 13 |
|
Jennifer Dorriety
185 Adam Shepherd Pkwy |
$19.38 | 61 | 59 |
|
Casey Nicole Prestigiacomo
189 Adam Shepherd Pkwy Ste 14 |
$22.87 | 113 | 83 |
|
David Edward Dahlkamp
149 Highway 44 E |
$27.58 | 200 | 180 |
|
Kayla Windle
115 Huston Dr |
$35.84 | 252 | 231 |
|
Jerri L Molina
130 S Joe B Hall Ave |
$66.44 | 261 | 256 |
|
Amber Whitlock
340 Ky-44 E |
$40.77 | 387 | 380 |
|
Kim Bagby
235 Chimney Rock Dr |
$99.39 | 465 | 425 |
|
Victoria Hope Mudd
185 Adam Shepherd Pkwy |
$33.90 | 720 | 674 |
|
Kim Berghaus
1578 Highway 44 E Unit 2 |
$26.11 | 722 | 639 |
|
Stephen C. Payne
115 Huston Dr |
$25.92 | 723 | 650 |
|
Amanda Marie Cothern
115 Huston Dr Ste 1 |
$48.67 | 777 | 706 |
|
Sreedevi Pallath Harshakumar
1905 W Hebron Ln Ste 206 |
$58.38 | 861 | 772 |
|
Charlotte Kay Ingwersen
187 Adam Shepherd Pkwy Ste 5 |
$43.89 | 1,335 | 1,215 |
|
Kelsey Danielle Pehlke
1707 Cedar Grove Rd Ste 10 |
$39.50 | 1,426 | 1,341 |
|
Casey Miles Lewis
1707 Cedar Grove Rd Ste 20 |
$50.61 | 1,434 | 1,339 |
|
Katherine Paige Thompson
115 Huston Dr Ste 1 |
$38.72 | 1,541 | 1,442 |
|
Erika Jean Marie Wooldridge
187 Adam Shepherd Pkwy |
$36.39 | 1,868 | 1,740 |
|
Olivia Justine Stivers
6302 Highway 44 E |
$32.12 | 2,002 | 1,774 |
|
Stephanie Leigh Houin
130 Joe B Hall Ave |
$51.35 | 2,020 | 1,792 |
|
Molly Maggard Brockman
115 Huston Dr Ste 1 |
$48.72 | 2,035 | 1,874 |
|
Samantha Lynn Matthews
340 State Highway 44 |
$31.89 | 2,087 | 1,991 |
|
Jai Patel
438 Adam Shepherd Pkwy Ste 1 |
$43.60 | 2,179 | 2,004 |
|
Heather A Potter
115 Huston Dr |
$25.09 | 2,255 | 2,076 |
|
Amanda Jolene Parker
115 Huston Dr Ste 1 |
$30.53 | 2,721 | 2,559 |
|
Michele Fass
115 Huston Dr. Ste1 |
$33.41 | 2,810 | 2,614 |
|
Jamie L Greenert
1905 W Hebron Ln Ste 206 |
$37.23 | 3,063 | 2,793 |
|
Jessica Nicole Huff
340 Highway 44 E |
$39.38 | 3,074 | 2,845 |
|
Samual Paul Gracey
1905 W Hebron Ln Ste 204 |
$34.44 | 3,170 | 2,669 |
|
Robert Caleb Buege
1707 Cedar Grove Rd Ste 20 |
$49.32 | 3,416 | 3,225 |
|
Caitlin Bowman
438 Adam Shepherd Parkway Suite 1 |
$37.00 | 3,441 | 3,109 |
|
Tarah D Wafzig
187 Adam Shepherd Pkwy Ste 5 |
$38.30 | 3,491 | 3,196 |
|
Christopher W Hubbard
1905 W Hebron Ln |
$31.55 | 3,498 | 2,945 |
|
Leslie Brooke Caughron
1707 Cedar Grove Rd Ste 20 |
$37.25 | 3,883 | 3,510 |
|
Luyen Van Cao
1905 W Hebron Ln Ste 206 |
$42.88 | 4,000 | 3,558 |
|
Sarah Renee Hart
1707 Cedar Grove Rd |
$50.77 | 4,110 | 3,798 |
|
Abby Thompson Devine
1707 Cedar Grove Rd Ste 15 |
$37.07 | 4,381 | 3,741 |
|
Barbara G Kelly
1868 W Hebron Ln Ste 301 |
$43.06 | 4,561 | 3,971 |
|
Katie Rocovich
1905 W Hebron Ln Ste 104 |
$27.04 | 4,748 | 4,253 |
|
Sara Woodring
1707 Cedar Grove Rd Ste 20 |
$50.47 | 5,042 | 4,682 |
|
Wendy Kay Mccarty
1707 Cedar Grove Rd Ste 15 |
$33.47 | 5,068 | 4,335 |
|
Susan G Johns
115 Huston Dr |
$61.24 | 5,272 | 4,999 |
|
Anne L. Rice
438 Adam Shepherd Pkwy |
$35.36 | 5,391 | 4,990 |
|
Stacey L. Poehner
1707 Cedar Grove Rd |
$39.02 | 5,515 | 5,052 |
|
Elizabeth M Doyle
115 Huston Dr |
$35.63 | 5,716 | 5,208 |
|
Heather Nicole Mason
438 Adam Shepherd Pkwy |
$32.60 | 5,762 | 5,290 |
|
John Bryant Coots
210 Cloverwood Ln |
$41.66 | 6,245 | 5,828 |
|
Joseph Koenigsmark
407 Zinnia Way |
$80.75 | 6,302 | 5,025 |
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 Shepherdsville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shepherdsville, KY is $42.23 per claim, based on 179,746 claims from 55 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 Shepherdsville, KY?
There are 55 Medicaid providers offering Office Visit related services in Shepherdsville, KY according to public payment data.
What is the price range for Office Visit in Shepherdsville, KY?
Medicaid reimbursement for Office Visit in Shepherdsville, KY ranges from $9.98 to $99.39 per claim, with an average of $42.23. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Shepherdsville, KY
Vaccines & Immunizations
Avg $13.18
53,268 claims
Speech Therapy
Avg $21.40
50,708 claims
Psychiatric Evaluation
Avg $70.56
48,421 claims
Physical Therapy
Avg $19.68
38,104 claims
Blood Work & Lab Tests
Avg $11.58
37,361 claims
Dental Cleaning & Exam
Avg $38.49
34,630 claims
Ambulance Transport
Avg $58.11
34,268 claims
Chiropractic Care
Avg $19.67
16,083 claims