Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Somerset, KY: $36.93

Avg. Paid

$36.93

Range

$0.00 – $334.28

Total Claims

986,284

Providers

235

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 Somerset, KY

Provider	Avg. Paid	Claims	Patients
Daniel Lawrence Gallo 350 Hospital Way Ste 100	$36.00	34,055	31,353
Syed Asif Umar 110 Hardin Lane	$40.44	26,876	23,328
Lake Cumberland Regional Hospital, Llc 350 Hospital Way	$28.96	24,535	17,683
Zev Zusman 310 Langdon St Ste 5	$33.65	21,273	19,013
Robina M Bokhari 110 Hardin Ln	$41.16	20,760	18,170
James David Wilson 350 Hospital Way	$53.83	18,002	13,690
Lake Cumberland Regional Mhmr Board Outpatient 130 Southern School Rd	$30.27	17,587	16,234
Kari L Craun 305 Langdon St	$44.15	17,288	16,069
Julie Stevens 350 Hospital Way Ste 100	$35.24	17,192	15,269
Jonathan Barry Dixon 350 Hospital Way	$35.85	16,984	15,123
Patrick F Jenkins 350 Hospital Way	$39.76	16,852	15,171
Jeffery W Golden 350 Hospital Way	$42.44	15,044	13,792
Catherine Stroud Martin Va Lexington Health Care	$34.98	14,503	11,422
Juanita Buffy House 333 Bogle St	$33.32	13,123	10,819
Jennifer A Foster 30 Medpark Square Dr Ste 2&3	$55.57	12,821	7,051
Robin Shawn Goff 350 Hospital Way	$31.97	12,331	11,273
Alianne S Tilley-Hicks 333 Bogle St	$32.73	12,298	10,084
Kimberly Suzanne King 350 Langdon St	$33.85	12,107	10,573
Cassie A Floyd Tyner 341 Bogle St Ste A	$37.62	11,714	8,987
Lynnett Anne Ferrell 200 Belmont Ave	$57.83	11,333	9,033
Dennis U Anciro 754 S Hwy 27	$41.71	11,234	9,770
Ashley N Beckley 333 Bogle St	$32.15	11,125	8,915
Andrea S Gifford 200 Belmont Ave	$42.48	11,089	7,579
Carrie A Hawk 341 Bogle St Ste A	$25.13	10,729	7,755
Mohammad Afzal 110 Hardin Ln	$24.10	10,422	8,920
Miranda D Withers 349 Bogle St Ste A	$30.67	10,021	9,136
Dennis Jose Joseph 353 Bogle St	$41.66	9,692	8,037
Lisette Marie Garrett 350 Langdon St	$44.40	9,503	8,544
Jonathan D. Ruby 350 Hospital Way Ste 100	$38.99	9,089	8,323
Jerry Thomas Roberts 117 Tradepark Dr	$42.39	9,077	8,138
Amanda Dee Brock 350 Langdon St	$32.97	9,038	7,768
Robert Russell Cunningham 333 Bogle St	$40.05	8,775	6,725
Sheeba M. Picard 350 Langdon Street	$41.58	8,647	7,615
Rhonda Kelly 6470 S Highway 27	$29.56	8,485	6,445
Denita K Mcdonald 200 Belmont Ave	$28.65	8,465	6,895
Nathan Kyle Bennett 349 Bogle St	$30.32	8,458	7,504
Deanna Marie Grubbs 350 Langdon St	$42.87	8,426	7,676
Melissa G Hansford 350 Langdon St	$43.55	8,381	7,467
Christopher J Miller 117 Tradepark Dr	$39.96	8,023	7,080
Lake Cumberland Regional Hospital Llc 305 Langdon Street	$58.41	7,941	6,703
Shelley Danielle Stockton Bruce 110 Hardin Ln Ste 10	$28.85	7,826	7,002
Diana Linda Phelps 115 Tradepark Dr Ste B	$27.08	7,441	6,121
Betsy Tucker Reynolds 298 Bogle St	$30.28	7,190	5,804
James Thomas Kennett 349 Bogle St Ste B	$30.73	7,185	6,514
Mateen Ahmed 110 Hardin Lane	$46.07	7,159	6,550
Allison Rebecca Bastin-Muse 350 Langdon St	$28.74	7,146	5,347
Alisha Cora Tarter Wilson 30 Medpark Square	$29.20	7,073	5,638
Jonathan E Moore 117 Tradepark Dr	$33.31	6,966	6,160
Lisa Marcum 143 Bogle Office Park Dr	$41.71	6,886	6,271
Dale Edward Rutledge 333 Bogle St	$39.62	6,792	5,529

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 Somerset, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Somerset, KY is $36.93 per claim, based on 986,284 claims from 235 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 Somerset, KY?

There are 235 Medicaid providers offering Office Visit related services in Somerset, KY according to public payment data.

What is the price range for Office Visit in Somerset, KY?

Medicaid reimbursement for Office Visit in Somerset, KY ranges from $0.00 to $334.28 per claim, with an average of $36.93. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Somerset, KY: $36.93

Providers Offering Office Visit in Somerset, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Somerset, KY

Psychiatric Evaluation

Blood Work & Lab Tests

Physical Therapy

Substance Abuse Treatment

Home Health Visit

Case Management Services

Dental Cleaning & Exam

Emergency Room Visit