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
Katrina Larae Mounce 305 Langdon St	$28.48	14	14
Allison S Cherry 10 Tower Cir	$24.36	14	13
Tamela Marie Brown-Murray 165 Parker'S Mill Way	$34.10	15	14
Jennifer A Baker 85 Tower Circle	$9.03	17	13
Baptist Health Medical Group Inc 754 S Highway 27	$26.82	24	14
Amy Luna Diaz 333 Bogle St	$37.35	24	21
Cindy Jeanne Rowe 200 Belmont Ave	$26.49	27	22
Joshua Eric Nichols 165 Parker'S Mill Way	$33.97	35	27
Amr Osman El-Naggar 350 Hospital Way	$21.37	35	27
Advanced Family Medical Clinic Mount Vernon 79 Sarahs Ln	$22.33	40	27
Theresa Lynn Rust 80 Highway 2227	$21.16	40	25
Keith G Sinclair 79 Imaging Dr	$65.80	45	44
Kristi Baugh 259 Parkers Mill Rd	$18.73	49	26
Pennie Christine Haste 305 Langdon St	$21.02	49	42
Chasity Lee Prewitt 401 Bogle St	$14.97	54	53
Saint Joseph Health System, Inc 298 Bogle St Ste A	$14.75	56	50
Michael Stephen Citak 350 Hospital Way	$12.84	75	51
Todd Andrew Bramble 110 Richie Ln	$67.81	84	83
Melinda Bess 31 Mark Shopville Rd	$69.60	88	81
Jacob Rizkalla 163 Tower Cir	$44.23	96	85
Cara Whalen 200 Belmont Ave	$110.11	107	89
Brian L Baker 85 Tower Circle	$10.71	109	87
Wade Allen Davis 604 Ogden St	$51.14	113	105
Kathryn T. Wilson 3810 S Highway 27 Ste 1	$28.66	121	103
Rebecca Whitworth 303 Langdon St	$46.69	124	120
Matthew Shea 104 Hardin Ln Ste A	$21.98	135	118
Kate-Marie Bleecker Ebersole 305 Langdon St	$32.97	143	112
Ruth Ann Reed 125 Barnett St	$334.28	151	139
Larry L. Oteham 350 Hospital Way Ste 101	$41.50	160	143
Magdy M El-Kalliny 75 Hail Knob Rd	$21.58	174	126
Amtullah Khan 112 Tradepark Dr	$27.62	199	178
Jamie Walters 2520 S Highway 27 Ste 1	$34.05	206	199
Leah C Ashworth 350 Hospital Way Ste 100	$24.93	212	166
Robert William Cameron 349 Bogle St	$53.07	224	208
Debra L Taft 95 Bogle Office Park Dr	$21.69	225	202
Donald Wayne Brown 25 Medpark Drive	$18.40	236	175
Harold H. Rutledge 305 Langdon St	$13.57	254	198
Kristie Lynn Short 350 Hospital Way Ste 100	$34.31	262	227
Tracy Tescha Daniels 2441 S Highway 27	$55.92	290	266
Michael Edward Helm 305 Langdon St	$45.01	305	269
Carolyn Hare 321 Ringgold Rd	$15.56	321	213
Christina Marie Hall 305 Langdon St	$21.52	328	300
Elizabeth Erin Combs 305 Langdon St	$17.55	332	294
Jenny Garner Tharp 55 Thannoli Dr	$31.01	352	335
Jason Dixon 56 Tower Cir	$37.05	364	337
Michael Shane Randolph 104 Hardin Ln	$25.97	366	317
Mary M Nguy 305 Langdon St	$38.54	378	376
Crystal Leann Luttrell 90 Stonegate Ctr	$33.98	394	362
Melissa Dye 487 Overview Dr	$50.60	441	346
Charlotte Kaye Hayes 305 Langdon St	$29.81	448	397

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

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

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