Average Medicaid Office Visit Payments in South Shore, KY: $30.63
Avg. Paid
$30.63
Range
$0.00 – $53.27
Total Claims
104,440
Providers
14
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 South Shore, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lora Stone
5129 State Route 7 |
$26.40 | 289 | 280 |
|
Matthew G Hudson
137 State Route 3117 |
$43.35 | 323 | 304 |
|
Heidi Barnes
23 Indianola Ave |
$15.75 | 371 | 328 |
|
Rachel M Hudson
137 State Route 3117 |
$33.46 | 2,264 | 2,060 |
|
Jennifer L. Atkins
Us 23 At Indianola Avenue |
$29.23 | 3,586 | 3,105 |
|
Danielle Arthur
142 Depot Dr |
$29.65 | 4,584 | 3,662 |
|
Samuel David Hudson
137 State Route 3117 |
$43.86 | 5,609 | 4,735 |
|
Gregory Hudson Md Inc
137 State Route 3117 |
$0.00 | 5,722 | 4,528 |
|
Jeremy Fisher
175 Harley Rd |
$53.27 | 7,227 | 5,375 |
|
James Yount
142 Depot Drive |
$22.38 | 9,338 | 6,010 |
|
Cathy Sue Tackett
142 Depot Dr |
$26.66 | 10,409 | 7,503 |
|
Jerry Wayne Iery
142 Depot Dr |
$23.64 | 17,108 | 11,629 |
|
Gregory Hudson
137 State Route 3117 |
$37.52 | 17,245 | 13,661 |
|
William Andrew Ruggles
137 State Route 3117 |
$33.72 | 20,365 | 16,569 |
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 South Shore, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Shore, KY is $30.63 per claim, based on 104,440 claims from 14 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 South Shore, KY?
There are 14 Medicaid providers offering Office Visit related services in South Shore, KY according to public payment data.
What is the price range for Office Visit in South Shore, KY?
Medicaid reimbursement for Office Visit in South Shore, KY ranges from $0.00 to $53.27 per claim, with an average of $30.63. 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 South Shore, KY
Vaccines & Immunizations
Avg $13.12
41,367 claims
Blood Work & Lab Tests
Avg $5.91
27,488 claims
Ambulance Transport
Avg $39.62
21,539 claims
Emergency Room Visit
Avg $60.97
9,714 claims
Behavioral & Mental Health Therapy
Avg $72.71
9,243 claims
Urinalysis & Urine Tests
Avg $0.99
5,983 claims
Prescription Medications
Avg $2.82
5,080 claims
Dental Cleaning & Exam
Avg $19.33
2,538 claims