Average Medicaid Office Visit Payments in South Williamson, KY: $29.14
Avg. Paid
$29.14
Range
$5.49 – $71.64
Total Claims
136,368
Providers
33
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 Williamson, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chad Fite
306 Hospital Dr |
$21.87 | 30,879 | 25,206 |
|
Appalachian Regional Healthcare Inc
306 Hospital Drive |
$17.77 | 23,318 | 19,087 |
|
Charles E. Johnson
306 Hospital Dr |
$24.35 | 16,774 | 14,114 |
|
Javier Garcia
306 Hospital Dr |
$42.07 | 12,685 | 7,466 |
|
Appalachian Regional Healthcare, Inc.
306 Hospital Drive |
$71.64 | 8,073 | 7,023 |
|
Delfina Newsome
285 Southside Mall Rd |
$26.87 | 5,341 | 4,682 |
|
Shobha Haridas
285 Southside Mall Rd |
$39.58 | 4,241 | 3,890 |
|
Christina Marie Coleman
260 Hospital Dr |
$32.85 | 4,217 | 3,616 |
|
Kayla Damron
275 Southside Mall Rd |
$36.89 | 3,927 | 3,447 |
|
Najam Z Sheikh
306 Hospital Dr |
$37.78 | 3,536 | 2,876 |
|
Teresa Renea Robinson
306 Hospital Drive |
$26.69 | 3,251 | 2,760 |
|
Brian Francis
306 Hospital Dr |
$26.28 | 2,686 | 2,110 |
|
Betty Joan Karnes
411 Central Ave |
$33.43 | 2,483 | 1,807 |
|
Ahsen Ali Md Psc
306 Hospital Dr Ste 2C |
$43.13 | 1,889 | 1,178 |
|
Imtiaz Hussain
306 Hospital Dr |
$41.93 | 1,793 | 1,672 |
|
Violet R Vance
306 Hospital Dr |
$24.94 | 1,764 | 1,554 |
|
Appalachian Regional Healthcare, Inc.
260 Hospital Dr |
$6.65 | 1,514 | 1,278 |
|
Todd N Tom
306 Hospital Dr Ste 100 |
$41.06 | 1,093 | 789 |
|
Ahsen Ali Md Psc
306 Hospital Dr Ste 2C |
$8.02 | 997 | 439 |
|
Brian Steven Lambert
28531 Us Highway 119 |
$30.63 | 980 | 801 |
|
Vanessa Dawn Marcum
306 Hospital Dr |
$9.50 | 842 | 739 |
|
Walid Elie Baz
306 Hospital Dr |
$30.41 | 833 | 602 |
|
Anna Curcio Ward
306 Hospital Dr |
$20.40 | 821 | 729 |
|
Chadwick J Knight
306 Hospital Dr Ste 100 |
$36.46 | 642 | 466 |
|
Family Medical Center
306 Hospital Dr Ste 101 |
$5.50 | 633 | 509 |
|
Olivia Rose Goad
306 Hospital Dr |
$26.77 | 383 | 315 |
|
Mkayla Nicole Francis
306 Hospital Dr Ste 100 |
$22.69 | 315 | 276 |
|
James Arlin Stanley
160 Hospital Dr |
$11.43 | 260 | 159 |
|
Garett Charles Francis
306 Hospital Dr Ste 100 |
$31.43 | 76 | 69 |
|
Taha Rashid Mallick
306 Hospital Dr |
$10.61 | 46 | 28 |
|
Melissa Whitt
306 Hospital Dr Ste 204 |
$19.15 | 35 | 30 |
|
Aubry Renee Massey
306 Hospital Dr Ste 100 |
$5.49 | 27 | 12 |
|
Vellaiappan Somasundaram M.D. Pllc
306 Hospital Dr Ste 202C |
$54.97 | 14 | 14 |
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 Williamson, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Williamson, KY is $29.14 per claim, based on 136,368 claims from 33 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 Williamson, KY?
There are 33 Medicaid providers offering Office Visit related services in South Williamson, KY according to public payment data.
What is the price range for Office Visit in South Williamson, KY?
Medicaid reimbursement for Office Visit in South Williamson, KY ranges from $5.49 to $71.64 per claim, with an average of $29.14. 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 Williamson, KY
Blood Work & Lab Tests
Avg $12.33
200,462 claims
Emergency Room Visit
Avg $139.19
89,919 claims
Urinalysis & Urine Tests
Avg $7.72
39,881 claims
Vaccines & Immunizations
Avg $8.28
29,356 claims
X-Ray
Avg $31.93
29,253 claims
EKG / ECG (Electrocardiogram)
Avg $22.37
22,670 claims
Physical Therapy
Avg $54.61
17,028 claims
Durable Medical Equipment (DME)
Avg $35.54
16,852 claims