Average Medicaid Office Visit Payments in Springfield, KY: $32.66
Avg. Paid
$32.66
Range
$15.46 – $38.56
Total Claims
48,667
Providers
16
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 Springfield, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Delwyn Bruce Loughney
1113 Lincoln Park Rd |
$17.05 | 15 | 12 |
|
Ephraim Mcdowell Health Resource, Inc.
280 Lincoln Drive |
$23.25 | 20 | 12 |
|
Family Wellcare Clinic, Pllc
805 Bardstown Rd Ste 12 |
$15.46 | 36 | 25 |
|
Spring View Hospital Llc
17 Lincoln Rdg |
$35.10 | 229 | 168 |
|
Kristen Renee Ryan
805 Bardstown Rd Ste 12 |
$31.12 | 445 | 410 |
|
Julia Keeling Brown
219 W Main St |
$16.60 | 1,566 | 1,264 |
|
Dawn C Taylor
445 Lincoln Dr |
$29.81 | 1,587 | 1,343 |
|
Krista Kelly Thompson
300 Lincoln Park Rd Unit 4 |
$36.91 | 2,647 | 2,112 |
|
Stephanie Settles Harmon
79 Bobolink Dr |
$38.56 | 4,757 | 3,664 |
|
Jonathon Lee Ennis
805 Bardstown Rd |
$31.99 | 4,922 | 4,015 |
|
Paula D Johnson
6478 Loretto Rd |
$24.73 | 5,039 | 4,327 |
|
Laura Michelle Oldham
805 Bardstown Rd Ste 12 |
$29.19 | 5,053 | 3,757 |
|
Audrey Rose Hunt
137 W Main St |
$36.79 | 5,256 | 4,176 |
|
Megan Marie Kegley
280 Lincoln Dr |
$33.47 | 5,407 | 4,643 |
|
Lora A Garrett
79 Bobolink Dr |
$32.35 | 5,509 | 4,472 |
|
Imad Haddad
805 Bardstown Rd Ste 12 |
$37.17 | 6,179 | 5,174 |
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 Springfield, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Springfield, KY is $32.66 per claim, based on 48,667 claims from 16 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 Springfield, KY?
There are 16 Medicaid providers offering Office Visit related services in Springfield, KY according to public payment data.
What is the price range for Office Visit in Springfield, KY?
Medicaid reimbursement for Office Visit in Springfield, KY ranges from $15.46 to $38.56 per claim, with an average of $32.66. 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 Springfield, KY
Physical Therapy
Avg $17.93
20,038 claims
Speech Therapy
Avg $6.19
19,235 claims
Dental Cleaning & Exam
Avg $28.33
17,770 claims
Dental Filling
Avg $53.83
11,162 claims
Psychiatric Evaluation
Avg $58.21
10,788 claims
Ambulance Transport
Avg $40.12
6,208 claims
Blood Work & Lab Tests
Avg $3.98
6,096 claims
Behavioral & Mental Health Therapy
Avg $199.87
6,023 claims