Average Medicaid Office Visit Payments in Stanford, KY: $33.16
Avg. Paid
$33.16
Range
$15.00 – $64.21
Total Claims
128,713
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 Stanford, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher Duvall Sims
100 Jay Street |
$38.40 | 18,882 | 15,547 |
|
Michelle Martin
100 Jay Street |
$32.65 | 13,060 | 11,653 |
|
Jamie Lynn Atwood
100 Jay St |
$29.06 | 12,468 | 8,500 |
|
James Alvin Miller
100 Jay Street |
$38.30 | 11,976 | 9,827 |
|
Bria M Thompson
100 Jay St |
$27.92 | 9,555 | 8,546 |
|
Kristin Johnsen
107 Metker Trl |
$33.47 | 6,171 | 4,410 |
|
Haley Clark
100 Jay St |
$31.06 | 5,372 | 4,858 |
|
Jennifer Merrick
110 Metker Trl |
$30.45 | 4,868 | 4,530 |
|
Jeanne A Chase
107 Metker Trl |
$30.08 | 4,405 | 3,536 |
|
Rebecca G Rankin
132 Frontier Blvd Ste 101 |
$30.60 | 4,191 | 3,500 |
|
Bethany Lee
100 Jay St |
$30.55 | 4,101 | 3,614 |
|
Lauren Pingleton
110 Metker Trl |
$37.36 | 3,987 | 3,453 |
|
Angela J Lang
126 Portman Ave |
$25.32 | 3,865 | 3,464 |
|
Bates Miller & Sims Pllc
100 Jay Street |
$21.55 | 3,413 | 2,942 |
|
Stephen P Meese
107 Metker Trl |
$46.31 | 3,253 | 2,526 |
|
Shannah Click
135 Wade Owens Rd N |
$25.76 | 3,139 | 2,118 |
|
Bluegrass Clinic Stanford, Pllc
107 Metker Trl |
$15.00 | 2,262 | 1,688 |
|
Emily Mcalister
135 Wade Owens Rd |
$34.59 | 2,253 | 2,025 |
|
Rodney Kent Bates
100 Jay Street |
$28.55 | 2,186 | 1,792 |
|
Emhfl, Inc.
110 Metker Trl |
$50.36 | 2,125 | 1,580 |
|
Kimberly Ann Langford
135 Wade Owens Road |
$34.84 | 1,333 | 1,207 |
|
Sterling Lee Skipper
109 Lily St |
$35.93 | 1,204 | 1,042 |
|
Cheryl L Rivard
322 Frontier Blvd |
$64.21 | 1,198 | 1,094 |
|
Judith A Anderson Sherman
110 Metker Trl |
$45.15 | 857 | 782 |
|
Alana Leavell
110 Metker Trl |
$32.20 | 729 | 428 |
|
Eric N King
101 Us Highway 150 Byp |
$37.92 | 694 | 581 |
|
Teena Ann Kissee
110 Metker Trl |
$27.99 | 377 | 336 |
|
Jesslyn Brianne Kelsey
100 Jay St |
$25.53 | 342 | 297 |
|
Ephraim Mcdowell Health Resource, Inc.
110 Metker Trl |
$19.56 | 176 | 127 |
|
Tracy Michele Boller
132 Frontier Blvd Ste 103 |
$23.13 | 99 | 90 |
|
James Lutz
135 Wade Owens Rd N |
$37.86 | 78 | 72 |
|
Lincoln County Health Department
44 Health Way |
$58.58 | 53 | 53 |
|
Taylor Graves
105 Harmon Hts |
$35.11 | 41 | 40 |
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 Stanford, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Stanford, KY is $33.16 per claim, based on 128,713 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 Stanford, KY?
There are 33 Medicaid providers offering Office Visit related services in Stanford, KY according to public payment data.
What is the price range for Office Visit in Stanford, KY?
Medicaid reimbursement for Office Visit in Stanford, KY ranges from $15.00 to $64.21 per claim, with an average of $33.16. 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 Stanford, KY
Blood Work & Lab Tests
Avg $12.00
166,497 claims
Emergency Room Visit
Avg $118.12
60,544 claims
Physical Therapy
Avg $24.33
43,236 claims
Urinalysis & Urine Tests
Avg $4.37
40,164 claims
Vaccines & Immunizations
Avg $10.57
28,136 claims
Speech Therapy
Avg $7.84
25,773 claims
Ambulance Transport
Avg $40.33
18,415 claims
Dental Cleaning & Exam
Avg $35.49
16,268 claims