Average Medicaid Office Visit Payments in Stearns, KY: $28.81
Avg. Paid
$28.81
Range
$11.57 – $95.23
Total Claims
95,243
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 Stearns, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adrionna Simpson
400 Raider Way |
$17.00 | 23,093 | 15,026 |
|
James Carroll Corder
2157 S Hwy 27 |
$26.55 | 20,413 | 16,693 |
|
Rhonda Michelle Bryant
2157 S Highway 27 |
$27.89 | 9,072 | 7,560 |
|
Jennifer Rachel Wilson
2157 S Highway 27 |
$24.15 | 8,064 | 6,557 |
|
Brittany Jordan Pierce
2157 S Highway 27 |
$29.27 | 7,186 | 6,298 |
|
Haley Kristine Cross
2157 S Highway 27 |
$29.49 | 6,094 | 5,367 |
|
Sandra K. Spencer
2157 S Highway 27 |
$95.23 | 5,559 | 4,871 |
|
Diondra Warren
2157 S Highway 27 |
$31.80 | 4,584 | 3,968 |
|
Stephanie Worley
2157 S Highway 27 |
$30.51 | 4,019 | 3,120 |
|
Allison Dawn Johnston
2157 S Highway 27 |
$28.49 | 2,570 | 2,133 |
|
April Lynn Thannoli
2157 S Highway 27 |
$28.58 | 2,568 | 2,183 |
|
Hope Primary & Urgent Care Pllc
2157 S Highway 27 |
$13.33 | 1,970 | 1,041 |
|
Kenny Ray Yancey
2157 S Highway 27 |
$11.57 | 31 | 18 |
|
Dana Sharp
2157 S Highway 27 |
$49.37 | 20 | 18 |
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 Stearns, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Stearns, KY is $28.81 per claim, based on 95,243 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 Stearns, KY?
There are 14 Medicaid providers offering Office Visit related services in Stearns, KY according to public payment data.
What is the price range for Office Visit in Stearns, KY?
Medicaid reimbursement for Office Visit in Stearns, KY ranges from $11.57 to $95.23 per claim, with an average of $28.81. 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 Stearns, KY
Prescription Medications
Avg $12.45
13,075 claims
Speech Therapy
Avg $5.01
12,717 claims
Case Management Services
Avg $331.18
2,344 claims
Urinalysis & Urine Tests
Avg $0.39
1,441 claims
Psychiatric Evaluation
Avg $71.91
1,012 claims
Blood Work & Lab Tests
Avg $2.55
1,012 claims
Vaccines & Immunizations
Avg $17.62
714 claims
Non-Emergency Medical Transportation
Avg $20.83
120 claims