Average Medicaid Office Visit Payments in Tompkinsville, KY: $33.39
Avg. Paid
$33.39
Range
$0.00 – $89.68
Total Claims
136,626
Providers
21
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 Tompkinsville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William Michael Carter
606 N Main Street |
$31.44 | 22,721 | 16,437 |
|
Lindsay Mccoy
801 N Main St |
$31.57 | 19,536 | 4,321 |
|
Anthony Craig Carter
604 N Main St |
$28.03 | 15,990 | 11,716 |
|
Deanna Arlene Nichols
200 N Crawford St Ste 3 |
$32.32 | 15,444 | 4,640 |
|
Jack D Anderson
1515 Edmonton Rd |
$38.58 | 15,119 | 11,506 |
|
Teresa L Sheffield
800 N Main St Ste B |
$33.01 | 12,253 | 10,245 |
|
Donald J. Weidler
801 N Main St |
$37.97 | 12,243 | 5,363 |
|
Timothy Dale Hume
1515 Edmonton Rd |
$34.77 | 7,910 | 6,747 |
|
Jerry Neal Bean
901 N Main St |
$35.44 | 7,400 | 6,074 |
|
Laura Inabnitt
1515 Edmonton Rd |
$41.30 | 4,850 | 4,245 |
|
Caylan Mcpherson
606 N Main St |
$43.81 | 1,485 | 1,256 |
|
Tompkinsville Drugs Llc
1513 Edmonton Rd |
$0.30 | 623 | 356 |
|
Living Well Healthcare, Llc
801 N Main St |
$19.53 | 338 | 60 |
|
Monroe County Health Department
452 E 4Th St |
$34.31 | 269 | 254 |
|
Monroe Medical Foundation Inc
606 N Main St |
$16.21 | 238 | 169 |
|
Nicholas Dwight Poynter
200 E 4Th St |
$57.59 | 94 | 84 |
|
Joseph Wade Wilson
22 Executive Dr |
$15.05 | 35 | 26 |
|
Heather Ross Page
22 Executive Dr |
$13.38 | 32 | 26 |
|
Monroe Medical Foundation Inc
604 N Main St |
$16.67 | 17 | 13 |
|
T J Health Columbia Inc
800 N Main St Ste B |
$89.68 | 16 | 12 |
|
Tompkinsville Primary Care
901 N Main St |
$0.00 | 13 | 13 |
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 Tompkinsville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tompkinsville, KY is $33.39 per claim, based on 136,626 claims from 21 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 Tompkinsville, KY?
There are 21 Medicaid providers offering Office Visit related services in Tompkinsville, KY according to public payment data.
What is the price range for Office Visit in Tompkinsville, KY?
Medicaid reimbursement for Office Visit in Tompkinsville, KY ranges from $0.00 to $89.68 per claim, with an average of $33.39. 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 Tompkinsville, KY
Blood Work & Lab Tests
Avg $6.56
98,704 claims
Dental Cleaning & Exam
Avg $31.60
23,075 claims
Speech Therapy
Avg $8.27
20,322 claims
Emergency Room Visit
Avg $78.13
18,440 claims
Prescription Medications
Avg $5.43
11,954 claims
Physical Therapy
Avg $35.99
11,618 claims
Ambulance Transport
Avg $37.88
11,512 claims
Dental Filling
Avg $57.26
10,687 claims