Average Medicaid Office Visit Payments in Whitesburg, KY: $37.12
Avg. Paid
$37.12
Range
$4.28 – $87.16
Total Claims
521,312
Providers
66
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 Whitesburg, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jonathan A Hatton
226 Medical Plaza Ln |
$46.56 | 41,962 | 30,420 |
|
Matthew Troy Breeding
226 Medical Plaza Ln |
$44.30 | 26,422 | 20,821 |
|
Van S Breeding
226 Medical Plaza Lane |
$44.33 | 26,270 | 19,673 |
|
Nathan W Baker
226 Medical Plaza Ln |
$43.32 | 25,946 | 16,183 |
|
Joseph Michael Banks
756 Highway 2034 |
$31.17 | 25,001 | 19,071 |
|
April Lynn Hall-Slone
226 Medical Plaza Ln |
$43.74 | 21,060 | 16,128 |
|
Anita Carol Collins -Mccullum
226 Medical Plaza Ln |
$36.71 | 20,450 | 15,730 |
|
Mary Beth Hamilton
226 Medical Plaza Ln |
$30.35 | 18,625 | 16,582 |
|
Katrina Renee Slone
226 Medical Plaza Ln |
$46.01 | 17,665 | 11,621 |
|
Mountain Comprehensive Health Corporation
226 Medical Plaza Ln |
$4.28 | 15,322 | 10,085 |
|
Byron Shane Thomas
226 Medical Plaza Ln |
$43.47 | 14,229 | 11,967 |
|
Megan C. Fuller
226 Medical Plaza Ln |
$20.85 | 13,714 | 9,902 |
|
Misty Dawn Conatser Adams
226 Medical Plaza Ln |
$32.24 | 13,594 | 11,986 |
|
William Martin Collins
109 E Main St |
$31.11 | 13,329 | 10,442 |
|
Fares Khater
226 Medical Plaza Lane |
$44.97 | 11,756 | 9,172 |
|
Sarah M Justice
226 Medical Plaza Ln |
$29.61 | 11,283 | 9,402 |
|
Alicia Gail Cook
214 Hospital Rd |
$28.07 | 11,224 | 9,177 |
|
Vahid Mehrpouyan
214 Hospital Rd |
$45.13 | 11,047 | 9,316 |
|
Colton Tyler Cornett
226 Medical Plaza Ln |
$46.58 | 10,386 | 9,168 |
|
Adnan Mustafa Bhopalwala
214 Hospital Rd |
$37.46 | 10,005 | 8,047 |
|
Kristin Smith
226 Medical Plaza Ln |
$31.01 | 9,660 | 7,414 |
|
Lora Kalynn Cook
226 Medical Plaza Ln |
$28.81 | 8,668 | 6,878 |
|
Lisa Gail Bates
226 Medical Plaza Ln |
$36.04 | 8,533 | 7,690 |
|
Kyla G. Stanley
226 Medical Plaza Ln |
$30.38 | 8,380 | 7,495 |
|
Laci Alexandra Honeycutt
226 Medical Plaza Ln |
$38.38 | 8,146 | 6,919 |
|
Padubidri S Chandrashekar
107 Medical Plaza Ln |
$30.32 | 7,591 | 6,324 |
|
Kentucky River District Health Department
55 Kona Dr |
$37.28 | 7,549 | 3,514 |
|
Mahmood Alam
226 Medical Plaza Lane |
$40.48 | 6,483 | 5,162 |
|
Chih J Yen
226 Medical Plaza Ln |
$44.02 | 6,318 | 5,354 |
|
Carrie R. Lee Hall
226 Medical Plaza Ln |
$32.54 | 6,145 | 4,292 |
|
Tin Chanh Tran
214 Hospital Rd |
$61.48 | 5,876 | 5,316 |
|
Ashley Sumpter
226 Medical Plaza Ln |
$25.54 | 5,845 | 4,969 |
|
Anna L Ballard
226 Medical Plaza Ln |
$52.37 | 5,822 | 4,329 |
|
Mary J. Collins
226 Medical Plaza Ln |
$33.01 | 5,257 | 4,306 |
|
Dustin Scott Campbell
214 Hospital Rd Ste A |
$35.40 | 5,012 | 4,336 |
|
Kevin Matthew Gooch
214 Hospital Rd |
$22.58 | 4,958 | 3,880 |
|
Appalachian Regional Healthcare, Inc.
214 Hospital Rd |
$10.91 | 4,896 | 2,652 |
|
Ricky E Collins
214 Hospital Rd |
$29.06 | 4,892 | 3,879 |
|
Johnathan Fowler
240 Hospital Rd |
$27.76 | 4,434 | 3,831 |
|
Shane Mcdougal
47 Highway 119 S |
$31.40 | 4,282 | 3,303 |
|
Kentucky River District Health Department
3125 Highway 931 S |
$38.36 | 3,978 | 2,363 |
|
Misty Lynn Turner
226 Medical Plaza Ln |
$29.64 | 3,685 | 3,271 |
|
Myra Lynn Kelly
226 Medical Plaza Ln |
$87.16 | 3,104 | 2,526 |
|
David Terwilliger
214 Hospital Rd |
$43.15 | 2,979 | 2,542 |
|
Devin N Whitt
226 Medical Plaza Ln |
$31.36 | 2,463 | 2,267 |
|
Ryan M Shephard
214 Hospital Rd |
$48.20 | 2,244 | 1,964 |
|
Andrew Bryant Fugate
226 Medical Plaza Ln |
$29.54 | 2,071 | 1,933 |
|
David Shane Barker
226 Medical Plaza Ln |
$29.88 | 1,976 | 1,507 |
|
Ashley Cook
47 Highway 119 S Ste 3 |
$25.81 | 1,817 | 1,468 |
|
Katherine Belle Gish
214 Hospital Rd |
$39.93 | 1,716 | 1,466 |
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 Whitesburg, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Whitesburg, KY is $37.12 per claim, based on 521,312 claims from 66 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 Whitesburg, KY?
There are 66 Medicaid providers offering Office Visit related services in Whitesburg, KY according to public payment data.
What is the price range for Office Visit in Whitesburg, KY?
Medicaid reimbursement for Office Visit in Whitesburg, KY ranges from $4.28 to $87.16 per claim, with an average of $37.12. 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 Whitesburg, KY
Blood Work & Lab Tests
Avg $8.73
501,600 claims
Emergency Room Visit
Avg $184.38
69,120 claims
Physical Therapy
Avg $80.78
68,453 claims
Ultrasound
Avg $31.15
62,340 claims
Durable Medical Equipment (DME)
Avg $34.63
61,692 claims
Psychiatric Evaluation
Avg $29.64
59,541 claims
Urinalysis & Urine Tests
Avg $7.17
55,437 claims
Eye Exam
Avg $40.72
50,338 claims