Average Medicaid Office Visit Payments in Whitley City, KY: $28.36
Avg. Paid
$28.36
Range
$10.29 – $144.98
Total Claims
209,085
Providers
26
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 Whitley City, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Terry Lawson
71 Medical Ln |
$25.98 | 22,416 | 18,288 |
|
Carl Don Coffey
71 Medical Ln |
$28.23 | 20,244 | 15,245 |
|
Hoover A Perry
10 North Hwy 27 |
$31.90 | 18,832 | 13,807 |
|
Emily Ruthanne Ross
69 S Main St |
$27.44 | 16,171 | 14,122 |
|
Dustin Hamlin
1570 N. Us 27 |
$29.67 | 14,449 | 10,574 |
|
Daphne Ann Clark
1900 N Highway 27 |
$29.29 | 14,167 | 11,629 |
|
Thuresa S. Cash
19 Medical Loop |
$26.40 | 12,717 | 9,670 |
|
Jennifer Woods
1900 N Hwy 27 |
$28.72 | 12,680 | 7,981 |
|
Jennifer J West
1900 N Highway 27 |
$28.21 | 10,537 | 9,029 |
|
Patrick Gorman Shepherd
1900 N Highway 27 |
$39.57 | 10,519 | 9,477 |
|
Tammie L Emerson-Johnson
71 Medical Ln |
$25.28 | 9,947 | 8,306 |
|
Theresa Sue Henderson
10 N Highway 27 |
$27.74 | 9,419 | 5,613 |
|
Vannessa Marie Watson
429 N Highway 27 Ste 1 |
$22.69 | 8,511 | 6,907 |
|
Ruby Carol Duncan
65 Center Ave |
$30.07 | 6,625 | 5,611 |
|
Southfork Medical Clinic Pllc
71 Medical Ln |
$10.29 | 6,312 | 2,732 |
|
Justin Barnett
1900 N Hwy 27 |
$31.01 | 3,961 | 3,510 |
|
Ashok Kumar Lakhiani
90 Medical Ln |
$33.77 | 3,835 | 2,570 |
|
Stephen M Mckinley
86 Medical Ln |
$37.15 | 2,270 | 1,862 |
|
Corena R Gibson
69 S Main St |
$29.19 | 1,890 | 1,581 |
|
Jerald Miller Burgess
19 Medical Loop |
$38.16 | 1,150 | 994 |
|
Mccreary Primary Care Center, Inc
65 Center Ave |
$10.64 | 1,126 | 583 |
|
Lake Cumberland District Health Department
119 Medical Lane |
$38.25 | 665 | 624 |
|
Betty A Stanley
65 Center Ave |
$16.70 | 293 | 258 |
|
Kimberly Margarett Brumley
65 Center Ave |
$53.37 | 234 | 224 |
|
Eric Robert Weber
19 Medical Loop Ste 4 |
$144.98 | 89 | 80 |
|
Stephanie Mae Sumner
65 Center Ave |
$38.45 | 26 | 26 |
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 Whitley City, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Whitley City, KY is $28.36 per claim, based on 209,085 claims from 26 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 Whitley City, KY?
There are 26 Medicaid providers offering Office Visit related services in Whitley City, KY according to public payment data.
What is the price range for Office Visit in Whitley City, KY?
Medicaid reimbursement for Office Visit in Whitley City, KY ranges from $10.29 to $144.98 per claim, with an average of $28.36. 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 Whitley City, KY
Blood Work & Lab Tests
Avg $4.40
30,956 claims
Eye Exam
Avg $38.53
29,578 claims
Prescription Medications
Avg $12.76
28,289 claims
Ambulance Transport
Avg $59.88
26,215 claims
Durable Medical Equipment (DME)
Avg $27.39
17,615 claims
Physical Therapy
Avg $22.09
10,442 claims
Psychiatric Evaluation
Avg $48.13
9,905 claims
Vaccines & Immunizations
Avg $27.55
9,506 claims