Average Medicaid Office Visit Payments in Williamsburg, KY: $30.68
Avg. Paid
$30.68
Range
$10.85 – $114.66
Total Claims
207,511
Providers
44
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 Williamsburg, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dayspring Health Inc
402 Cumberland Ave |
$20.46 | 15 | 12 |
|
Baptist Health Medical Group Inc
403 Sycamore St |
$22.09 | 24 | 13 |
|
Richard W Bailey
686 S Highway 25 W |
$38.81 | 38 | 38 |
|
Whitley County Health Department
368 Penny Ln |
$54.17 | 92 | 89 |
|
Careplus Rural Health Clinic, Llc
998 S Highway 25 W |
$35.28 | 93 | 68 |
|
David Bernard Williams
403 Sycamore St |
$34.21 | 117 | 89 |
|
Eric Todd Overley
207 Main St |
$39.59 | 240 | 207 |
|
Christy Renee Elliott
402 Cumberland Ave |
$33.23 | 437 | 334 |
|
Nathaniel Douglas Dillon
65 N Highway 25 W |
$33.20 | 973 | 933 |
|
Melissa Ann Lawson
896 S Highway 25 W |
$22.52 | 1,075 | 720 |
|
Brittany Sierra Dow
402 Cumberland Ave |
$32.62 | 1,192 | 1,060 |
|
Jeffrey L Mann
65 N Highway 25 W |
$46.52 | 1,552 | 1,328 |
|
Jill L Bryant Aprn Llc
406 N Highway 25 W |
$10.85 | 1,696 | 1,051 |
|
Thomas Doncaster
475 N Highway 25 W |
$114.66 | 1,855 | 1,509 |
|
Kimberly Bolin
3080 N Highway 25 W |
$33.82 | 2,012 | 1,875 |
|
Appalachia Health Services Llc
3080 Us Hwy 25 W |
$12.33 | 2,210 | 1,938 |
|
Allen Darrell Probus
896 S Highway 25W |
$30.80 | 2,508 | 2,043 |
|
Kenneth Ho
841 Us Hwy 25W South |
$34.72 | 2,510 | 2,231 |
|
Paul C Henson
998 S Highway 25 W |
$29.40 | 2,684 | 2,190 |
|
Taylor R Perkins
475 N Highway 25 W Ste 100 |
$33.15 | 2,710 | 2,346 |
|
Laura Reed
402 Cumberland Ave |
$38.36 | 2,866 | 2,447 |
|
Preferred Healthcare Incorporated
686 S Highway 25 W |
$12.69 | 3,054 | 1,561 |
|
Sheila Denise Lambdin
475 N Highway 25 W Ste 100 |
$28.80 | 3,081 | 2,644 |
|
Jennifer Marie Emery
6178 College Station Dr |
$41.22 | 3,512 | 1,405 |
|
Marcie Leigh Johnson
686 S Us-25W W |
$27.56 | 3,597 | 2,504 |
|
Ho Medical & Chiropractic Corporation
841 Us Hwy 25W South |
$11.40 | 3,702 | 2,739 |
|
Ruhul Ahmed Choudhury
3080 N Highway 25 W |
$33.95 | 3,992 | 3,457 |
|
Rebecca Shepherd
403 Sycamore St |
$22.14 | 4,429 | 3,892 |
|
Aaron Dewayne Petrey
475 N Highway 25 W Ste 100 |
$30.55 | 5,256 | 4,629 |
|
Edna Moses
686 S Highway 25 W |
$30.51 | 5,439 | 4,331 |
|
Megan Hill
402 Cumberland Ave |
$35.58 | 5,865 | 4,316 |
|
Williamsburg Family Medicine Center
475 N Highway 25 W Ste 100 |
$17.48 | 6,196 | 4,906 |
|
Robert Wayne Cooper
475 N Highway 25 W # Wn |
$31.08 | 6,208 | 5,197 |
|
Lindsey Nicole Patrick
402 Cumberland Ave |
$32.27 | 6,423 | 5,589 |
|
Patricia Dozier
841 S Highway 25 W # S |
$31.45 | 6,636 | 5,585 |
|
Kari Natasha Mcknight
475 N Highway 25 W |
$37.86 | 6,785 | 6,053 |
|
Clayton Thomas
402 Cumberland Ave |
$32.33 | 7,124 | 6,317 |
|
Jonathan Tyler White
402 Cumberland Ave |
$26.79 | 7,219 | 5,230 |
|
James Wendall Killian
402 Cumberland Ave |
$38.92 | 7,242 | 6,050 |
|
Sarah Beth Mcqueen
402 Cumberland Ave |
$32.98 | 7,753 | 6,856 |
|
Linda C. Hale
475 N Highway 25 W |
$30.90 | 7,843 | 7,199 |
|
Rebecca Banfield
896 S Highway 25 W |
$33.22 | 13,955 | 12,196 |
|
Keith David Mcdaniel
65 N Highway 25 W |
$27.45 | 25,906 | 21,758 |
|
Jill L Bryant
965 S Highway 25 W |
$29.08 | 29,395 | 20,855 |
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 Williamsburg, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Williamsburg, KY is $30.68 per claim, based on 207,511 claims from 44 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 Williamsburg, KY?
There are 44 Medicaid providers offering Office Visit related services in Williamsburg, KY according to public payment data.
What is the price range for Office Visit in Williamsburg, KY?
Medicaid reimbursement for Office Visit in Williamsburg, KY ranges from $10.85 to $114.66 per claim, with an average of $30.68. 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 Williamsburg, KY
Ambulance Transport
Avg $41.53
35,755 claims
Physical Therapy
Avg $16.78
31,472 claims
Dental Cleaning & Exam
Avg $31.43
30,229 claims
Speech Therapy
Avg $5.83
27,263 claims
Eye Exam
Avg $45.94
19,361 claims
Chiropractic Care
Avg $15.72
11,755 claims
Blood Work & Lab Tests
Avg $10.77
10,629 claims
Dental Filling
Avg $48.16
7,172 claims