Average Medicaid Office Visit Payments in Winchester, KY: $35.56
Avg. Paid
$35.56
Range
$0.00 – $70.79
Total Claims
412,606
Providers
98
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 Winchester, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ara S. Makdessian
225 Hospital Drive |
$53.24 | 20,020 | 18,149 |
|
Edward Allen Sizemore
475 Shoppers Dr |
$37.15 | 18,194 | 13,751 |
|
Martha Suzanne Freeman
1145 W Lexington Ave Ste C |
$40.21 | 16,868 | 7,055 |
|
Kurt S Schlenther
404 Shoppers Dr |
$34.83 | 16,573 | 14,901 |
|
Lauren F Kostelnik
225 Hospital Dr |
$44.63 | 14,084 | 12,610 |
|
Ramon Navarro Thomas
2570 Bypass Rd |
$40.61 | 11,387 | 8,080 |
|
Amber D Rudd
4 N Highland St |
$28.73 | 10,730 | 8,580 |
|
Mary Kendall Mccarty
404 Shoppers Dr |
$30.12 | 10,438 | 9,366 |
|
Richard Dinardo
1850 Bypass Rd |
$39.87 | 9,845 | 8,421 |
|
Joanna Bell
455 Bullion Blvd |
$26.89 | 9,737 | 6,996 |
|
William Simpson Davis
1414 W Lexington Ave |
$34.93 | 9,290 | 7,280 |
|
Crystal L Kincaid
225 Hospital Dr |
$27.96 | 9,047 | 6,848 |
|
Aleksandr V. Mogilevski
128 Professional Ave |
$44.71 | 8,925 | 8,153 |
|
Tonya Kay Hadden
225 Hospital Dr |
$32.21 | 8,654 | 7,723 |
|
Leigh Doane
455 Bullion Blvd |
$39.14 | 8,556 | 6,079 |
|
John F. Greene
225 Hospital Drive |
$40.34 | 8,448 | 6,034 |
|
Scott Alan Seitz
138 Professional Ave |
$36.82 | 8,312 | 6,082 |
|
Courtney Reed
1520 Boonesboro Rd |
$31.55 | 7,583 | 6,712 |
|
Eric W. Bradburn
475 Shoppers Dr |
$35.87 | 7,559 | 6,335 |
|
Richard A. Chamberlain
2570 Bypass Rd |
$34.24 | 6,949 | 4,623 |
|
Tyler D Simmons
29 Canary Ln |
$11.21 | 6,844 | 5,326 |
|
Amina Shalash
1110 Mccann Dr |
$34.84 | 6,695 | 5,581 |
|
Gregory F Grau
404 Shoppers Dr |
$39.76 | 6,634 | 6,037 |
|
Amelia Nicole Stevens
1850 Bypass Rd |
$32.42 | 6,620 | 5,834 |
|
Rachel Gilliam
225 Hospital Dr |
$29.90 | 6,531 | 5,250 |
|
Cecelia Marie Howard
225 Hospital Dr |
$32.08 | 6,360 | 5,641 |
|
Michelle R Carpenter
225 Hospital Dr. |
$36.85 | 5,956 | 4,895 |
|
Andrea Michelle Tucker
225 Hospital Dr |
$40.90 | 5,822 | 4,019 |
|
Tammy Rena Cox
1859 Bypass Rd |
$34.51 | 5,636 | 5,157 |
|
Rachel Decoster
475 Shoppers Dr |
$29.92 | 5,627 | 4,873 |
|
Alexander David Landfield
225 Hospital Dr Ste 210 |
$47.68 | 5,621 | 4,757 |
|
Kyle Michael Wiedemer
225 Hospital Dr Ste 110 |
$30.57 | 5,582 | 5,093 |
|
Matthew G Thompson
1199 W Lexington Ave |
$6.58 | 5,106 | 2,548 |
|
August Joseph Ott
134 Professional Ave |
$39.49 | 4,481 | 2,964 |
|
James Harris Joyner
4925 Rockwell Rd |
$36.13 | 4,394 | 3,730 |
|
Stephanie Caudill
1145 W Lexington Ave Ste C |
$35.61 | 4,199 | 2,253 |
|
Stewart Vickrey
225 Hospital Dr |
$35.56 | 4,064 | 3,337 |
|
Beth Ellen Killian
475 Shoppers Dr |
$33.65 | 4,033 | 3,533 |
|
Jealena C Reesor
1520 Boonesboro Rd |
$37.61 | 4,007 | 3,610 |
|
Stephanie Fields
225 Hospital Dr Ste 300A |
$27.29 | 3,934 | 3,106 |
|
Clark Regional Physician Practices, Llc
225 Hospital Dr |
$18.12 | 3,891 | 3,172 |
|
Kayla Autumn Albright
1850 Bypass Rd |
$26.52 | 3,829 | 2,989 |
|
Amy Elizabeth Brubaker
455 Bullion Blvd |
$31.47 | 3,726 | 2,618 |
|
Haylee E Wright
480 Bullion Blvd Ste B |
$42.58 | 3,713 | 3,332 |
|
Jennifer Leigh Morris
225 Hospital Dr |
$31.30 | 3,636 | 3,024 |
|
James W Rice
404 Shoppers Dr |
$45.67 | 3,536 | 3,141 |
|
Jamie G. Bradburn
475 Shoppers Dr |
$30.74 | 3,417 | 2,753 |
|
Michelle L Watkins
172 Pedro Way |
$30.67 | 3,357 | 2,961 |
|
Ronald L Fulkerson
1300 W Lexington Ave |
$41.77 | 3,252 | 2,674 |
|
Freddie L Terrell
1114 Mccann Dr |
$29.87 | 3,065 | 2,439 |
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 Winchester, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Winchester, KY is $35.56 per claim, based on 412,606 claims from 98 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 Winchester, KY?
There are 98 Medicaid providers offering Office Visit related services in Winchester, KY according to public payment data.
What is the price range for Office Visit in Winchester, KY?
Medicaid reimbursement for Office Visit in Winchester, KY ranges from $0.00 to $70.79 per claim, with an average of $35.56. 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 Winchester, KY
Blood Work & Lab Tests
Avg $9.92
401,270 claims
Dental Cleaning & Exam
Avg $38.42
177,953 claims
Emergency Room Visit
Avg $189.93
137,085 claims
Physical Therapy
Avg $25.72
125,195 claims
X-Ray
Avg $51.31
94,741 claims
Urinalysis & Urine Tests
Avg $3.82
84,240 claims
Dental Filling
Avg $63.09
78,709 claims
Speech Therapy
Avg $16.38
71,594 claims