Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Winchester, KY: $35.56

Avg. Paid

$35.56

Range

$0.00 – $70.79

Total Claims

412,606

Providers

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
Clark Regional Physician Practices Llc 225 Hospital Dr	$10.71	13	13
Karl Mcclanahan 130 Hospital Dr	$33.49	14	12
Clark Medical Ventures, Llc 174 Pedro Way	$7.47	15	14
Robert Dean Barnes Barnes Family Chiropractic Inc Dba Core Health Centers	$15.05	19	15
Rebecca Diane Bartee 225 Hospital Dr	$17.23	20	14
Brittany Robinson 455 Bullion Blvd	$36.20	24	23
Means Adult Primary Care Clinic Of Kentucky Pllc 1145 W Lexington Ave Fl 2	$25.63	25	25
Clark Regional Physician Practices Llc 1520 Boonesboro Rd	$41.34	25	15
Thomas Potts 1593 Bypass Rd	$44.39	26	24
Suzanne Marie Pica 505 Shoppers Dr	$34.26	31	26
Jacob Webster 130 Hospital Dr	$40.37	32	32
Beall Recovery Clinics 1145 W Lexington Ave Ste C	$0.00	36	21
Mark Simon 225 Hospital Dr Ste 160	$50.88	42	39
Jacqueline M Thiry 218 S. Maple St.	$21.59	52	40
Thomas J Burchett 455 Bullion Blvd	$29.66	80	70
John Alfred Adams 1462 W Lexington Ave	$34.50	124	119
Brenda H Caudill 1520 Boonesboro Rd	$27.54	132	119
Clark Regional Physician Practices Llc 225 Hospital Dr	$37.38	134	114
Susan Armani 1617 Bypass Rd # 144	$42.30	148	127
Mark Joseph Pascuzzi 225 Hospital Dr	$34.73	187	167
Clark County Health Department 400 Professional Ave	$48.76	280	254
Ashley Kohari 480 Bullion Blvd	$37.83	420	327
Renee Spradlin 480 Bullion Blvd	$43.65	647	593
Larry Omar Maggard 5 Fontaine Blvd	$29.32	669	580
Reginia Rena Mullins 292 April Way	$44.79	708	340
Lloyd David Moore 170 Pedro Way	$23.21	741	611
Angela Clara Huff 505 Shoppers Dr Ste 2	$30.09	751	708
James K Farris 404 Shoppers Dr	$17.93	891	741
Sara Cornelison Ballard 1850 Bypass Rd	$29.65	946	872
Randall K Puckett 225 Hospital Dr Bldg B Ste 160	$35.70	953	783
Murielle Brohez 225 Hospital Dr Ste 315	$50.90	1,018	905
Terry Lee Troutt 136 Professional Ave	$8.08	1,202	876
Allison Lea Christian 225 Hospital Dr Ste 325	$30.51	1,643	1,314
Brandy Renee Franklin 2 Finley Rd	$38.25	1,836	1,589
Casey Lane Clark 1850 Bypass Rd	$44.25	2,020	1,759
Rebecca J Ashton 225 Hospital Drive Bldg B Suite 255	$36.95	2,104	1,596
Alexis Noel Budine-Utter 225 Hospital Dr	$23.57	2,150	1,936
Jessica Thomas Mcmaine 1850 Bypass Rd	$34.32	2,204	2,027
Katherine Kinsel 455 Bullion Blvd	$25.56	2,305	1,559
Shelly M Rogers 1520 Boonesboro Rd	$35.43	2,308	1,872
Kaitlyn Nicole Edwards 160 Pedro Way	$70.79	2,388	2,237
Elizabeth Ann Griffith 1520 Boonesboro Rd	$38.62	2,393	2,121
Charles J. Arnold 225 Hospital Dr Ste 105	$32.92	2,416	1,697
David A. Mcmenamin 138 Professional Ave	$52.99	2,472	2,022
Daniel A Ewen 2580 Bypass Road	$28.32	2,681	2,061
Kathryn B Jones 1109 Mccann Dr	$31.87	2,721	2,128
Perry N Williams 124 Professional Ave	$20.79	2,872	2,432
Kentucky Hospital, Llc 175 Hospital Dr	$29.27	2,921	1,503
Freddie L Terrell 1114 Mccann Dr	$29.87	3,065	2,439
Ronald L Fulkerson 1300 W Lexington Ave	$41.77	3,252	2,674

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.

Average Medicaid Office Visit Payments in Winchester, KY: $35.56

Providers Offering Office Visit in Winchester, KY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Winchester, KY

Blood Work & Lab Tests

Dental Cleaning & Exam

Emergency Room Visit

Physical Therapy

X-Ray

Urinalysis & Urine Tests

Dental Filling

Speech Therapy