Kentucky · G2076

Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in Kentucky

Kentucky Medicare Avg
$150.67
14% below national avg
National Medicare Avg
$174.62
All states combined
Billed Charge (KY)
$317.76
What providers submit
Est. Commercial (KY)
$373.02
National avg: $414.86
Est. Cash / Self-Pay (KY)
$220.61
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

63
Services in KY
16
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Kentucky

Provider Medicare Services
Nky Med, Llc $125.52 11

Kentucky Pricing in Context

In Kentucky, CPT code G2076 (Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A) carries an average Medicare payment of $150.67 — 14% below the national benchmark of $174.62. 16 providers across the state submitted claims for this procedure in 2023, performing 63 total services. Individual payments in KY ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Kentucky is $317.76, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Kentucky sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Kentucky lands near $373.02, with self-pay cash prices typically around $220.61. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A cost in Kentucky?

The average Medicare payment for Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in Kentucky is $150.67, which is 14% below the national average of $174.62. Providers in KY typically bill $317.76 for this procedure.

What does Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A cost with insurance in Kentucky?

With commercial insurance in Kentucky, Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A costs an estimated $373.02. Without insurance, the estimated cash price is $220.61. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in Kentucky?

16 providers in Kentucky billed Medicare for Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in 2023, performing 63 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A cheaper in Kentucky than the national average?

Yes — Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A costs 14% below the national average in Kentucky. The state average Medicare payment is $150.67 compared to $174.62 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial