Average Medicaid Office Visit Payments in Barboursville, WV: $44.97
Avg. Paid
$44.97
Range
$0.93 – $80.12
Total Claims
185,922
Providers
51
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 Barboursville, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John B. Knight
2012 Thundering Herd Dr. |
$62.12 | 14 | 12 |
|
Destiny Cooper
99 Cracker Barrel Dr |
$33.57 | 16 | 13 |
|
Short Chiropractic Inc
99 Cracker Barrel Drive |
$59.27 | 18 | 13 |
|
Patricia Annette Stiltner
6475 Farmdale Rd |
$9.54 | 20 | 16 |
|
Dlm Internal Medicine Inc
3 Chateau Grove Ln |
$22.32 | 23 | 15 |
|
Cathy Michelle Tincher
6007 Us Route 60 E |
$12.81 | 30 | 25 |
|
Rebecca Ann Fraley
912 Rivers Edge |
$37.83 | 30 | 24 |
|
Richard Asher Sexton
659 Central Ave |
$18.38 | 33 | 30 |
|
Cynthia Jean Pierzala
143 Peyton St |
$61.39 | 34 | 31 |
|
Cynthia A Winger
659 Central Ave |
$80.12 | 62 | 55 |
|
Kayla Campbell
6010 Us Route 60 E |
$58.53 | 71 | 62 |
|
Melissa Louise Leoni
6010 Us Route 60 E |
$52.14 | 78 | 68 |
|
Matthew Ryan Qualls
3550 Us Route 60 E |
$1.61 | 88 | 88 |
|
Marc Hettlinger
178 Farmdale Rd |
$38.63 | 119 | 112 |
|
Meredith Constance Galt
5727 Us Route 60 |
$53.44 | 123 | 104 |
|
Amber Denay Cline
6350 Us Route 60 E |
$24.69 | 124 | 108 |
|
Star Michelle Roe
6171 Childers Rd |
$23.35 | 140 | 114 |
|
Robert B Walker
663 Central Ave |
$36.42 | 157 | 142 |
|
Brenna Joleen Sweeney
104 Meadow Pointe |
$27.40 | 157 | 117 |
|
Diana R Parnicza
5727 Us Route 60 |
$39.50 | 218 | 194 |
|
Regina D Grome
143 Peyton Street |
$41.90 | 219 | 186 |
|
Meagan Watts Shepherd
6007 Us Route 60 E Ste 130 |
$55.23 | 224 | 206 |
|
Midland Behavioral Health, Inc.
3450 Rt. 60 East |
$56.68 | 315 | 302 |
|
Michael W Gibbs
4 Chateau Ln |
$50.76 | 344 | 322 |
|
Gregory Daniel Borowski
6451 Farmdale Rd |
$36.57 | 387 | 354 |
|
Phillip R Spangler
2 Chateau Ln |
$28.06 | 483 | 426 |
|
Barboursville Urgent Care Inc.
2 Chateau Ln |
$38.61 | 572 | 517 |
|
Katherine Cox
6475 Farmdale Rd |
$39.95 | 700 | 648 |
|
Chelse R Johnson
2 Chateau Grove Ln |
$0.93 | 704 | 531 |
|
Amy A Vaughan
6007 Us Route 60 E |
$33.77 | 918 | 800 |
|
S. Glenn Bailey O.D., Inc.
6010 Us Route 60 E |
$60.02 | 990 | 830 |
|
Stultz Sleep Study Services
6171 Childers Rd |
$63.51 | 1,018 | 873 |
|
Erika M Harris
659 Central Ave |
$41.38 | 1,038 | 929 |
|
Tommy D Dooley
6007 U.S. Rt. 60 E. Suite 130 |
$20.76 | 1,323 | 1,040 |
|
Sarah Shannon
6475 Farmdale Rd |
$40.50 | 1,332 | 955 |
|
Amy A Vaughan Dermatology Pllc
6007 Us Rt 60 East |
$57.04 | 1,541 | 1,360 |
|
Steven S Brumfield
143 Peyton Street |
$27.20 | 1,648 | 1,084 |
|
Susan King-Watts
143 Peyton Street |
$55.67 | 1,676 | 1,215 |
|
Robin Nicole Tolbert
6475 Farmdale Rd |
$41.46 | 1,743 | 1,483 |
|
Debra Stultz
6171 Childers Rd |
$42.75 | 1,750 | 1,517 |
|
Brian E Bower
104 Meadow Pointe |
$39.40 | 2,170 | 1,541 |
|
Jay T Naegele
6007 Route 60 East |
$45.50 | 2,455 | 2,234 |
|
Holly Anne Morning-Fannin
4 Chateau Grove Lang |
$29.24 | 2,621 | 2,136 |
|
Rachel E Yung
104 Meadow Pointe |
$37.15 | 3,360 | 2,594 |
|
Allan Scott Chamberlain
143 Peyton Street |
$54.29 | 3,372 | 2,522 |
|
Caleb Richard Huff
143 Peyton St |
$31.22 | 3,443 | 2,290 |
|
David John Humphreys
3450 Us Route 60 E |
$40.27 | 3,569 | 3,377 |
|
Womencare Inc
2 Chateau Ln |
$25.09 | 4,854 | 3,830 |
|
Valley Health Systems, Inc.
6350 Us Route 60 E |
$12.39 | 5,154 | 4,565 |
|
Gary Cremeans
100 Meadow Pointe |
$50.36 | 8,762 | 7,307 |
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 Barboursville, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Barboursville, WV is $44.97 per claim, based on 185,922 claims from 51 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 Barboursville, WV?
There are 51 Medicaid providers offering Office Visit related services in Barboursville, WV according to public payment data.
What is the price range for Office Visit in Barboursville, WV?
Medicaid reimbursement for Office Visit in Barboursville, WV ranges from $0.93 to $80.12 per claim, with an average of $44.97. 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 Barboursville, WV
Substance Abuse Treatment
Avg $125.01
304,616 claims
Personal Care Services
Avg $166.29
261,747 claims
Behavioral & Mental Health Therapy
Avg $187.11
40,213 claims
Psychiatric Evaluation
Avg $76.76
28,336 claims
Blood Work & Lab Tests
Avg $37.70
26,957 claims
Eye Exam
Avg $49.93
25,918 claims
Non-Emergency Medical Transportation
Avg $23.57
21,890 claims
Nursing Facility Care
Avg $14.21
14,839 claims