Average Medicaid Office Visit Payments in Berkeley Springs, WV: $27.70
Avg. Paid
$27.70
Range
$0.10 – $62.92
Total Claims
33,486
Providers
17
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 Berkeley Springs, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tri-State Community Health Center, Inc
261 Berkmore Pl |
$14.63 | 8,100 | 6,868 |
|
Unity Family Health Care Inc.
1644 Valley Rd Ste A |
$61.82 | 3,621 | 2,049 |
|
War Memorial Hospital, Inc.
3774 Valley Road |
$0.60 | 3,568 | 2,584 |
|
Stephanie Nicole Jarvis
261 Berkmore Pl Ste 1A |
$0.48 | 3,032 | 2,706 |
|
Pamela Largent Quarantillo
81 War Memorial Dr |
$49.50 | 2,928 | 2,565 |
|
Sarita Elaine Bowers
261 Berkmore Pl |
$48.48 | 1,764 | 945 |
|
Joseph Hashem
226 Gayle Dr |
$14.67 | 1,692 | 1,430 |
|
Edward Paul Quarantillo
81 War Memorial Drive |
$53.17 | 1,592 | 1,388 |
|
War Memorial Hospital, Inc.
1 Healthy Way |
$9.32 | 1,286 | 892 |
|
Amanda Gail Michael
2055 Valley Road |
$51.61 | 1,167 | 1,081 |
|
Andrew Joseph Berens
236 North Washington Street |
$44.08 | 1,133 | 847 |
|
Brenda Hashem
1 Healthy Way |
$0.10 | 972 | 815 |
|
David James Bowers
261 Berkmore Pl |
$52.23 | 869 | 393 |
|
War Memorial Hospital Inc
1 Healthy Way |
$49.77 | 787 | 641 |
|
Family Medicine Of Berkeley Springs, Inc.
236 N Washington St |
$62.92 | 493 | 349 |
|
Matthew Allen Polk
1 Healthy Way |
$10.22 | 362 | 324 |
|
Doris Faye Burkey
3774 Valley Rd Ste 101 |
$0.17 | 120 | 88 |
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 Berkeley Springs, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Berkeley Springs, WV is $27.70 per claim, based on 33,486 claims from 17 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 Berkeley Springs, WV?
There are 17 Medicaid providers offering Office Visit related services in Berkeley Springs, WV according to public payment data.
What is the price range for Office Visit in Berkeley Springs, WV?
Medicaid reimbursement for Office Visit in Berkeley Springs, WV ranges from $0.10 to $62.92 per claim, with an average of $27.70. 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 Berkeley Springs, WV
Physical Therapy
Avg $23.52
52,214 claims
Emergency Room Visit
Avg $163.71
23,873 claims
Blood Work & Lab Tests
Avg $31.67
20,896 claims
Personal Care Services
Avg $310.71
8,476 claims
Case Management Services
Avg $34.89
7,188 claims
Ambulance Transport
Avg $149.94
5,889 claims
Dental Cleaning & Exam
Avg $27.74
4,284 claims
Non-Emergency Medical Transportation
Avg $12.47
3,161 claims