Average Medicaid Office Visit Payments in Bruceton Mills, WV: $50.16
Avg. Paid
$50.16
Range
$0.00 – $76.89
Total Claims
4,226
Providers
9
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 Bruceton Mills, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Heather Marie Hartsell
198 Morgantown St Ste 2 |
$29.78 | 1,437 | 1,355 |
|
Bruceton Family Medicine Llc
198 Morgantown St Ste 2 |
$64.24 | 1,123 | 1,020 |
|
Alysia Renee Funk
198 Morgantown St Ste 2 |
$67.97 | 717 | 655 |
|
James Daniel Mallett
1 Memorial Dr |
$52.77 | 348 | 323 |
|
Sarah Michelle Jones
198 Morgantown St Ste 2 |
$40.15 | 228 | 210 |
|
Max A Harned
One Memorial Drive |
$76.89 | 178 | 141 |
|
Western Maryland Health Care Corporation
198 Morgantown St Ste 2 |
$0.00 | 87 | 59 |
|
Bruceton Medical Center
198 Morgantown Street |
$55.35 | 56 | 43 |
|
Harned Memorial Medical Clinic Inc
One Memorial Drive |
$76.81 | 52 | 40 |
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 Bruceton Mills, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bruceton Mills, WV is $50.16 per claim, based on 4,226 claims from 9 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 Bruceton Mills, WV?
There are 9 Medicaid providers offering Office Visit related services in Bruceton Mills, WV according to public payment data.
What is the price range for Office Visit in Bruceton Mills, WV?
Medicaid reimbursement for Office Visit in Bruceton Mills, WV ranges from $0.00 to $76.89 per claim, with an average of $50.16. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Bruceton Mills, WV
Blood Work & Lab Tests
Avg $5.77
485 claims
Emergency Room Visit
Avg $118.98
304 claims
Ambulance Transport
Avg $109.36
96 claims
Psychiatric Evaluation
Avg $84.94
49 claims
Vaccines & Immunizations
Avg $24.02
49 claims
EKG / ECG (Electrocardiogram)
Avg $0.80
27 claims
Chiropractic Care
Avg $30.09
22 claims
Urinalysis & Urine Tests
Avg $2.56
12 claims