Average Medicaid Office Visit Payments in Buckeye, WV: $45.85
Avg. Paid
$45.85
Range
$0.00 – $74.66
Total Claims
37,720
Providers
14
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 Buckeye, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Isaac G Alexis
150 Duncan Road |
$62.00 | 15,615 | 5,693 |
|
Pocahontas Memorial Hospital
150 Duncan Rd |
$22.41 | 10,152 | 8,483 |
|
Tommy Lane Holbrook
150 Duncan Rd |
$74.66 | 5,462 | 5,156 |
|
Richard R Durham
150 Duncan Rd |
$33.33 | 1,930 | 1,699 |
|
Donna Lidel Burley
150 Duncan Road |
$0.06 | 1,417 | 1,262 |
|
Pocahontas Memorial Hospital
150 Duncan Rd |
$17.13 | 992 | 591 |
|
Pamela L Edens
150 Duncan Rd |
$39.68 | 578 | 534 |
|
J Walter Copley
150 Duncan Rd |
$1.28 | 571 | 531 |
|
Christopher Ryan Reece
150 Duncan Rd |
$39.40 | 467 | 403 |
|
Julie D. Leyzorek Hare
150 Duncan Road |
$0.00 | 290 | 258 |
|
Valarie L. Monico
150 Duncan Rd |
$0.00 | 126 | 108 |
|
Ambra Baldwin Nida
150 Duncan Rd |
$31.36 | 72 | 60 |
|
Alan Robert Thorne
150 Duncan Rd |
$0.00 | 26 | 25 |
|
Luis E Soriano
Duncan Road |
$20.83 | 22 | 12 |
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 Buckeye, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Buckeye, WV is $45.85 per claim, based on 37,720 claims from 14 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 Buckeye, WV?
There are 14 Medicaid providers offering Office Visit related services in Buckeye, WV according to public payment data.
What is the price range for Office Visit in Buckeye, WV?
Medicaid reimbursement for Office Visit in Buckeye, WV ranges from $0.00 to $74.66 per claim, with an average of $45.85. 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 Buckeye, WV
Blood Work & Lab Tests
Avg $43.34
35,686 claims
Emergency Room Visit
Avg $133.54
22,465 claims
Urinalysis & Urine Tests
Avg $26.91
5,335 claims
Psychiatric Evaluation
Avg $77.44
4,653 claims
EKG / ECG (Electrocardiogram)
Avg $61.88
4,365 claims
X-Ray
Avg $73.50
2,798 claims
Nursing Facility Care
Avg $0.81
2,505 claims
Pulmonary Function Test
Avg $16.12
832 claims