Average Medicaid Office Visit Payments in Buckhannon, WV: $24.96
Avg. Paid
$24.96
Range
$0.00 – $112.10
Total Claims
194,372
Providers
78
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 Buckhannon, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St Josephs Hospital Of Buckhannon Inc
1 Amalia Dr |
$12.27 | 46,042 | 32,029 |
|
Community Care Of West Virginia, Inc.
33-37 W Main Street |
$16.71 | 17,192 | 14,693 |
|
St Josephs Hospital Of Buckhannon
1 Amalia Dr |
$55.85 | 14,244 | 12,159 |
|
Community Care Of West Virginia, Inc.
4 Northridge Dr Ste 118 |
$25.57 | 13,986 | 12,314 |
|
Mary Elizabeth Hackney
21 Auction Ln |
$43.82 | 12,150 | 5,112 |
|
Nicholas Joel Baker
4 Northridge Dr Ste 118 |
$0.02 | 8,034 | 6,835 |
|
Lawanna Marie Starks
21 Auction Ln Ste A |
$72.44 | 7,930 | 6,587 |
|
Ali A Khan
2 Hartman Plz |
$42.42 | 5,380 | 4,343 |
|
Benjamin Popp Jackson
34 N Kanawha St |
$0.03 | 5,303 | 2,192 |
|
St. Joseph'S Hospital Of Buckhannon, Inc.
94 W Main St |
$1.42 | 5,197 | 4,695 |
|
Peter James Power
100 W Main St |
$36.12 | 3,660 | 3,068 |
|
Amanda Ketterman
1 Amalia Dr |
$41.75 | 2,746 | 2,251 |
|
Gregory Michael Peters
11 N Locust St |
$0.02 | 2,655 | 2,192 |
|
Community Care Of West Virginia, Inc.
34 N Kanawha St |
$0.08 | 2,337 | 1,229 |
|
Jina J Roy
37 W Main St |
$4.49 | 2,245 | 1,771 |
|
Sarah Hicks
1 Amalia Dr |
$40.36 | 2,239 | 1,855 |
|
Allyson Malone Andrews
37 W Main St |
$0.05 | 1,938 | 1,678 |
|
Eric Rice
1 Amalia Dr |
$69.32 | 1,887 | 1,791 |
|
Jane Mowry Phillips
34 N Kanawha St |
$0.00 | 1,885 | 1,055 |
|
Gerard J. O'Loughlin
1 Amalia Dr |
$53.06 | 1,884 | 1,629 |
|
Amanda Dawn Snyder
1 Amalia Dr |
$27.13 | 1,849 | 1,712 |
|
Cathy R Hiner
1 Amalia Dr |
$72.06 | 1,798 | 1,635 |
|
Caitlin Ann Morgan
1 Amalia Dr |
$19.94 | 1,776 | 1,401 |
|
Community Care Of West Virginia, Inc.
77 W Main St |
$1.81 | 1,720 | 1,520 |
|
Danielle Christian Ware
1 Amalia Dr |
$0.15 | 1,589 | 1,471 |
|
Katherine Keely Burnside
1 Amalia Dr |
$34.78 | 1,559 | 1,374 |
|
St. Joseph'S Hospital Of Buckhannon, Inc.
21 Auction Ln |
$2.12 | 1,552 | 1,415 |
|
Cynthia Jean Hurst
37 W Main St |
$0.01 | 1,533 | 1,199 |
|
Kimberly M Farry
1 Amalia Dr |
$38.59 | 1,291 | 1,150 |
|
Jeremy J. Reneau
1 Amalia Dr |
$72.84 | 1,268 | 1,176 |
|
Denzil W Hawkinberry
34 N Kanawha St |
$0.00 | 1,249 | 765 |
|
Jennifer Erin Michael
1 Amalia Dr |
$34.45 | 1,196 | 872 |
|
Robert Paul Romano
21 Auction Ln Ste B |
$17.40 | 1,165 | 1,082 |
|
Jamie Lynn Cox
1 Amalia Dr |
$65.32 | 1,114 | 1,052 |
|
Amanda Jones
1 Amalia Dr |
$6.20 | 997 | 960 |
|
Yvonne Marie Staschiak Chapman
37 W Main St |
$0.01 | 978 | 801 |
|
Jessica Mongold
21 Auction Ln Ste A |
$0.00 | 975 | 868 |
|
Reba V Harward
100 W Main St |
$16.25 | 930 | 722 |
|
Kessa D. Thorpe
11 N Locust St |
$14.49 | 860 | 599 |
|
Jennifer Abel
1 Amalia Dr |
$66.26 | 817 | 727 |
|
Rachel Lynn Marteney
1 Amalia Dr |
$16.95 | 799 | 639 |
|
Bonnie Lynn Blackburn
10 Amalia Dr Ste C5 |
$12.78 | 778 | 698 |
|
Krista Flesher
21 Auction Ln |
$0.18 | 742 | 693 |
|
Tracey Lee Sherman
34 N Kanawha St |
$0.08 | 623 | 311 |
|
Kathryn L Robinson
1 Amalia Dr |
$62.81 | 615 | 546 |
|
Theresa Ann Black
11 N Locust St |
$15.17 | 587 | 409 |
|
Susan E. Long
1 Amalia Dr |
$57.80 | 582 | 526 |
|
Community Care Of West Virginia, Inc.
Rr 6 Box 303 |
$38.56 | 523 | 396 |
|
Danielle Seitz
1 Amalia Dr |
$68.12 | 506 | 469 |
|
Community Care Of West Virginia, Inc.
50 Bu Dr |
$32.41 | 410 | 349 |
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 Buckhannon, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Buckhannon, WV is $24.96 per claim, based on 194,372 claims from 78 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 Buckhannon, WV?
There are 78 Medicaid providers offering Office Visit related services in Buckhannon, WV according to public payment data.
What is the price range for Office Visit in Buckhannon, WV?
Medicaid reimbursement for Office Visit in Buckhannon, WV ranges from $0.00 to $112.10 per claim, with an average of $24.96. 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 Buckhannon, WV
Blood Work & Lab Tests
Avg $27.04
244,191 claims
Personal Care Services
Avg $361.47
162,484 claims
Case Management Services
Avg $102.73
89,900 claims
Emergency Room Visit
Avg $121.37
88,504 claims
Non-Emergency Medical Transportation
Avg $22.22
65,158 claims
Urinalysis & Urine Tests
Avg $32.37
39,051 claims
Vaccines & Immunizations
Avg $11.71
32,124 claims
Dental Cleaning & Exam
Avg $35.87
28,422 claims