Average Medicaid Office Visit Payments in Charles Town, WV: $59.55
Avg. Paid
$59.55
Range
$12.62 – $144.91
Total Claims
29,369
Providers
13
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 Charles Town, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
C & C Recovery, Llc
225 Augustine Ave |
$50.77 | 10,376 | 5,277 |
|
Jefferson Urgent Care, Llc
84 Somerset Blvd |
$69.41 | 8,513 | 7,646 |
|
Priyankar Sharma
University Urgent Care |
$64.47 | 2,728 | 2,594 |
|
Shenandoah Valley Medical System,Inc.
44 Trifecta Pl Ste 205 |
$12.62 | 1,736 | 1,223 |
|
Michael B Matela
912 Somerset Blvd Ste 102 |
$56.35 | 1,668 | 1,604 |
|
Kalika Miller Pitcher
912 Somerset Blvd Ste 102 |
$57.65 | 1,618 | 1,511 |
|
Garth Bradford Wright
912 Somerset Blvd |
$62.46 | 1,309 | 1,228 |
|
John Thomas Considine
912 Somerset Blvd |
$144.91 | 949 | 902 |
|
Timothy Morgan George
912 Somerset Blvd Ste 101 |
$65.01 | 273 | 266 |
|
Arvessa Skin Care Center Llc
710 Somerset Blvd Ste 103 |
$58.70 | 88 | 86 |
|
Abigail Hubble Salser
84 Somerset Blvd |
$43.79 | 57 | 51 |
|
Alfret Norman Shakesprere
710 Somerset Blvd |
$19.36 | 29 | 24 |
|
Alexis Alastanos
912 Somerset Blvd Ste 102 |
$41.82 | 25 | 25 |
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 Charles Town, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Charles Town, WV is $59.55 per claim, based on 29,369 claims from 13 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 Charles Town, WV?
There are 13 Medicaid providers offering Office Visit related services in Charles Town, WV according to public payment data.
What is the price range for Office Visit in Charles Town, WV?
Medicaid reimbursement for Office Visit in Charles Town, WV ranges from $12.62 to $144.91 per claim, with an average of $59.55. 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 Charles Town, WV
Nursing Facility Care
Avg $9.80
13,400 claims
Psychiatric Evaluation
Avg $64.08
12,854 claims
Eye Exam
Avg $41.54
9,171 claims
Emergency Room Visit
Avg $116.81
4,753 claims
Case Management Services
Avg $37.56
4,295 claims
Ambulance Transport
Avg $106.32
2,251 claims
Blood Work & Lab Tests
Avg $25.00
1,373 claims
Non-Emergency Medical Transportation
Avg $31.59
1,146 claims