Average Medicaid Office Visit Payments in Charleston, WV: $41.70
Avg. Paid
$41.70
Range
$0.00 – $150.75
Total Claims
1,465,982
Providers
562
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 Charleston, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charleston Diabetes & Endocrine Consultants, Pllc
3100 Maccorkle Ave |
$73.81 | 12 | 12 |
|
Sara A Reed
3200 Maccorkle Ave Se |
$19.44 | 12 | 12 |
|
Jordan Tyler Blevins
415 Morris St Ste 400 |
$92.07 | 12 | 12 |
|
Norman J Montalto
116 Hills Plz |
$0.00 | 12 | 12 |
|
Michael Elmore
3100 Maccorkle Ave Se |
$32.11 | 12 | 12 |
|
Zachary Aburahma
3110 Maccorkle Ave Se |
$21.21 | 12 | 12 |
|
James A Lohan
1201 Washington Street, E |
$19.44 | 12 | 12 |
|
Ross Samuel Oliver
2335 Chesterfield Avenue, |
$104.24 | 12 | 12 |
|
Howard James Stanton
4315 Maccorkle Ave Se |
$57.90 | 12 | 12 |
|
Womencare Inc
1500 Greenbrier St # 160 |
$0.00 | 12 | 12 |
|
Chelsea Lasure
208 Maccorkle Ave Se |
$21.59 | 12 | 12 |
|
Michael Deprospero
3200 Maccorkle Ave Se |
$56.40 | 12 | 12 |
|
Shelby Kay Hicks
2930 Chesterfield Ave |
$33.10 | 12 | 12 |
|
Callie A. Hapuarachy
Camc Cancer Center |
$14.53 | 12 | 12 |
|
Matthew Beasley
3200 Maccorkle Ave Se |
$19.44 | 12 | 12 |
|
Janet Ann Jenkins
501 Morris St |
$24.87 | 13 | 12 |
|
Shawnna D. Walker
3200 Maccorkle Ave Se |
$21.21 | 13 | 13 |
|
Michaela Elaine Harless Kessler
800 Pennsylvania Ave |
$14.91 | 13 | 12 |
|
Jamie R Stoner
511 Morris St |
$0.00 | 13 | 12 |
|
Todd A Witsberger
1201 Washington Street, E |
$20.19 | 13 | 12 |
|
Suzanne Catherine Crandall
415 Morris St Ste 300 |
$16.08 | 14 | 12 |
|
Hans Lee Md Inc
1306 Kanawha Blvd E |
$33.38 | 14 | 13 |
|
Stephen M Hass
3110 Maccorkle Ave Se |
$18.18 | 14 | 12 |
|
Cari Stover
4307 Maccorkle Ave Se |
$84.40 | 15 | 14 |
|
Elizabeth Johnson Young
300 Kenton Dr |
$44.81 | 15 | 15 |
|
Pratima Ramkissoon
3411 Noyes Ave |
$20.68 | 15 | 12 |
|
Ashley Marie Dolan
5430 Maccorkle Ave Se |
$92.00 | 15 | 15 |
|
David W Thomas
830 Pennsylvania Ave |
$59.27 | 15 | 13 |
|
Kanawha Medical Center Inc
4924 Maccorkle Avenue Se |
$41.17 | 15 | 13 |
|
Theodore A. Jackson
1306 Kanawha Blvd E |
$28.63 | 15 | 13 |
|
Hadi A Lutfi
830 Pennsylvania Ave Ste 302 |
$23.20 | 16 | 14 |
|
Lauren C Seeberger
415 Morris St Ste 300 |
$104.14 | 16 | 15 |
|
Luke Finley
1220 Lee St E Ste 201 |
$0.00 | 16 | 12 |
|
Tarake M. Aljarod
3100 Maccorkle Ave Se Ste 205 |
$23.09 | 16 | 12 |
|
Mountain State Eye Associates, Pllc
1306 Kanawha Blvd East |
$41.26 | 16 | 12 |
|
Leah M. Triplett
1120 Kanawha Blvd E Ste 200 |
$32.15 | 17 | 14 |
|
Christopher James Easton
1 Kenton Dr |
$40.34 | 17 | 15 |
|
Mamie Elizabeth Smith
501 Morris St |
$21.21 | 18 | 18 |
|
Brittany Lynn Cox
3100 Maccorkle Ave Se Ste 700 |
$20.03 | 18 | 18 |
|
Lorie Lipscomb
1201 Washington St E Ste 100 |
$10.37 | 19 | 15 |
|
Kathleen Mimnagh
3200 Maccorkle Ave |
$70.57 | 19 | 19 |
|
Brittany Nicole Crabtree
108 Washington St W |
$64.44 | 19 | 14 |
|
Anand Chockalingam
3100 Maccorkle Ave Se Ste 101 |
$32.16 | 19 | 16 |
|
Stephen R Grubb
3100 Maccorkle Ave Se Ste 205 |
$47.02 | 22 | 20 |
|
Sarah Garand
511 Morris St |
$0.00 | 23 | 22 |
|
Lucas Alfonso Bracero
400 Court St Ste 100 |
$21.21 | 24 | 24 |
|
Dennis Wayne Hedrick
806 Greenbrier St |
$71.72 | 25 | 25 |
|
John H Schmidt
415 Morris St |
$101.06 | 25 | 25 |
|
Anthony Scott Collias
4710 Chimney Dr Ste H |
$42.39 | 26 | 25 |
|
Nariman A Halabi
331 Laidley St |
$27.20 | 26 | 24 |
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 Charleston, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Charleston, WV is $41.70 per claim, based on 1,465,982 claims from 562 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 Charleston, WV?
There are 562 Medicaid providers offering Office Visit related services in Charleston, WV according to public payment data.
What is the price range for Office Visit in Charleston, WV?
Medicaid reimbursement for Office Visit in Charleston, WV ranges from $0.00 to $150.75 per claim, with an average of $41.70. 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 Charleston, WV
Blood Work & Lab Tests
Avg $19.50
1,537,486 claims
Pathology & Lab Services
Avg $20.19
1,043,744 claims
Substance Abuse Treatment
Avg $93.30
723,285 claims
Emergency Room Visit
Avg $127.35
605,148 claims
X-Ray
Avg $13.71
490,576 claims
Urinalysis & Urine Tests
Avg $10.76
438,273 claims
Physical Therapy
Avg $108.21
435,894 claims
Ambulance Transport
Avg $205.27
375,959 claims