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 Area Medical Center, Inc.
501 Morris St |
$54.79 | 185,896 | 168,308 |
|
Charleston Area Medical Center Inc
501 Morris St |
$18.60 | 179,708 | 161,329 |
|
Mohamad Samah Kalou
5240 Maccorkle Ave Se |
$46.13 | 70,986 | 29,943 |
|
Mountaineer Family Medicine, Inc.
500 Poplar St |
$49.27 | 65,191 | 37,335 |
|
David J. Patton, Md., Inc.
1003 Oakhurst Dr |
$70.76 | 34,425 | 19,285 |
|
Msrc, Llc
102 Patrick Street Plz |
$67.22 | 29,075 | 16,959 |
|
Womencare, Inc
116 Hills Plz |
$13.65 | 28,423 | 24,475 |
|
Cabin Creek Health Center, Inc.
4602 Maccorkle Ave Se |
$10.82 | 24,371 | 16,924 |
|
Darshankumar Ashwinbhai Dave
3100 Maccorkle Ave Se |
$40.08 | 23,904 | 22,913 |
|
Robin Fanning Darnell
4502 Maccorkle Ave Se |
$20.64 | 19,711 | 16,127 |
|
Siwat Kiratiseavee
208 Maccorkle Ave Se |
$54.29 | 19,210 | 16,959 |
|
West Virginia Health Right, Inc.
1520 Washington St. E. |
$59.73 | 18,994 | 17,220 |
|
Yusr Aboushaar
5314 Maccorkle Ave Se |
$47.62 | 17,569 | 11,893 |
|
Kiran Shashi Devaraj
1520 Kanawha Blvd E |
$50.95 | 16,328 | 4,974 |
|
Shawn Robert Blankenship
4815 Maccorkle Ave Se |
$49.85 | 16,088 | 8,187 |
|
South Charleston Pediatrics
830 Pennsylvania Avenue |
$65.89 | 15,587 | 13,037 |
|
Charleston Treatment Center, Llc
2157 Greenbrier St |
$62.47 | 14,672 | 8,485 |
|
David J Patton
108 Washington St W Ste 101 |
$70.33 | 14,274 | 9,250 |
|
Julio A Enriquez
5400 Big Tyler Rd # D |
$13.91 | 13,200 | 9,180 |
|
Mark Elliott Mcdaniel
102 Patrick Street Plz |
$41.37 | 12,549 | 8,050 |
|
Abc Pediatrics, Pllc
830 Pennsylvania Ave |
$57.09 | 12,371 | 10,330 |
|
Wv Asthma And Allergy Centers, Inc.
208 Maccorkle Ave Se |
$71.28 | 10,766 | 9,850 |
|
Charleston Treatment Center, Llc
2157 Greenbrier St |
$60.92 | 10,430 | 7,795 |
|
Neurology & Headache Clinic Pllc
3100 Maccorkle Ave Se |
$77.72 | 10,265 | 9,264 |
|
Aaron Rockney Parry
830 Pennsylvania Ave |
$74.82 | 10,240 | 8,641 |
|
Womencare Inc
800 Pennsylvania Ave |
$13.98 | 9,395 | 8,591 |
|
Partnership Of African American Churches Inc.
1514 Kanawha Blvd W |
$55.99 | 8,600 | 2,351 |
|
Paul D Dietz
830 Pennsylvania Ave |
$31.00 | 8,568 | 7,438 |
|
Matthew Allen Ross
3200 Maccorkle Ave Se |
$0.02 | 8,550 | 5,896 |
|
Olga Minenko-Mcdaniel
3200 Maccorkle Ave Se |
$47.38 | 8,145 | 5,028 |
|
Samantha B Shawver
1207 Quarrier St |
$49.42 | 7,564 | 4,312 |
|
Bali Surgical Practice Pllc
400 Court St Ste 203 |
$51.02 | 7,341 | 5,376 |
|
Randall J. Hill, M.D., P.L.L.C.
830 Pennsylvania Ave |
$56.02 | 6,859 | 3,759 |
|
Bassam Moushmoush
331 Laidley St |
$31.01 | 6,814 | 5,024 |
|
Neurological Associates, Inc.
415 Morris St |
$66.95 | 6,673 | 5,979 |
|
Ghali Ibrahim-Bacha
310 35Th St Se |
$30.79 | 6,630 | 4,742 |
|
Ahmad Bali
400 S Ruffner Rd Ste 2 |
$36.16 | 6,625 | 5,336 |
|
Randall James Hill
830 Pennsylvania Ave |
$54.99 | 6,433 | 3,905 |
|
Lo'Ay M. Al-Asadi
2335 Chesterfield Ave Ste 102 |
$32.21 | 6,287 | 5,553 |
|
Valley Health Systems, Inc
4407 Maccorkle Ave Se |
$1.15 | 5,911 | 5,031 |
|
Holistic, Inc
4815 Maccorkle Ave Se |
$53.49 | 5,494 | 2,478 |
|
Samar Ryiad Sankari
1097 Fledderjohn Rd |
$36.78 | 5,354 | 5,104 |
|
Melissa Jose Gamponia
208 Maccorkle Ave Se |
$52.71 | 5,350 | 4,995 |
|
Benjamin Charles Cook
5430 Maccorkle Ave Se |
$78.42 | 5,318 | 5,145 |
|
Marcus Doddridge Shaffer
830 Pennsylvania Ave |
$47.11 | 5,305 | 5,143 |
|
Lesley A. Waskey
3200 Maccorkle Ave Se |
$0.00 | 5,138 | 3,655 |
|
Sachin Vilas Bendre
830 Pennsylvania Ave |
$57.08 | 5,083 | 4,806 |
|
Mohamed Sadek
333 Laidley St |
$36.32 | 5,034 | 2,313 |
|
West Virginia Eye Consultants, Llc
501 Summers St |
$71.41 | 4,935 | 4,276 |
|
Paul B Hunter
830 Pennsylvania Ave |
$53.56 | 4,870 | 2,819 |
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