Average Medicaid Office Visit Payments in Clarksburg, WV: $31.50
Avg. Paid
$31.50
Range
$0.00 – $81.50
Total Claims
122,455
Providers
55
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 Clarksburg, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Care Of West Virginia, Inc.
700 Oakmound Rd |
$15.87 | 24,185 | 20,780 |
|
Clarksburg Treatment Center, Llc
706 Oakmound Rd |
$51.28 | 19,780 | 14,103 |
|
United Summit Center Inc- Rehab
6 Hospital Plz |
$56.93 | 12,589 | 11,347 |
|
Kevin S Ivory
700 Oakmound Rd |
$13.46 | 7,689 | 6,700 |
|
Ethan R Ramsey
700 Oakmound Rd |
$0.10 | 6,253 | 5,197 |
|
Joanna Carol Ranhart
700 Oakmound Rd |
$0.01 | 5,676 | 4,796 |
|
Clarksburg Treatment Center, Llc
706 Oakmound Rd |
$57.82 | 4,770 | 3,423 |
|
Vanessa Bryana Mcgann
700 Oakmound Rd |
$0.03 | 4,769 | 4,142 |
|
Spero Health Of West Virginia, Llc
95 Rosebud Plz Ste 104 |
$75.08 | 4,271 | 2,194 |
|
Brandy Nicole Phares
700 Oakmound Rd |
$0.03 | 4,042 | 3,346 |
|
Angela Megan Sessions
700 Oakmound Rd |
$0.03 | 2,406 | 1,999 |
|
Autumn L. Lemley
700 Oakmound Rd |
$0.02 | 2,249 | 1,913 |
|
Dana Eugene Bragg
4 Hospital Plz |
$48.49 | 2,051 | 1,733 |
|
Kiesha Marie Bullough
700 Oakmound Rd |
$36.30 | 1,958 | 1,808 |
|
Michael T Montgomery
469 Emily Dr |
$57.55 | 1,779 | 1,643 |
|
Ghassan Richard Ghorayeb
211 S Chestnut St |
$25.15 | 1,546 | 1,301 |
|
Terri Leanne Belcher
395 Emily Dr |
$75.08 | 1,367 | 1,039 |
|
Dominick Ryan Woofter
1664 E Pike Street |
$48.86 | 1,250 | 1,038 |
|
Health Access, Inc.
489 Washington Avenue |
$61.70 | 1,171 | 1,073 |
|
Lea Angela M Singzon
2673 Davisson Run Rd Ste 101 |
$74.63 | 1,130 | 1,019 |
|
Lesa J Feather
6 Hospital Plz |
$56.55 | 1,119 | 1,042 |
|
Lesley Groves
700 Oakmound Rd |
$0.02 | 947 | 762 |
|
United Summit Center Inc
6 Hospital Plz |
$65.54 | 891 | 728 |
|
Melisa Dawn Audia
1 Medical Center Drive |
$53.53 | 793 | 744 |
|
Keri Elizabeth Ramsey
700 Oakmound Rd |
$0.01 | 762 | 591 |
|
Jo Ann Longenecker
2673 Davisson Run Rd Ste 101 |
$69.74 | 685 | 654 |
|
Seth Michael Miller
700 Oakmound Rd |
$0.04 | 648 | 588 |
|
Angelique Ferrer Vitug
1 Hospital Plz |
$21.52 | 617 | 595 |
|
Maurice C. Rhodes
2673 Davisson Run Rd Ste 101 |
$51.67 | 606 | 562 |
|
Roxanne Yong Smart
700 Oakmound Rd |
$0.03 | 523 | 372 |
|
Sandra R Rush
6 Hospital Plz |
$43.77 | 449 | 362 |
|
Robert Andrew Dale
600 Davisson Run Rd |
$23.50 | 443 | 373 |
|
Ann Marie Whitehair
700 Oakmound Rd |
$0.03 | 400 | 339 |
|
James D Mcdaniel
469 Emily Dr |
$49.17 | 315 | 302 |
|
Paris Cleopatra Turner
6 Hospital Plz |
$39.31 | 281 | 261 |
|
Carmen D Burrell
1 Hospital Plz |
$81.50 | 271 | 263 |
|
Auvid Momen
6 Hospital Plz |
$64.43 | 222 | 209 |
|
Shannon Miller Ullman
489 Washington Ave |
$41.73 | 213 | 181 |
|
Keith M Newman
700 West Pike St |
$32.46 | 199 | 168 |
|
Isha Woofter
1664 E Pike Street |
$68.45 | 184 | 160 |
|
Michelle L Ryan
6 Hospital Plaza |
$14.56 | 166 | 160 |
|
Rose M Clark
489 Washington Ave |
$61.45 | 114 | 98 |
|
Pramoda Kumari Devabhaktuni
1 Medical Center Drive |
$0.00 | 112 | 108 |
|
Clarksburg Treatment Center, Llc
706 Oakmound Rd |
$32.36 | 96 | 95 |
|
Bethany Katherine Fisher
1 Medical Center Drive |
$45.09 | 78 | 78 |
|
Associated Podiatrists, Pllc
600 Davisson Run Rd |
$41.27 | 70 | 67 |
|
Mary Sue Taylor
6 Hospital Plz |
$46.68 | 66 | 59 |
|
Community Care Of West Virginia Inc
591 Kappa Sigma Pi Dr |
$58.14 | 61 | 56 |
|
Community Care Of West Virginia, Inc.
1 Eagle Way |
$28.40 | 44 | 43 |
|
Madison Wiedebusch
700 Oakmound Rd |
$0.00 | 39 | 37 |
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 Clarksburg, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clarksburg, WV is $31.50 per claim, based on 122,455 claims from 55 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 Clarksburg, WV?
There are 55 Medicaid providers offering Office Visit related services in Clarksburg, WV according to public payment data.
What is the price range for Office Visit in Clarksburg, WV?
Medicaid reimbursement for Office Visit in Clarksburg, WV ranges from $0.00 to $81.50 per claim, with an average of $31.50. 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 Clarksburg, WV
Substance Abuse Treatment
Avg $86.13
207,008 claims
Personal Care Services
Avg $306.75
168,213 claims
Non-Emergency Medical Transportation
Avg $22.03
75,042 claims
Case Management Services
Avg $44.15
69,544 claims
Ambulance Transport
Avg $153.91
51,909 claims
Dental Cleaning & Exam
Avg $31.70
45,735 claims
Home Health Visit
Avg $42.97
37,849 claims
Blood Work & Lab Tests
Avg $16.10
37,311 claims