Average Medicaid Office Visit Payments in Clay, WV: $8.93
Avg. Paid
$8.93
Range
$0.00 – $36.31
Total Claims
48,341
Providers
16
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 Clay, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Care Of West Virginia, Inc.
122 Center St |
$17.01 | 20,589 | 17,669 |
|
Torie Alice Lynn Harper
122 Center St |
$0.00 | 5,995 | 4,563 |
|
Shahrooz Saheb Jamie
43 Main St |
$8.31 | 3,946 | 1,193 |
|
Victoria M Dobbins
122 Center St |
$2.01 | 3,355 | 2,518 |
|
Holly A Osborne
122 Center St |
$0.02 | 3,231 | 2,551 |
|
Erin Nicole King
122 Center St |
$0.00 | 2,737 | 1,817 |
|
Kimberly R Becher
122 Center St |
$0.02 | 1,735 | 1,405 |
|
Ashley Renee Hart
122 Center St |
$0.00 | 1,197 | 958 |
|
Anne Abram Jarrell
122 Center St |
$0.00 | 1,178 | 958 |
|
Angela Gayle Carter
122 Center St |
$0.00 | 1,129 | 954 |
|
Tracie F Bonner
122 Center St |
$2.78 | 968 | 762 |
|
Community Care Of West Virginia, Inc.
168 Church St |
$26.40 | 931 | 773 |
|
Jeremy Walker
122 Center St |
$6.51 | 561 | 510 |
|
Aniela Sharee Settle
122 Center St Ste 1 |
$0.00 | 354 | 333 |
|
Community Care Of West Virginia, Inc.
236 Church St |
$22.31 | 343 | 296 |
|
Community Care Of West Virginia Inc
One Panther Drive |
$36.31 | 92 | 78 |
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 Clay, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clay, WV is $8.93 per claim, based on 48,341 claims from 16 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 Clay, WV?
There are 16 Medicaid providers offering Office Visit related services in Clay, WV according to public payment data.
What is the price range for Office Visit in Clay, WV?
Medicaid reimbursement for Office Visit in Clay, WV ranges from $0.00 to $36.31 per claim, with an average of $8.93. 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 Clay, WV
Home Health Visit
Avg $479.90
12,167 claims
Vaccines & Immunizations
Avg $10.72
10,203 claims
Blood Work & Lab Tests
Avg $21.02
8,979 claims
Personal Care Services
Avg $597.73
8,385 claims
Ambulance Transport
Avg $183.81
6,851 claims
Case Management Services
Avg $16.02
4,784 claims
Non-Emergency Medical Transportation
Avg $56.93
2,786 claims
Dental Cleaning & Exam
Avg $33.49
1,893 claims