Average Medicaid Office Visit Payments in Cross Lanes, WV: $39.23
Avg. Paid
$39.23
Range
$0.08 – $69.22
Total Claims
34,719
Providers
15
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 Cross Lanes, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ashish Sheth
924 Cross Lanes Dr |
$40.31 | 7,847 | 6,588 |
|
Wv Primary Care Inc
924 Cross Lanes Dr |
$69.22 | 3,718 | 2,989 |
|
Arvind Z Viradia
117 Goff Mountain Rd |
$36.13 | 3,561 | 2,874 |
|
Amber D Duncan
5161 Washington St W |
$1.28 | 2,913 | 2,098 |
|
James Alfred Horn
314 Goff Mountain Rd |
$48.16 | 2,589 | 2,272 |
|
Faith E. Harmison
314 Goff Mountain Rd Ste 3 |
$62.36 | 2,576 | 2,500 |
|
Womencare Inc
5161 Washington St W |
$0.08 | 2,189 | 1,964 |
|
Kassie J. Cosgrove
314 Goff Mountain Rd |
$55.81 | 2,161 | 2,105 |
|
Jeffrey E Wheeler
314 Goff Mountain Road Suite 15 |
$33.45 | 2,054 | 1,714 |
|
Jessica Toath-Callahan
5161 Washington St W |
$24.07 | 1,528 | 366 |
|
Megan Fernandez
924 Cross Lanes Dr |
$26.31 | 1,145 | 978 |
|
Mark Kerry Stephens
130 Goff Mountain Rd |
$60.73 | 943 | 887 |
|
Lisa Ann Lytle
5416 Hillbrook Dr |
$26.22 | 919 | 883 |
|
Cross Lanes Internal Medicine Group Inc
117 Goff Mountain Rd |
$67.21 | 430 | 380 |
|
Derek Kyle Lester
314 Goff Mountain Rd |
$28.53 | 146 | 119 |
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 Cross Lanes, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cross Lanes, WV is $39.23 per claim, based on 34,719 claims from 15 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 Cross Lanes, WV?
There are 15 Medicaid providers offering Office Visit related services in Cross Lanes, WV according to public payment data.
What is the price range for Office Visit in Cross Lanes, WV?
Medicaid reimbursement for Office Visit in Cross Lanes, WV ranges from $0.08 to $69.22 per claim, with an average of $39.23. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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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
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Avg $48.27
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Avg $54.47
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Avg $102.00
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Avg $383.11
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Avg $69.96
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