Average Medicaid Office Visit Payments in Elkins, WV: $30.90
Avg. Paid
$30.90
Range
$0.00 – $94.94
Total Claims
169,670
Providers
107
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 Elkins, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Davis Memorial Hospital
812 Gorman Ave |
$12.06 | 23,912 | 20,698 |
|
Valley Health Care, Inc
240 Allegheny Hwy |
$9.21 | 15,313 | 13,384 |
|
Nitesh Ratnakar
55 Chenoweth Creek Rd |
$42.80 | 14,953 | 13,070 |
|
Jenny Lynn Cross
911 Gorman Ave |
$61.42 | 9,924 | 8,955 |
|
Farukh A Khan
1 Pleasant Ave |
$27.54 | 9,346 | 5,268 |
|
Tygart Valley Medical Specialties, Inc
911 Gorman Ave Ste 201 |
$67.85 | 5,856 | 5,215 |
|
Appalachian Community Health Center
725 Yokum Street |
$45.63 | 4,731 | 3,880 |
|
Johanna Fisher Biola
812 Gorman Ave |
$18.55 | 4,393 | 3,976 |
|
Penny N Cutlip
70 Graceland Drive |
$0.00 | 3,611 | 3,107 |
|
Matthew James Maynard
812 Gorman Ave |
$42.68 | 3,178 | 2,547 |
|
Youth Health Service, Inc
971 Harrison Ave |
$63.32 | 2,955 | 2,618 |
|
West Virginia Gastroenterology & Endoscopy
213 Main St |
$54.73 | 2,939 | 2,632 |
|
William C Dalton
812 Gorman Ave |
$94.94 | 2,924 | 2,688 |
|
Appalachian Community Health Center
725 Yokum Street |
$26.81 | 2,830 | 2,582 |
|
Alyson Margaret Leo
240 Allegheny Hwy |
$0.00 | 2,756 | 2,619 |
|
Richard Edmond Topping
801 Gorman Ave |
$47.92 | 2,745 | 2,409 |
|
Dilip N Chandran
100 3Rd St |
$57.75 | 2,589 | 2,472 |
|
Lucas John Pavlovich
801 Gorman Ave |
$48.89 | 2,552 | 2,140 |
|
Lisa A Davis
812 Gorman Ave |
$80.34 | 2,514 | 2,356 |
|
Melody Dawn Henderson
169 Diamond St |
$0.00 | 2,389 | 1,984 |
|
Next Generation Family Medicine Pllc
29 Ash Ln |
$55.04 | 2,249 | 1,877 |
|
Richard Kojo Enchill
812 Gorman Ave |
$26.86 | 2,155 | 1,496 |
|
Amanda Pennington
812 Gorman Ave |
$28.93 | 2,005 | 1,733 |
|
Kara N Black
213 Main St |
$16.66 | 1,678 | 1,559 |
|
Valley Health Care, Inc.
100 Bell Street |
$0.60 | 1,641 | 1,145 |
|
Carl High
909 Gorman Ave |
$62.37 | 1,598 | 1,455 |
|
Matthew Cupp
88 Stone Mountain Ln |
$22.09 | 1,576 | 774 |
|
Donald R Fleming
801 Harrison Ave |
$15.59 | 1,485 | 1,147 |
|
Susan R Abbott
812 Gorman Ave |
$15.24 | 1,459 | 926 |
|
Tygart Valley Orthopedics And Sports Medicine, Inc.
1502 Harrison Ave |
$57.90 | 1,387 | 1,196 |
|
Michelle Dianne Streets
812 Gorman Ave |
$20.40 | 1,197 | 1,066 |
|
Jeffrey Burke Jackson
100 Seneca Rd |
$49.24 | 1,197 | 1,102 |
|
Angela Browning
501 Railroad Ave |
$17.81 | 1,136 | 1,058 |
|
Catherine M. Chua
812 Gorman Ave |
$19.57 | 1,135 | 1,082 |
|
Mohamed M Fahim
812 Gorman Ave |
$12.23 | 1,133 | 894 |
|
Michelle Lynn Ratnakar
55 Chenoweth Creek Rd |
$0.11 | 1,077 | 766 |
|
Christie L. Shoemaker
105 Nathan St |
$17.91 | 1,076 | 874 |
|
Katelyn Winans
812 Gorman Ave |
$6.39 | 1,024 | 939 |
|
Ronald Alan Mudry
911 Gorman Ave |
$27.39 | 995 | 945 |
|
Kristy Zink
240 Allegheny Hwy |
$0.00 | 985 | 918 |
|
Frances Lilly Heater
812 Gorman Ave |
$0.00 | 947 | 875 |
|
Emad A Kowatli
812 Gorman Ave |
$13.53 | 852 | 678 |
|
Wendy Danielle Gerard
1513 Harrison Ave |
$56.85 | 848 | 760 |
|
Mary S Boyd
911 Gorman Ave |
$0.01 | 725 | 672 |
|
Cameron Farley
240 Allegheny Hwy |
$0.00 | 699 | 664 |
|
Tiffany Leann Carr
55 Chenoweth Creek Rd |
$12.18 | 692 | 562 |
|
Adriana Fulginiti
812 Gorman Ave |
$17.13 | 653 | 479 |
|
Misha Janelle Phillips-Lee
812 Gorman Ave |
$21.22 | 644 | 579 |
|
Ashlee O'Kernick
1513 Harrison Ave Ste 18 |
$42.75 | 602 | 577 |
|
Madonna Kay Bonner
720 Beverly Pike |
$40.34 | 594 | 560 |
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 Elkins, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elkins, WV is $30.90 per claim, based on 169,670 claims from 107 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 Elkins, WV?
There are 107 Medicaid providers offering Office Visit related services in Elkins, WV according to public payment data.
What is the price range for Office Visit in Elkins, WV?
Medicaid reimbursement for Office Visit in Elkins, WV ranges from $0.00 to $94.94 per claim, with an average of $30.90. 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 Elkins, WV
Personal Care Services
Avg $338.71
188,159 claims
Blood Work & Lab Tests
Avg $14.00
174,038 claims
Substance Abuse Treatment
Avg $51.55
148,622 claims
Emergency Room Visit
Avg $90.84
75,766 claims
Non-Emergency Medical Transportation
Avg $24.22
68,552 claims
Case Management Services
Avg $105.01
64,802 claims
Durable Medical Equipment (DME)
Avg $39.02
57,263 claims
Physical Therapy
Avg $28.07
52,737 claims