Based on public Medicaid payment data.

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
Carl Stephen High Md 909 Gorman Ave	$66.17	12	12
Mary K Murphy 909 Gorman Ave	$44.06	16	12
Michael Andrew Hildreth 1513 Harrison Ave	$10.12	20	13
Alison Boyce 801 Gorman Ave	$9.54	22	15
Cameron Michael Ross 240 Allegheny Hwy # A	$0.00	26	25
Mountaineer Pulmonology, Pllc 1200 Harrison Ave Ste 121	$47.07	30	26
Ashton C Curtis 812 Gorman Ave	$8.10	37	37
Family Eyecare Center 1500 Harrison Ave	$82.39	41	40
Lyndsey Shae Boatwright 222 Ferndale Dr	$0.00	43	37
Valley Health Care, Inc. 101 Scott Ford Rd	$12.48	45	38
Arthur Philip Fine 812 Gorman Ave	$27.50	51	49
Amy D Clevenger 812 Gorman Ave	$15.80	56	50
Silvia Boyero Triplett 812 Gorman Ave	$12.97	58	47
Melissa Bragg 812 Gorman Ave	$14.07	71	60
Suzanne Lee Brown 501 Railroad Ave	$8.80	73	52
Rebecca Lynn Arbogast 29 Ash Ln	$27.50	73	55
Christina Ayers 501 Railroad Ave	$6.44	76	64
Josette Francoise Batsenikos 812 Gorman Ave	$23.97	81	72
Richard Elliot Piccirillo 62 Barnard Ave	$34.53	83	52
Susan A Simmons 812 Gorman Ave	$18.05	94	86
Valley Health Care, Inc. Rt 2 Box 320	$61.37	96	90
Aaron Casto 812 Gorman Ave	$73.48	98	95
James W Gainer 812 Gorman Ave	$18.97	100	93
Allison Wetsch 240 Allegheny Hwy	$0.00	124	113
Natasha Benavides 812 Gorman Ave	$36.01	126	115
Rachel Lynne Burns 812 Gorman Ave	$14.76	132	100
Katie Paine 240 Allegheny Hwy	$0.00	132	125
Hannah Rose Sulver 812 Gorman Ave	$17.38	161	123
Hannah Jeanne Hughes 812 Gorman Ave	$14.82	163	125
Kevin W Cox 635 Robert E Lee Ave	$19.97	178	151
Jayme C Gongola 812 Gorman Ave	$24.28	184	177
Angela Mari Sturdivant 911 Gorman Ave	$15.10	210	180
Jenna Lynn Simmons 103 Cardinal Dr	$16.95	214	188
Alicia Carol Harper 801 Gorman Ave	$14.69	216	165
Craig Clifton Hyre 1500 Harrison Ave	$51.90	222	188
Next Generation Family Practice 29 Ash Lane	$57.49	224	189
Michael John Hurst 812 Gorman Ave	$13.72	226	175
Holly S. Lee 100 Seneca Rd	$51.67	233	218
Leslie Morgan Mckinney 812 Gorman Ave	$14.32	261	132
Lauren Angela Demarco 812 Gorman Ave Ofc	$15.70	296	236
Margaret G Thorne-Church 812 Gorman Ave	$68.96	333	326
Jacqueline R Shipman 812 Gorman Ave	$12.50	348	274
Earlene Rose England 812 Gorman Ave	$31.20	351	338
Melissa D Phares 812 Gorman Ave	$36.37	353	338
Victoria Shomo-Cross 812 Gorman Ave	$23.64	365	351
Anne Louise Banfield 812 Gorman Ave	$94.80	379	334
Katheryn Sue Marsh 70 Graceland Dr.	$0.00	385	335
Walter C. Boardwine 801 Gorman Ave	$16.46	389	303
Harold David Zorger 812 Gorman Ave	$14.05	398	344
Jorgen Per Olsson 812 Gorman Ave	$82.37	402	327

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.

Average Medicaid Office Visit Payments in Elkins, WV: $30.90

Providers Offering Office Visit in Elkins, WV

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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