Average Medicaid Office Visit Payments in Fairmont, WV: $32.75
Avg. Paid
$32.75
Range
$0.00 – $103.20
Total Claims
120,059
Providers
84
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 Fairmont, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Monongahela Valley Association Of Health Centers, Inc
1322 Locust Ave |
$11.69 | 32,701 | 27,843 |
|
The Kuzbari Clinic, Pllc
1228 Country Club Rd |
$54.75 | 7,177 | 2,291 |
|
Sanjay Bharti Md Pllc
51 Southland Dr Ste 2400 |
$67.71 | 5,726 | 4,728 |
|
Ronald Chevine Fleming
1325 Locust Avenue |
$32.94 | 5,690 | 2,355 |
|
Sarah Lynn Hall
1322 Locust Ave |
$0.00 | 4,888 | 4,161 |
|
Dana Sue Satterfield
1322 Locust Ave |
$0.02 | 3,851 | 3,011 |
|
Srividhya Sridharan
1322 Locust Ave |
$29.14 | 3,801 | 2,666 |
|
Pamela Fisher
1228 Country Club Rd |
$36.23 | 3,724 | 3,602 |
|
Ryan Christopher Hall
1322 Locust Ave |
$0.12 | 3,529 | 2,891 |
|
Pravin I Patel
1322 Locust Ave |
$0.04 | 3,281 | 2,613 |
|
Megan S Vincent
177 Middletown Rd Ste 1 |
$62.99 | 2,551 | 1,885 |
|
Andrea King
1322 Locust Ave |
$0.06 | 2,300 | 1,895 |
|
James David Abel
1228 Country Club Rd |
$63.77 | 2,203 | 2,070 |
|
Elizabeth Leann Accord
2600 Middletown Cmns Ste 163 |
$59.50 | 2,178 | 1,962 |
|
Perry L Hall
1836 Locust Avenue |
$37.60 | 2,161 | 1,889 |
|
Govindbhai M Patel
1844 Locust Ave |
$34.04 | 1,933 | 1,717 |
|
Charles Edward Frank
1708 Locust Ave |
$55.06 | 1,931 | 1,769 |
|
Joedy L Daristotle
1712 Locust Ave |
$68.33 | 1,852 | 1,719 |
|
Amy M Kukucka
1543 Country Club Rd # A |
$93.25 | 1,836 | 1,686 |
|
Richard E Vasicek
177 Middletown Rd Ste 1 |
$54.69 | 1,515 | 1,338 |
|
Solace Behavioral Healthcare Services
201 Adams St |
$59.35 | 1,442 | 991 |
|
Sarah Bonasso
101 Tygart Mall Loop Ste 102A |
$60.52 | 1,405 | 1,310 |
|
Thomas Wesley Steele
312 10Th St |
$68.07 | 1,346 | 1,227 |
|
William Ryan Walker
1 Huntington Way Ste 100 |
$38.68 | 1,277 | 1,180 |
|
Philip Henry Horner
1031 Morgantown Ave |
$69.01 | 1,079 | 1,025 |
|
Rusty Lee Cain
1228 Country Club Rd |
$30.60 | 909 | 807 |
|
Melinda Frazee
100 Stoney Hill Rd |
$103.20 | 901 | 859 |
|
Pamela Sue Pritchard
1322 Locust Ave |
$9.55 | 874 | 797 |
|
Danielle Rohrbough
1031 Morgantown Ave |
$79.35 | 849 | 810 |
|
Yolanda Hunter
201 Adams St |
$68.67 | 847 | 563 |
|
Miranda Jean Riggs
1322 Locust Ave |
$23.11 | 815 | 710 |
|
Sarah R Bergstrom
1703 Locust Ave |
$32.29 | 808 | 779 |
|
Mackenzie James Clarkson
1377 Locust Ave |
$78.23 | 804 | 704 |
|
Patrick Corkrean Bonasso
1703 Locust Ave |
$76.81 | 712 | 510 |
|
Richard Alan Simpson
1228 Country Club Rd |
$35.11 | 625 | 592 |
|
James Holehouse
51 Southland Dr |
$27.00 | 621 | 549 |
|
Chad Ross Marsh
177 Middletown Rd |
$59.36 | 593 | 545 |
|
James Namsupak
401 Guffey St |
$32.36 | 553 | 491 |
|
Frederick Manalo Alcantara
2048 Vip Way |
$32.78 | 518 | 485 |
|
Michele R Lilley
177 Middletown Rd, Ste1 |
$65.55 | 495 | 463 |
|
Frank Wiechers
177 Middletown Rd Ste 1 |
$64.76 | 495 | 478 |
|
Jamil Ahmed
1 Huntington Way Ste 100 |
$30.20 | 490 | 412 |
|
Brenda Jo Brubaker
120 Maplewood Dr |
$17.14 | 458 | 374 |
|
Paul A Alappat
1703 Locust Ave |
$37.91 | 455 | 401 |
|
Dailinn C Spitznogle
1539 Country Club Rd |
$0.00 | 436 | 424 |
|
Cristina Leigh Pastuch
1322 Locust Ave |
$28.85 | 409 | 396 |
|
Jerry I Hadrych
603 Alta Vista Ave |
$23.47 | 390 | 329 |
|
Bronya Kay Tucker
1325 Locust Ave |
$52.69 | 385 | 291 |
|
Kristen Cutright
1325 Locust Ave # 32 |
$35.96 | 385 | 358 |
|
Marion Surgical Associates, Inc
1708 Locust Ave Ste 102 |
$56.89 | 376 | 301 |
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 Fairmont, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fairmont, WV is $32.75 per claim, based on 120,059 claims from 84 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 Fairmont, WV?
There are 84 Medicaid providers offering Office Visit related services in Fairmont, WV according to public payment data.
What is the price range for Office Visit in Fairmont, WV?
Medicaid reimbursement for Office Visit in Fairmont, WV ranges from $0.00 to $103.20 per claim, with an average of $32.75. 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 Fairmont, WV
X-Ray
Avg $8.06
290,319 claims
Physical Therapy
Avg $26.22
144,321 claims
Substance Abuse Treatment
Avg $85.18
141,089 claims
CT Scan (Computed Tomography)
Avg $52.96
108,485 claims
Blood Work & Lab Tests
Avg $28.17
94,772 claims
Emergency Room Visit
Avg $107.25
56,270 claims
Ambulance Transport
Avg $145.54
51,934 claims
Ultrasound
Avg $19.76
48,037 claims