Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Fairmont, WV: $32.75

Avg. Paid

$32.75

Range

$0.00 – $103.20

Total Claims

120,059

Providers

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
Yore Academy, Inc. 7 Crosswind Drive	$36.57	12	12
David Ferrero 900 Fairmont Ave	$42.01	12	12
Fick Eyecare, Inc 32 Tygart Mall Rd	$63.31	13	13
Stephen Mcqueen 1325 Locust Ave	$21.60	17	16
Phoenix Rising Healthcare 5 Erwin Ln Ste A	$46.54	20	18
Kaitlin Earle 100 Stoney Hill Rd	$29.28	25	25
Youth Academy, Llc 3 Crosswinds Dr	$36.57	26	26
Martin Wayne Carpenter 709 Morgantown Ave	$52.60	27	25
Patricia Ann Parrish 1322 Locust Ave	$6.40	32	28
Sheldon A Harris 1377 Locust Ave	$28.26	55	51
Hilsbos Family Care, Pllc 5 Erwin Ln Ste B	$87.89	56	38
Gloria Daemi Kayfan 140 Middletown Loop	$22.47	56	36
Teresa Lynn Ward 1703 Locust Ave	$17.73	57	51
Shanna N Akers 177 Middletown Rd Ste 1	$59.22	58	55
Candace C Chidester 1840 Locust Ave	$0.00	62	58
Rebecca Yeager Wilson 1 Huntington Way Ste 100	$33.28	65	55
County Of Marion Board Of Health 300 2Nd St	$17.05	72	70
Kenneth Hilsbos 5 Erwin Ln Ste B	$63.00	77	55
Tressa Bonasso 23 Tresara Dr	$19.81	78	66
Nathan C Berry 110 Meadowlane Ave	$29.24	79	70
Tyson E Bubnar 1325 Locust Ave	$20.19	81	59
Achuta Ram Aynampudi 100 Stoney Hill Rd	$58.39	89	86
Robert Clayton Thompson 238 Colfax Camp Rd	$51.82	103	92
Chelsy N Harmer 1 Huntington Way Ste 100	$48.24	115	101
Pediatric Partners, Pllc 312 10Th St	$54.37	124	94
Traci Layne Tannehill 5 Erwin Ln Ste A	$43.76	136	127
Kara Terhune 1539 Country Club Rd	$59.56	142	136
Fairmont Eye Care Inc 709 Morgantown Ave	$56.75	171	145
Katherine O'Bryan 1543 Country Club Rd # A	$73.29	210	131
Kathryn Nicole Preast 1325 Locust Ave	$69.65	212	206
Randi Dawnielle Davis 1543 Country Club Rd	$22.73	236	225
Lisa M Flower 1 Huntington Way Ste 100	$48.43	308	271
Marilyn Judy Bonfili 1 Huntington Way Ste 100	$70.52	322	299
Kayla Pomp-Steurer 100 Stoney Hill Rd	$74.69	331	297
Marion Surgical Associates, Inc 1708 Locust Ave Ste 102	$56.89	376	301
Kristen Cutright 1325 Locust Ave # 32	$35.96	385	358
Bronya Kay Tucker 1325 Locust Ave	$52.69	385	291
Jerry I Hadrych 603 Alta Vista Ave	$23.47	390	329
Cristina Leigh Pastuch 1322 Locust Ave	$28.85	409	396
Dailinn C Spitznogle 1539 Country Club Rd	$0.00	436	424
Paul A Alappat 1703 Locust Ave	$37.91	455	401
Brenda Jo Brubaker 120 Maplewood Dr	$17.14	458	374
Jamil Ahmed 1 Huntington Way Ste 100	$30.20	490	412
Michele R Lilley 177 Middletown Rd, Ste1	$65.55	495	463
Frank Wiechers 177 Middletown Rd Ste 1	$64.76	495	478
Frederick Manalo Alcantara 2048 Vip Way	$32.78	518	485
James Namsupak 401 Guffey St	$32.36	553	491
Chad Ross Marsh 177 Middletown Rd	$59.36	593	545
James Holehouse 51 Southland Dr	$27.00	621	549
Richard Alan Simpson 1228 Country Club Rd	$35.11	625	592

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.

Average Medicaid Office Visit Payments in Fairmont, WV: $32.75

Providers Offering Office Visit in Fairmont, WV

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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