Average Medicaid Office Visit Payments in Fayetteville, WV: $29.77
Avg. Paid
$29.77
Range
$0.00 – $76.55
Total Claims
32,658
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 Fayetteville, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Health Systems Inc.
5493 Maple Ln |
$15.65 | 10,850 | 9,555 |
|
Erika Leigh Beckett
5495 Maple Ln |
$19.79 | 4,641 | 4,049 |
|
Christopher Michael Hill
5447 Maple Ln |
$76.55 | 3,943 | 3,805 |
|
Martin M Mrozek
27 Parsons Lane |
$24.28 | 3,540 | 3,010 |
|
Karen L. Pettry-Hultman
Rr 3 Box 9 |
$37.82 | 3,314 | 2,682 |
|
Michael Louis Antolini
5493 Maple Ln |
$0.00 | 1,492 | 1,325 |
|
Andrew Hunter Petersen
211 W Maple Ave |
$71.99 | 1,491 | 1,429 |
|
Kimberly J. Nemati
221 W Maple Ave |
$0.00 | 1,083 | 690 |
|
Faith A Tyler
Rr 3 Box 9 |
$72.59 | 1,025 | 989 |
|
Jessica Swank
5493 Maple Ln |
$0.00 | 418 | 377 |
|
Madison Chase Mccreary
5493 Maple Ln |
$0.00 | 311 | 287 |
|
Carrie Murrell
5447 Maple Ln |
$67.65 | 229 | 216 |
|
New River Health Association, Inc.
515 W Maple Ave |
$0.00 | 179 | 161 |
|
Ryan D Newell
5493 Maple Ln |
$0.00 | 125 | 107 |
|
Margaret Anne Staggers
36 Barrington Hill Rd |
$8.36 | 17 | 12 |
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 Fayetteville, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fayetteville, WV is $29.77 per claim, based on 32,658 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 Fayetteville, WV?
There are 15 Medicaid providers offering Office Visit related services in Fayetteville, WV according to public payment data.
What is the price range for Office Visit in Fayetteville, WV?
Medicaid reimbursement for Office Visit in Fayetteville, WV ranges from $0.00 to $76.55 per claim, with an average of $29.77. 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 Fayetteville, WV
Physical Therapy
Avg $30.04
15,673 claims
Dental Cleaning & Exam
Avg $33.57
15,579 claims
Podiatry (Foot Care)
Avg $8.45
14,239 claims
Blood Work & Lab Tests
Avg $15.59
9,995 claims
Nursing Facility Care
Avg $10.13
6,660 claims
Dialysis
Avg $87.76
4,875 claims
Tooth Extraction
Avg $72.48
4,652 claims
Emergency Room Visit
Avg $139.41
4,383 claims