Average Medicaid Office Visit Payments in Hamlin, WV: $18.42
Avg. Paid
$18.42
Range
$0.00 – $66.44
Total Claims
60,164
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 Hamlin, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jacqueline C. Ranson
7400 Lynn Ave |
$66.44 | 21 | 21 |
|
William Dean Rollyson
7400 Lynn Ave |
$0.00 | 75 | 72 |
|
Mara Wright Sutphin
7400 Lynn Ave |
$0.00 | 250 | 206 |
|
Kerri Greer Donahue
7400 Lynn Ave |
$10.56 | 262 | 245 |
|
Tammy L Bannister
7400 Lynn Ave |
$42.52 | 305 | 279 |
|
Alexis Marie Jones
7400 Lynn Ave |
$53.20 | 471 | 449 |
|
Michelle Justice
7400 Lynn Ave |
$0.00 | 826 | 666 |
|
Lisa Adkins
7400 Lynn Ave |
$0.00 | 1,032 | 916 |
|
Leanna Carlyn Profitt
7400 Lynn Ave |
$33.91 | 1,184 | 1,063 |
|
Lincoln County Primary Care Center, Inc
81 Lincoln Panther Way |
$22.37 | 1,460 | 1,243 |
|
Alyssa Michele Skeens
7400 Lynn Ave |
$42.27 | 2,242 | 1,083 |
|
Rebel Renea Christian
7400 Lynn Ave |
$0.00 | 2,715 | 2,117 |
|
Lucia I Soltis
7400 Lynn Ave |
$0.66 | 6,364 | 5,216 |
|
George L Mckay
7400 Lynn Ave |
$0.44 | 9,326 | 7,906 |
|
Lincoln County Primary Care Center, Inc.
7400 Lynn Ave |
$26.46 | 33,631 | 28,649 |
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 Hamlin, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hamlin, WV is $18.42 per claim, based on 60,164 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 Hamlin, WV?
There are 15 Medicaid providers offering Office Visit related services in Hamlin, WV according to public payment data.
What is the price range for Office Visit in Hamlin, WV?
Medicaid reimbursement for Office Visit in Hamlin, WV ranges from $0.00 to $66.44 per claim, with an average of $18.42. 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 Hamlin, WV
Home Health Visit
Avg $136.34
54,670 claims
Ambulance Transport
Avg $183.06
22,345 claims
Personal Care Services
Avg $294.88
16,395 claims
Psychiatric Evaluation
Avg $67.96
6,600 claims
Case Management Services
Avg $86.48
5,866 claims
Urinalysis & Urine Tests
Avg $22.77
3,606 claims
Blood Work & Lab Tests
Avg $33.07
2,876 claims
Vaccines & Immunizations
Avg $26.14
1,699 claims