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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Kingwood, WV: $47.14

Avg. Paid

$47.14

Range

$16.25 – $75.67

Total Claims

144,281

Providers

31

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 Kingwood, WV

Provider Avg. Paid Claims Patients
Preston Memorial Hospital Corporation

150 Memorial Dr

 $16.25 29,811 23,904
Robin Louise Goodwin

1343 N Preston Hwy

 $57.02 21,909 17,218
Preston Health Care Services Llc

1343 N Preston Hwy

 $61.56 21,893 17,238
Preston Memorial Hospital Corporation

150 Memorial Dr

 $52.42 20,605 17,424
Preston Urgent Care Family Practice, Llc

411 Morgantown St

 $62.49 11,148 9,598
Tracy Underwood

1343 N Preston Hwy

 $75.67 7,837 6,839
Julia E Ramberg

428 Morgantown Street

 $47.10 5,385 4,946
Jennifer A Pumphrey

150 Memorial Dr

 $29.74 4,729 3,817
Ram M Shetty

428 Morgantown Street

 $59.55 4,411 4,086
Lola J Burke

428 Morgantown St Ste 1

 $67.92 2,725 1,926
Bernice A Schwarzenberg

110 N Price St

 $39.34 2,654 2,306
Jason Edward Mcnair

150 Memorial Dr

 $40.30 2,506 2,245
Courtney Christine Swisher

17548 Veterans Memorial Hwy

 $35.10 1,723 1,435
Courtney Layton

428 Morgantown St

 $24.50 1,441 1,309
Elizabeth Mazezka

110 N Price St

 $45.71 972 936
Brooklyn Jo Ayersman

411 Morgantown St

 $58.05 783 645
Kayla Ashley Boylen

112 E Court St

 $29.17 629 546
Bonnie Jo Forman

150 Memorial Dr

 $22.91 587 530
Michael R Schwarzenberg

110 N Price St

 $38.43 541 475
Debra D Miller-Fike

110 N Price St

 $20.59 496 470
Bethany Diane Mcnair

150 Memorial Dr

 $51.83 373 347
Julie Smith

150 Memorial Dr

 $20.16 248 228
Np Care, Llc.

112 E Court St

 $45.82 200 167
Jenniffer Ridgeway

17548 Veterans Memorial Hwy

 $25.59 179 158
Theresa S. Rutledge

300 S Price St

 $35.46 151 118
Courtni Lee Dewitt

150 Memorial Dr

 $19.28 120 108
Donald Hoffman

300 S. Price St.

 $38.26 111 107
Crystal A Nestor

150 Memorial Dr

 $19.39 50 42
Allison N Cihla

150 Memorial Dr

 $68.12 26 24
John Alan Guilfoose

301 S Price St

 $32.61 26 24
Kendra L Barker

1343 N. Preston Highway

 $66.77 12 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 Kingwood, WV?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kingwood, WV is $47.14 per claim, based on 144,281 claims from 31 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 Kingwood, WV?

There are 31 Medicaid providers offering Office Visit related services in Kingwood, WV according to public payment data.

What is the price range for Office Visit in Kingwood, WV?

Medicaid reimbursement for Office Visit in Kingwood, WV ranges from $16.25 to $75.67 per claim, with an average of $47.14. 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 Kingwood, WV

Blood Work & Lab Tests

Avg $48.86

71,316 claims

Emergency Room Visit

Avg $166.69

31,818 claims

Physical Therapy

Avg $56.12

22,047 claims

Urinalysis & Urine Tests

Avg $29.86

12,946 claims

Ambulance Transport

Avg $163.35

11,864 claims

X-Ray

Avg $68.51

8,872 claims

EKG / ECG (Electrocardiogram)

Avg $45.97

7,813 claims

Dental Cleaning & Exam

Avg $34.52

6,072 claims