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 |
|---|---|---|---|
|
Kendra L Barker
1343 N. Preston Highway |
$66.77 | 12 | 12 |
|
John Alan Guilfoose
301 S Price St |
$32.61 | 26 | 24 |
|
Allison N Cihla
150 Memorial Dr |
$68.12 | 26 | 24 |
|
Crystal A Nestor
150 Memorial Dr |
$19.39 | 50 | 42 |
|
Donald Hoffman
300 S. Price St. |
$38.26 | 111 | 107 |
|
Courtni Lee Dewitt
150 Memorial Dr |
$19.28 | 120 | 108 |
|
Theresa S. Rutledge
300 S Price St |
$35.46 | 151 | 118 |
|
Jenniffer Ridgeway
17548 Veterans Memorial Hwy |
$25.59 | 179 | 158 |
|
Np Care, Llc.
112 E Court St |
$45.82 | 200 | 167 |
|
Julie Smith
150 Memorial Dr |
$20.16 | 248 | 228 |
|
Bethany Diane Mcnair
150 Memorial Dr |
$51.83 | 373 | 347 |
|
Debra D Miller-Fike
110 N Price St |
$20.59 | 496 | 470 |
|
Michael R Schwarzenberg
110 N Price St |
$38.43 | 541 | 475 |
|
Bonnie Jo Forman
150 Memorial Dr |
$22.91 | 587 | 530 |
|
Kayla Ashley Boylen
112 E Court St |
$29.17 | 629 | 546 |
|
Brooklyn Jo Ayersman
411 Morgantown St |
$58.05 | 783 | 645 |
|
Elizabeth Mazezka
110 N Price St |
$45.71 | 972 | 936 |
|
Courtney Layton
428 Morgantown St |
$24.50 | 1,441 | 1,309 |
|
Courtney Christine Swisher
17548 Veterans Memorial Hwy |
$35.10 | 1,723 | 1,435 |
|
Jason Edward Mcnair
150 Memorial Dr |
$40.30 | 2,506 | 2,245 |
|
Bernice A Schwarzenberg
110 N Price St |
$39.34 | 2,654 | 2,306 |
|
Lola J Burke
428 Morgantown St Ste 1 |
$67.92 | 2,725 | 1,926 |
|
Ram M Shetty
428 Morgantown Street |
$59.55 | 4,411 | 4,086 |
|
Jennifer A Pumphrey
150 Memorial Dr |
$29.74 | 4,729 | 3,817 |
|
Julia E Ramberg
428 Morgantown Street |
$47.10 | 5,385 | 4,946 |
|
Tracy Underwood
1343 N Preston Hwy |
$75.67 | 7,837 | 6,839 |
|
Preston Urgent Care Family Practice, Llc
411 Morgantown St |
$62.49 | 11,148 | 9,598 |
|
Preston Memorial Hospital Corporation
150 Memorial Dr |
$52.42 | 20,605 | 17,424 |
|
Preston Health Care Services Llc
1343 N Preston Hwy |
$61.56 | 21,893 | 17,238 |
|
Robin Louise Goodwin
1343 N Preston Hwy |
$57.02 | 21,909 | 17,218 |
|
Preston Memorial Hospital Corporation
150 Memorial Dr |
$16.25 | 29,811 | 23,904 |
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