Average Medicaid Office Visit Payments in Madison, WV: $14.78
Avg. Paid
$14.78
Range
$0.00 – $106.41
Total Claims
123,267
Providers
41
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 Madison, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Boone Memorial Hospital, Inc
697 Madison Avenue |
$12.15 | 35,640 | 31,103 |
|
Boone Memorial Hospital, Inc
660A S Main St |
$7.57 | 17,866 | 16,147 |
|
Womencare, Inc
515 Main St |
$15.54 | 15,597 | 13,547 |
|
Ronny D Stollings
471 Main St |
$0.00 | 5,619 | 4,756 |
|
Boone Memorial Hospital, Inc
467 Main St Ste 3 |
$59.88 | 5,300 | 2,558 |
|
Sarah Jane Frazier
515 Main St |
$0.57 | 5,039 | 3,688 |
|
Savannah Denise Jarvis
701 Madison Ave |
$0.37 | 3,987 | 3,337 |
|
Lincoln County Primary Care Center Inc
471 Main St |
$2.87 | 3,701 | 3,124 |
|
Heather Kaye Robinson
467 Main St Ste 3 |
$31.09 | 3,123 | 1,143 |
|
Boone Memorial Hospital, Inc
701 Madison Ave |
$23.77 | 3,066 | 2,380 |
|
Samantha Jo Frazier
515 Main St |
$0.01 | 2,990 | 2,213 |
|
Daniel Wright
701 Madison Ave |
$54.68 | 2,532 | 2,306 |
|
Casey Shannon Hatfield
701 Madison Ave |
$0.43 | 2,258 | 1,844 |
|
Melanie Lea Harper-Allen
701 Madison Ave |
$4.33 | 1,999 | 1,712 |
|
Richard W Knapp
701 Madison Ave |
$19.05 | 1,627 | 1,182 |
|
John D. Cook
701 Madison Ave |
$106.41 | 1,550 | 1,469 |
|
Deborah L Townsley
515 Main St |
$0.03 | 1,379 | 1,225 |
|
Trena Kish
515 Main St |
$0.25 | 1,347 | 989 |
|
Boone Memorial Hospital, Inc
701 Madison Ave |
$58.93 | 1,315 | 1,163 |
|
Crystal Leigh Gillispie
701 Madison Ave |
$0.35 | 1,195 | 1,001 |
|
Andrew D Bryant
701 Madison Ave |
$0.14 | 836 | 772 |
|
Boone Memorial Hospital, Inc
467 Main St Ste 3 |
$52.25 | 784 | 354 |
|
James Kenton Walker
701 Madison Ave |
$0.93 | 671 | 631 |
|
Kevin Dale Hill
701 Madison Ave |
$0.14 | 514 | 487 |
|
Juliana Lea Rollo
701 Madison Ave |
$0.57 | 503 | 440 |
|
Lauren M Linville
515 Main St |
$5.64 | 463 | 360 |
|
Ronald D Chattin
515 Main St |
$7.13 | 374 | 366 |
|
Kerri Anne Spry-Lambert
701 Madison Ave |
$28.86 | 361 | 258 |
|
Alexandria Kayrenda Carter
701 Madison Ave |
$0.11 | 330 | 286 |
|
Blitz Elaine Turner
701 Madison Ave |
$0.00 | 251 | 202 |
|
Hill Chiropractic Center, Inc
467 Main St |
$44.74 | 248 | 237 |
|
Tarah Raeann Hager
701 Madison Ave |
$36.25 | 234 | 214 |
|
Ziad Amin Chanaa
701 Madison Ave |
$0.00 | 133 | 122 |
|
Richard A Mcneilly
701 Madison Ave |
$21.22 | 131 | 120 |
|
Brian Scott Mallory
467 Main St |
$39.04 | 65 | 61 |
|
Melissa Ann Price
701 Madison Ave |
$0.00 | 54 | 54 |
|
Kristina Stover
701 Madison Ave |
$60.08 | 52 | 51 |
|
Jerry A. Quisenberry
471 Main St |
$0.00 | 41 | 33 |
|
Jackson B Austin
701 Madison Ave |
$0.00 | 36 | 30 |
|
Nicholas Lee Smith
471 Main St |
$0.00 | 32 | 14 |
|
Kathy Jo Hill
701 Madison Avenue |
$13.28 | 24 | 15 |
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 Madison, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Madison, WV is $14.78 per claim, based on 123,267 claims from 41 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 Madison, WV?
There are 41 Medicaid providers offering Office Visit related services in Madison, WV according to public payment data.
What is the price range for Office Visit in Madison, WV?
Medicaid reimbursement for Office Visit in Madison, WV ranges from $0.00 to $106.41 per claim, with an average of $14.78. 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 Madison, WV
Blood Work & Lab Tests
Avg $29.02
139,486 claims
Emergency Room Visit
Avg $108.69
62,296 claims
Urinalysis & Urine Tests
Avg $24.22
24,490 claims
X-Ray
Avg $52.00
17,059 claims
Dental Cleaning & Exam
Avg $32.65
16,713 claims
EKG / ECG (Electrocardiogram)
Avg $39.66
13,589 claims
Physical Therapy
Avg $38.16
13,124 claims
CT Scan (Computed Tomography)
Avg $326.57
11,093 claims