Average Medicaid Office Visit Payments in Martinsburg, WV: $40.48
Avg. Paid
$40.48
Range
$0.00 – $229.68
Total Claims
523,147
Providers
197
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 Martinsburg, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shenandoah Valley Medical System, Inc.
99 Tavern Rd |
$21.48 | 108,364 | 90,433 |
|
University Healthcare Physicians, Inc.
2500 Foundation Way |
$70.92 | 70,683 | 60,932 |
|
Eastern Panhandle Mental Health (Rehab)
235 S Water St |
$26.02 | 21,543 | 17,483 |
|
Cherish M Crawford
99 Tavern Rd |
$0.10 | 17,144 | 9,163 |
|
Michael Li
99 Tavern Rd |
$0.53 | 16,639 | 8,694 |
|
Antonio Santiago Garcia Merino
307 Medical Ct |
$49.11 | 14,562 | 11,196 |
|
Apple Valley Family Medicine And Urgent Care
202 Foxcroft Ave |
$60.63 | 11,829 | 9,686 |
|
Jillian Lee Wilford
97 Administrative Dr |
$70.51 | 11,541 | 10,350 |
|
Benjamin Leslie Krepps
1741 Williamsport Pike |
$64.23 | 10,086 | 9,082 |
|
Krista Hopkins
99 Tavern Rd |
$2.13 | 9,987 | 4,480 |
|
Novus Healthcare, Inc.
307 Medical Ct |
$68.72 | 9,337 | 7,700 |
|
City Hospital, Inc
2500 Hospital Dr |
$10.25 | 7,893 | 7,206 |
|
Ngozi Nnennanya Ude-Oshiyoye
202 Foxcroft Ave |
$49.64 | 7,627 | 6,388 |
|
Amy Pelfrey
99 Tavern Rd |
$56.40 | 7,230 | 5,700 |
|
Michael Mohammad Rezaian
2010 Doctor Oates Dr |
$35.99 | 7,210 | 5,871 |
|
Laurie Ann Diehl-Lamp
99 Tavern Rd |
$0.38 | 6,435 | 2,041 |
|
Cameron Dewayne Duffy
37 Veronica Dr |
$57.94 | 5,330 | 2,476 |
|
Cheryl Lim Taitano
99 Tavern Rd |
$36.99 | 5,263 | 3,999 |
|
Bipin Shrestha
99 Tavern Rd |
$0.10 | 5,206 | 2,593 |
|
Jennifer Lynn Neuder
156 Health Care Ln |
$18.26 | 5,111 | 4,124 |
|
Brighter Horizons Health Center Llc
37 Veronica Dr |
$58.93 | 4,971 | 2,314 |
|
East Mountain Health Physicians, Inc.
120 Campus Drive |
$68.49 | 4,628 | 3,827 |
|
Eastern Panhandle Psychiatry, Inc
51 Street Of Dreams |
$71.89 | 4,478 | 3,204 |
|
Justina Egbichi Eke
1804 W King Street |
$66.76 | 3,800 | 3,094 |
|
East Mountain Health Physicians, Inc.
101 Marcley Dr |
$68.72 | 3,629 | 3,206 |
|
East Mountain Health Physicians, Inc.
1008 Tavern Rd Ste 301 |
$68.79 | 3,513 | 3,206 |
|
Lauren Rae Kricheff
99 Tavern Rd |
$0.02 | 3,437 | 1,794 |
|
Philomela Martirez Tabuena
1004 Tavern Rd |
$57.39 | 3,205 | 2,888 |
|
Gianluca Lamonaca
99 Tavern Rd |
$0.07 | 3,145 | 1,693 |
|
Steven Choi
510 Butler Ave |
$0.03 | 3,106 | 1,523 |
|
Barbara Ann Kadesky
51 Street Of Dreams |
$43.68 | 2,942 | 1,283 |
|
Caroline E Joe
315 Pendleton Dr |
$47.64 | 2,884 | 2,417 |
|
City Pediatrics
1804 W King St |
$62.29 | 2,879 | 2,310 |
|
Suresh K Menon
1000 Tavern Rd |
$49.95 | 2,804 | 2,499 |
|
Mehran Khajavi
1004 Sushruta Dr Ste C |
$41.15 | 2,774 | 2,566 |
|
Sohrab Shahab
2000 Foundation Way Ste 3200 |
$53.57 | 2,756 | 2,566 |
|
Kristy Divelbliss
99 Tavern Rd |
$0.03 | 2,740 | 1,501 |
|
Kolawale Adedeji Oshiyoye
2500 Hospital Dr |
$52.04 | 2,692 | 2,257 |
|
Karen Kay Miller
2010 Doctor Oates Dr Ste 102 |
$44.12 | 2,533 | 2,354 |
|
Sheila Paola Ramirez-Rodriguez
307 Medical Ct |
$33.98 | 2,508 | 2,350 |
|
Michelle Marie Cooper
99 Tavern Rd |
$82.55 | 2,465 | 2,014 |
|
Rural Outreach Arthritis Center
2010 Doctor Oates Dr |
$65.34 | 2,283 | 2,100 |
|
Theresa Joy Triggs
2500 Hospital Dr |
$53.75 | 2,229 | 2,149 |
|
Heather Anne Eckenrode
99 Tavern Rd |
$0.03 | 2,203 | 1,215 |
|
Mary Dunn
99 Tavern Rd |
$1.85 | 2,048 | 969 |
|
Martinsburg Pediatrics
128 Health Care Ln |
$56.82 | 2,043 | 1,807 |
|
Anna Elaine Kent
184 Lutz Ave |
$57.19 | 1,978 | 1,739 |
|
Rebecca Lee
2000 Professional Ct Ste C |
$77.34 | 1,973 | 1,874 |
|
Rafka Chaiban
2000 Professional Ct Ste C |
$52.82 | 1,966 | 1,850 |
|
Shahnoor Ali Khan
51 Street Of Dreams |
$33.29 | 1,944 | 1,428 |
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 Martinsburg, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Martinsburg, WV is $40.48 per claim, based on 523,147 claims from 197 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 Martinsburg, WV?
There are 197 Medicaid providers offering Office Visit related services in Martinsburg, WV according to public payment data.
What is the price range for Office Visit in Martinsburg, WV?
Medicaid reimbursement for Office Visit in Martinsburg, WV ranges from $0.00 to $229.68 per claim, with an average of $40.48. 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 Martinsburg, WV
Personal Care Services
Avg $208.80
318,358 claims
Blood Work & Lab Tests
Avg $16.27
300,533 claims
Substance Abuse Treatment
Avg $79.49
226,446 claims
Vaccines & Immunizations
Avg $11.95
135,738 claims
Emergency Room Visit
Avg $125.16
119,616 claims
Psychiatric Evaluation
Avg $44.11
113,145 claims
Urinalysis & Urine Tests
Avg $10.33
83,831 claims
Physical Therapy
Avg $30.27
77,138 claims