Average Medicaid Office Visit Payments in Mill Creek, WV: $8.98
Avg. Paid
$8.98
Range
$0.00 – $68.96
Total Claims
31,197
Providers
14
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 Mill Creek, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Valley Health Care, Inc
46 Town Center Plz Ste A |
$13.41 | 16,089 | 13,589 |
|
Debra Marie Auble
46 Town Center Plz Ste A |
$0.00 | 3,017 | 2,711 |
|
Scott F Shomo
46 Town Center Plz Ste A |
$0.00 | 2,970 | 2,660 |
|
Sara Brock
46 Town Center Plz Ste A |
$0.04 | 1,625 | 1,533 |
|
Donielle Suzanne Teter
Us Rt 219/250 |
$0.45 | 1,451 | 1,363 |
|
Stephanie L. Frame
Us Routes 219 250 |
$0.12 | 1,322 | 1,228 |
|
Jennifer Ann Lambert
46 Town Center Plz Ste A |
$0.02 | 1,256 | 1,135 |
|
K. Coty Lee Campbell
Us Rt 219 & 250 |
$0.00 | 1,119 | 1,039 |
|
Sierra Nicole Bennett
46 Town Center Plz Ste A |
$36.39 | 866 | 830 |
|
Jennifer E Beverage
46 Town Center Plz Ste A |
$3.11 | 849 | 780 |
|
Gary B Davenport
Us Routes 219 & 250 |
$68.96 | 402 | 363 |
|
Ashley E Varian-Mauzy
46 Town Center Plz Ste A |
$0.00 | 122 | 111 |
|
Bruce A. Gorby
Us Route 219 And 250 |
$22.35 | 68 | 40 |
|
Adam W. Casseday
Us Routes 219 250 |
$0.00 | 41 | 38 |
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 Mill Creek, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mill Creek, WV is $8.98 per claim, based on 31,197 claims from 14 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 Mill Creek, WV?
There are 14 Medicaid providers offering Office Visit related services in Mill Creek, WV according to public payment data.
What is the price range for Office Visit in Mill Creek, WV?
Medicaid reimbursement for Office Visit in Mill Creek, WV ranges from $0.00 to $68.96 per claim, with an average of $8.98. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Mill Creek, WV
Blood Work & Lab Tests
Avg $24.66
2,294 claims
Vaccines & Immunizations
Avg $9.75
1,292 claims
Psychiatric Evaluation
Avg $52.39
1,015 claims
Urinalysis & Urine Tests
Avg $20.14
444 claims
Case Management Services
Avg $186.85
327 claims
Hearing Test (Audiometry)
Avg $0.00
197 claims
Nursing Facility Care
Avg $14.87
128 claims
Substance Abuse Treatment
Avg $0.00
78 claims