Average Medicaid Office Visit Payments in Montgomery, WV: $20.08
Avg. Paid
$20.08
Range
$0.70 – $57.73
Total Claims
40,176
Providers
17
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 Montgomery, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bradley Gilbert Marple
401 6Th Ave Ste 101 |
$0.70 | 15,321 | 10,571 |
|
Traci Boyd Acklin
401 6Th Ave |
$56.71 | 7,494 | 6,566 |
|
Montgomery General Hospital, Inc
401 6Th Ave |
$4.96 | 3,529 | 1,629 |
|
Ghassan Y Dagher
401 6Th Ave |
$42.22 | 2,676 | 2,425 |
|
M Anwar Yahya Abdeen
401 6Th Ave |
$39.90 | 2,290 | 926 |
|
Sammar Atassi
401 6Th Ave |
$40.30 | 2,158 | 2,021 |
|
Jonathan M White
401 6Th Ave |
$13.00 | 1,871 | 1,717 |
|
Montgomery General Hospital, Inc
401 6Th Ave |
$2.34 | 1,846 | 1,358 |
|
Erica Rennee Cervera
401 6Th Ave |
$4.09 | 1,314 | 1,148 |
|
Montgomery General Hospital, Inc
401 6Th Ave |
$0.78 | 825 | 742 |
|
Madeline Wilson Burns
401 6Th Ave |
$57.73 | 276 | 227 |
|
Ravin Bhirud
401 6Th Ave Ste 201 |
$48.67 | 131 | 125 |
|
Reagan Johnson
401 6Th Ave |
$1.08 | 117 | 109 |
|
Montgomery Medcorp, Inc.
401 6Th Ave |
$0.98 | 95 | 67 |
|
Kristina Renae Hawkins
401 6Th Ave |
$7.66 | 85 | 72 |
|
Robert Michael Eggleston
401 6Th Ave |
$6.02 | 77 | 74 |
|
Michelle Mccollam
401 6Th Ave |
$57.40 | 71 | 62 |
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 Montgomery, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Montgomery, WV is $20.08 per claim, based on 40,176 claims from 17 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 Montgomery, WV?
There are 17 Medicaid providers offering Office Visit related services in Montgomery, WV according to public payment data.
What is the price range for Office Visit in Montgomery, WV?
Medicaid reimbursement for Office Visit in Montgomery, WV ranges from $0.70 to $57.73 per claim, with an average of $20.08. 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 Montgomery, WV
Blood Work & Lab Tests
Avg $22.23
67,359 claims
Emergency Room Visit
Avg $120.29
15,745 claims
Vaccines & Immunizations
Avg $5.45
13,920 claims
Urinalysis & Urine Tests
Avg $17.34
8,110 claims
EKG / ECG (Electrocardiogram)
Avg $30.70
7,474 claims
X-Ray
Avg $37.17
6,111 claims
Hearing Test (Audiometry)
Avg $5.98
4,390 claims
Physical Therapy
Avg $44.54
3,073 claims