Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Morgantown, WV: $57.74

Avg. Paid

$57.74

Range

$0.00 – $314.22

Total Claims

1,496,546

Providers

692

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 Morgantown, WV

Provider	Avg. Paid	Claims	Patients
West Virginia University Medical Corporation 1 Medical Center Drive	$67.95	682,892	565,949
West Virginia University Hospitals, Inc 1 Medical Center Drive	$22.46	187,259	156,622
Cardinal Pediatrics Pllc 1247 Suncrest Towne Centre	$67.09	55,213	47,940
Monongalia County General Hospital Company 2000 Mon Health Medical Park Dr Ste 2300	$56.30	54,686	42,325
Gr&W, Inc 1005 White Willow Way	$76.24	45,398	33,780
Elysia L Stonem 30 Mon Health Drive	$70.39	14,998	8,976
Psimed, Inc. 3040 University Ave	$75.06	12,583	11,141
Waterfront Urgent Care Pllc 215 Don Knotts Blvd	$63.47	11,953	10,166
Valley Comprehensive Community Mental Health Center, Inc. 301 Scott Ave	$72.37	11,305	8,782
Alyse Martino 9000 Coombs Farm Rd	$80.72	10,268	9,410
Amy B Norton 165 Scott Ave	$36.21	8,713	8,567
Russell Biundo 1160 Van Voorhis Rd	$76.25	6,589	6,289
Lap-Yang Joseph Li 1202 Suncrest Towne Centre	$59.14	6,480	5,535
Lucinda J Mccartney 699 Burroughs St	$52.55	6,437	3,720
James H Berry 930 Chestnut Ridge Rd	$60.27	5,953	3,489
John P Lubicky 1 Stadium Dr	$45.44	5,564	5,144
Daniel R. Grant 1 Medical Center Drive	$48.27	5,116	4,706
Lisa Anne Mcbride 9000 Coombs Farm Rd Ste 102	$61.12	4,953	4,472
Zachary Allen Zinn 1 Stadium Dr Ste 3	$40.97	4,927	4,704
Katelyn Gross 4000 Hampton Ctr	$74.61	4,826	3,762
Kevin J Blankenship 63 Wharf St	$66.89	4,505	2,498
Wanhong Zheng 930 Chestnut Ridge Rd	$55.47	4,370	3,239
David Samuel Tager 1 Medical Center Dr	$46.74	4,156	3,774
Reda E Shedeed 1200 J D Anderson Dr	$37.58	3,873	3,329
Evan A Jones 1 Stadium Drive	$51.26	3,789	3,518
Lauren R Ruehle 6000 Memorial Church Dr	$108.99	3,774	3,464
Nalini Devi Casey 511 Burroughs Street	$67.43	3,764	3,229
Geoffrey Bradford 1 Stadium Drive	$45.95	3,743	3,559
Ava Smith 2000 Mon Health Medical Park Dr Ste 2100	$36.75	3,723	2,840
Daniel Law 1 Medical Center Drive	$25.42	3,535	3,279
Amber Louise Bell 1000 Mon Health Medical Park Dr Ste 1201	$4.08	3,473	2,602
Monongalia Pediatric & Youth Associates, Inc. 1202 Suncrest Towne Centre	$66.48	3,382	2,906
Michael C Maroon 1 Medical Center Drive	$33.40	3,361	3,183
Kristine Nicole Brown 608 Cheat Rd	$52.94	3,163	2,970
Mitra Nazarinia 608 Cheat Rd	$41.01	3,114	2,767
John David Lynch 460 Mylan Park Lane	$50.52	3,095	2,420
Bryan W Danhires 1 Stadium Drive	$46.92	3,066	2,778
Christen Mcdaniel 6040 University Town Centre Dr	$43.78	3,040	2,507
Margaret E Jaynes 1 Stadium Drive	$58.59	3,031	2,916
Gary P Barcinas 111 Stanley St	$45.64	2,895	2,725
Melissa L Lambert 1247 Suncrest Town Centre Dr	$64.64	2,744	2,498
Megan Loy 1000 Mon Health Medical Park Dr Ste 1102	$79.34	2,733	1,733
Heather Mertz 1 Medical Center Dr	$26.28	2,647	2,108
Sanjay Ranjit Bharti 1526 Mileground Rd	$42.01	2,631	2,080
Patricia Jo Thomson Malone 9000 Coombs Farm Rd Ste 102	$65.64	2,606	2,385
Susan Renee Pippi 1 Medical Center Drive	$82.64	2,600	2,542
Amber Grim 10000 Coombs Farm Rd	$72.33	2,579	2,522
Brian Arthur Ely 1 Medical Center Dr	$51.55	2,541	2,401
Angela J Barclay 1247 Suncrest Towne Centre	$65.46	2,504	2,302
Brian Patrick Peppers 608 Cheat Rd	$34.14	2,457	2,267

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 Morgantown, WV?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Morgantown, WV is $57.74 per claim, based on 1,496,546 claims from 692 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 Morgantown, WV?

There are 692 Medicaid providers offering Office Visit related services in Morgantown, WV according to public payment data.

What is the price range for Office Visit in Morgantown, WV?

Medicaid reimbursement for Office Visit in Morgantown, WV ranges from $0.00 to $314.22 per claim, with an average of $57.74. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Morgantown, WV: $57.74

Providers Offering Office Visit in Morgantown, WV

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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