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 |
|---|---|---|---|
|
Sarah Marie Moore
1 Medical Center Dr |
$59.53 | 12 | 12 |
|
John Charles Goellner
6040 University Town Centre Dr |
$28.96 | 12 | 12 |
|
Syeda Fatima Zehra Naqvi
101 Stadium Dr |
$21.40 | 12 | 12 |
|
William Hugh Burns
600 Suncrest Town Centre Dr Ste 310 |
$21.35 | 12 | 12 |
|
Matthew George
1 Medical Center Dr |
$60.90 | 12 | 12 |
|
David Rankin
1 Medical Center Dr |
$39.66 | 12 | 12 |
|
Dale Roger Pearce
Po Box 780 |
$31.47 | 12 | 12 |
|
Sanah Sadiq
1 Medical Center Dr |
$30.81 | 12 | 12 |
|
Pamela M. Zimmerman-Owen
1 Stadium Drive |
$33.39 | 12 | 12 |
|
Joy Jeannine Juskowich
1 Medical Center Dr |
$34.43 | 12 | 12 |
|
Amirahwaty Abdullah
1 Medical Center Dr |
$22.69 | 12 | 12 |
|
Matthew Blaney
1 Medical Center Dr |
$25.27 | 12 | 12 |
|
Maria M Kolar
1 Stadium Drive |
$40.69 | 12 | 12 |
|
Penny Culley
1 Medical Center Drive |
$39.94 | 12 | 12 |
|
Nadia N Khan
6040 University Town Centre Dr |
$72.82 | 12 | 12 |
|
Edward Rojas
1 Medical Center Dr |
$23.32 | 12 | 12 |
|
Treah Shea Haggerty
1 Medical Center Drive |
$23.40 | 12 | 12 |
|
Dorothy Van Oppen
930 Chestnut Ridge Rd |
$49.71 | 12 | 12 |
|
Jennifer L Veverka
1 Medical Center Dr |
$49.88 | 12 | 12 |
|
Courtney Nicole Brown
1 Medical Center Drive |
$19.58 | 12 | 12 |
|
Nishant Kumar Sharma
1 Medical Center Dr |
$9.76 | 12 | 12 |
|
Taylor Brooke Cunningham
1 Medical Center Dr |
$25.22 | 12 | 12 |
|
Brianna Ice
1 Medical Center Dr |
$21.26 | 12 | 12 |
|
Latoya N Linton-Frazier
2000 Mon Health Medical Park Dr |
$19.95 | 12 | 12 |
|
Kathryn S Moffett
1 Stadium Drive |
$86.64 | 13 | 12 |
|
Norman D Ferrari
1 Stadium Drive |
$21.44 | 13 | 12 |
|
Emily Elizabeth Bankhead
1075 Van Voorhis Rd Ste 150&200 |
$20.32 | 13 | 12 |
|
Richa Tripathi
1 Medical Center Dr |
$91.50 | 13 | 12 |
|
Mark Alan Poling
1 Medical Center Drive |
$31.12 | 13 | 12 |
|
Benjamin Frye
1 Medical Center Drive |
$17.43 | 13 | 12 |
|
Chad Joseph Micucci
200 Orthopedic Way |
$76.27 | 13 | 12 |
|
Mohamad Waseem Salkini
1 Medical Center Drive |
$61.50 | 13 | 13 |
|
Ashley Davis
1 Medical Center Dr |
$42.44 | 13 | 12 |
|
Swati Pawa
1 Medical Center Drive |
$184.70 | 13 | 13 |
|
Laura M Davisson
1 Stadium Drive |
$49.84 | 13 | 12 |
|
Gregory Joseph Purnell
200 Orthopedic Way |
$40.43 | 13 | 12 |
|
Matthew P Darmelio
200 Orthopedic Way |
$53.12 | 13 | 12 |
|
Hannah Silveira
201 Bakers Ridge Rd |
$21.47 | 13 | 13 |
|
Nicole Beth Bryan
1 Medical Center Dr |
$70.65 | 13 | 13 |
|
Charles Andrew Heiskell
600 Suncrest Towne Centre |
$107.89 | 13 | 12 |
|
John Taylor Barnard
1 Medical Center Dr |
$26.65 | 13 | 12 |
|
Anthony P Morise
1 Medical Center Dr |
$32.49 | 13 | 13 |
|
Valerie L Matyus
1 Medical Center Drive |
$51.27 | 13 | 13 |
|
Catherine Jane Kelly Brown
1 Medical Center Dr |
$21.24 | 13 | 13 |
|
Jennifer Morris
1000 Mon Health Medical Park Dr Ste 1102 |
$14.56 | 14 | 14 |
|
Bathmapriya Balakrishnan
1 Medical Center Dr |
$26.73 | 14 | 12 |
|
Presley Lauren Cunningham
1 Medical Center Dr |
$0.00 | 14 | 13 |
|
Erik S Buzzard
1160 Van Voorhis Rd |
$44.82 | 14 | 13 |
|
Elizabeth Marshall
1 Medical Center Dr |
$26.33 | 14 | 13 |
|
Matthew Spencer Epperly
6040 University Town Centre Dr |
$24.71 | 14 | 12 |
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.
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 Morgantown, WV
Blood Work & Lab Tests
Avg $20.32
849,320 claims
Home Health Visit
Avg $284.88
599,513 claims
Emergency Room Visit
Avg $113.42
545,130 claims
X-Ray
Avg $12.84
460,030 claims
EKG / ECG (Electrocardiogram)
Avg $11.35
321,934 claims
Substance Abuse Treatment
Avg $159.08
269,823 claims
Personal Care Services
Avg $421.16
250,769 claims
Vaccines & Immunizations
Avg $11.73
217,059 claims