Average Medicaid Office Visit Payments in New Martinsville, WV: $57.89
Avg. Paid
$57.89
Range
$0.00 – $86.04
Total Claims
83,045
Providers
30
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 New Martinsville, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Phillip Kenneth Slampak
317 Witten Lane |
$42.95 | 12 | 12 |
|
Justin Cole Rice
100 Paducah Dr Ste B |
$22.55 | 14 | 14 |
|
Wetzel County Hospital Association
3 East Benjamin Drive |
$36.77 | 17 | 13 |
|
Donald Alan Blum
3 E Benjamin Dr Ste B |
$5.05 | 53 | 48 |
|
Zachary John-Steven Knowlton
901 N State Route 2 Ste 1 |
$69.48 | 64 | 52 |
|
Zaki M Elsarrag
3 E Benjamin Dr |
$50.26 | 116 | 107 |
|
Clarissa Dawn Kimball
3 E Benjamin Dr |
$0.09 | 116 | 98 |
|
Alison Scyoc
3 E Benjamin Dr |
$0.16 | 125 | 120 |
|
Joy Catherine Kim
3 E Benjamin Dr |
$0.03 | 154 | 146 |
|
Edward Lee Emch
261 Monroe Ave |
$39.75 | 345 | 289 |
|
Jennifer Davis
260 Monroe Ave |
$60.30 | 348 | 318 |
|
Stacia Huffman
1234 Wren Dr |
$0.39 | 468 | 438 |
|
Mid Valley Healthcare Inc
307 N Main St |
$85.95 | 603 | 552 |
|
Dakshina R Murthy
100 Paducah Dr |
$39.73 | 655 | 620 |
|
Patricia Louise Bowman
100 Paducah Dr |
$2.79 | 665 | 574 |
|
Wetzel County Hospital, Inc.
3 E Benjamin Dr |
$19.11 | 699 | 669 |
|
Amanda Diane Nichols
3 E Benjamin Dr |
$50.39 | 775 | 632 |
|
Wetzel County Hospital, Inc.
150 Paducah Dr |
$0.00 | 796 | 709 |
|
Katie J Inclan
700 Kevin Dr |
$72.32 | 1,217 | 1,104 |
|
James Edward Weed
3 E Benjamin Dr |
$4.64 | 1,243 | 1,130 |
|
Shawn K Core
3 E Benjamin Dr |
$57.88 | 1,257 | 1,122 |
|
Gary A Nichols
3 E Benjamin Dr |
$35.57 | 1,714 | 1,429 |
|
Wetzel County Hospital Association
3 E Benjamin Dr Ste B |
$24.72 | 2,158 | 1,739 |
|
Avinash S Deshpande
253 N State Route 2 |
$22.84 | 2,615 | 2,213 |
|
Wetzel County Hospital, Inc.
3 E Benjamin Dr |
$0.22 | 3,437 | 2,969 |
|
Ibanga Michael Ekanem
100 Paducah Dr |
$56.02 | 5,099 | 4,445 |
|
New Beginnings Recovery Clinic, Llc
144 Jefferson St |
$56.35 | 6,537 | 2,340 |
|
Jessica Maria Lewis
225 Russell Ave |
$86.04 | 8,329 | 4,991 |
|
Wetzel County Hospital, Inc.
3 E Benjamin Dr |
$67.80 | 10,750 | 9,820 |
|
Valeo Medical, Pllc
260 Russell Ave |
$66.98 | 32,664 | 28,970 |
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 New Martinsville, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Martinsville, WV is $57.89 per claim, based on 83,045 claims from 30 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 New Martinsville, WV?
There are 30 Medicaid providers offering Office Visit related services in New Martinsville, WV according to public payment data.
What is the price range for Office Visit in New Martinsville, WV?
Medicaid reimbursement for Office Visit in New Martinsville, WV ranges from $0.00 to $86.04 per claim, with an average of $57.89. 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 New Martinsville, WV
Blood Work & Lab Tests
Avg $19.28
64,887 claims
Emergency Room Visit
Avg $91.37
36,344 claims
Vaccines & Immunizations
Avg $11.83
14,839 claims
Personal Care Services
Avg $99.88
13,030 claims
Urinalysis & Urine Tests
Avg $16.44
11,380 claims
Ambulance Transport
Avg $154.11
9,803 claims
Podiatry (Foot Care)
Avg $4.34
9,461 claims
Nursing Facility Care
Avg $17.62
8,400 claims