Average Medicaid Office Visit Payments in Nitro, WV: $37.21
Avg. Paid
$37.21
Range
$19.17 – $86.10
Total Claims
16,554
Providers
20
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 Nitro, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roland W Meffert
803 8Th St |
$23.60 | 13 | 12 |
|
Karlie Perkins
4114 1St Ave |
$23.96 | 20 | 14 |
|
Lucas Goodwin
4111 1St Ave Ste 3 |
$21.36 | 39 | 36 |
|
Phillip Nichols
4111 1St Ave Ste 3 |
$19.17 | 52 | 46 |
|
Clydena Jean Broughton
4111 1St Ave Ste 3 |
$41.65 | 70 | 67 |
|
Amanda Marie Rist
4111 1St Ave Ste 3 |
$20.91 | 70 | 67 |
|
Anne Haley Phipps
6A Bank St |
$20.12 | 141 | 132 |
|
Victoria Morgan Bullman
4111 1St Ave Ste 2 |
$20.09 | 230 | 218 |
|
Crystal R. Holstein
4111 1St Ave Ste 3 |
$59.21 | 487 | 458 |
|
Tyler John Halstead
4111 1St Ave Ste 3 |
$19.80 | 690 | 655 |
|
Jennifer H Nunley
4111 1St Ave Ste 3 |
$37.52 | 748 | 694 |
|
Melisa Jane Snodgrass
6A Bank St |
$23.18 | 961 | 819 |
|
Katelyn D. Smithson
4111 1St Ave Ste 3 |
$21.31 | 1,289 | 1,231 |
|
Kala Leigh Puterbaugh
6A Bank St |
$28.00 | 1,334 | 1,209 |
|
Andrea Dawn Moses
6A Bank St |
$28.53 | 1,476 | 1,321 |
|
Joanna B. Stover
4111 1St Ave |
$29.94 | 1,516 | 1,425 |
|
Becky Ann Dempsey
4111 1St Ave |
$42.62 | 1,618 | 1,530 |
|
Betsy Dawn Legg
4114 1St Ave |
$86.10 | 1,648 | 1,143 |
|
Sarah Jayne Cobb
4111 1St Ave Ste 3 |
$43.16 | 1,896 | 1,827 |
|
Joseph Zachary Wiley
4111 1St Ave Ste 3 |
$28.20 | 2,256 | 2,118 |
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 Nitro, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nitro, WV is $37.21 per claim, based on 16,554 claims from 20 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 Nitro, WV?
There are 20 Medicaid providers offering Office Visit related services in Nitro, WV according to public payment data.
What is the price range for Office Visit in Nitro, WV?
Medicaid reimbursement for Office Visit in Nitro, WV ranges from $19.17 to $86.10 per claim, with an average of $37.21. 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 Nitro, WV
Durable Medical Equipment (DME)
Avg $41.27
59,980 claims
Physical Therapy
Avg $38.45
9,169 claims
Personal Care Services
Avg $1,276
9,045 claims
Chiropractic Care
Avg $20.04
7,354 claims
Case Management Services
Avg $122.72
5,303 claims
Non-Emergency Medical Transportation
Avg $67.00
3,906 claims
Speech Therapy
Avg $3.20
1,596 claims
Blood Work & Lab Tests
Avg $21.30
1,556 claims