Average Medicaid Office Visit Payments in Petersburg, WV: $36.04
Avg. Paid
$36.04
Range
$0.00 – $133.61
Total Claims
87,383
Providers
34
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 Petersburg, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Potomac Highlands Mental Health Guild, Inc.
6 Park St |
$41.49 | 20,821 | 15,490 |
|
E. A. Hawse Health Center, Inc.
111 S Grove St Ste 1 |
$7.52 | 13,995 | 11,924 |
|
John L Hahn
65 Hospital Dr |
$62.38 | 8,333 | 5,222 |
|
John L Hahn Md Inc
10 Valley St Ste 101 |
$66.50 | 6,972 | 4,191 |
|
Khaled Fathy Said
117 Hospital Dr |
$72.15 | 4,968 | 4,216 |
|
South Branch Hospitalist And Internal Medicine Group Pllc
65 Hospital Dr Ste 102 |
$55.03 | 3,849 | 2,812 |
|
Jessica Rene' Toney
117 Hospital Dr |
$0.00 | 3,530 | 2,956 |
|
Misty Corbin
111 S Grove St Ste 1 |
$0.00 | 2,821 | 2,340 |
|
Solomon Mapeto Mutetwa
111 S Grove St Ste 1 |
$24.25 | 2,695 | 1,923 |
|
Mark W Puffenberger
111 S Grove St Ste 1 |
$0.04 | 2,637 | 2,223 |
|
Loren N Cunningham
111 S Grove St Ste 1 |
$0.00 | 1,625 | 1,417 |
|
Benjamin Curtis Leslie
65 Hospital Dr |
$25.68 | 1,364 | 1,153 |
|
Grant Memorial Hospital Inc
117 Hospital Dr |
$3.58 | 1,334 | 690 |
|
Scott C Roberts
10 Mulligan Dr |
$47.81 | 1,327 | 997 |
|
Grant Memorial Hospital Inc
117 Hospital Dr |
$51.29 | 1,312 | 1,035 |
|
Heather Jane Barger
111 S Grove St Ste 1 |
$20.26 | 1,114 | 888 |
|
Bruce W Leslie
Grant Memorial Drive |
$21.77 | 1,028 | 892 |
|
Dewey F Bensenhaver
100 Hospital Dr Ste 1 |
$23.93 | 1,003 | 873 |
|
Caroline Armstrong
65 Hospital Dr |
$34.30 | 993 | 811 |
|
Stephen Craig Thompson
65 Hospital Dr Ste 102 |
$23.61 | 949 | 859 |
|
Eleanor K Berg
Route 28/55 Grant Memorial Drive |
$31.55 | 869 | 716 |
|
Hahn Enterprises Pllc
10 Valley View St |
$76.03 | 627 | 521 |
|
Theodore I Weitz
117 Hospital Dr |
$133.61 | 596 | 590 |
|
Becky J Calhoun Harman
100 Hospital Dr Ste 1 |
$31.63 | 579 | 483 |
|
Grant Memorial Hospital
117 Hospital Dr |
$70.07 | 488 | 299 |
|
East Mountain Health Physicians, Inc.
100 Hospital Dr Ste 1 |
$52.28 | 358 | 295 |
|
Grant Memorial Hospital
10 Mulligan Dr |
$52.93 | 267 | 231 |
|
Anil K Makani
65 Hospital Dr Ste 103 |
$34.44 | 250 | 175 |
|
Katelynn Stickley
111 S Grove St |
$0.00 | 245 | 234 |
|
Cheryl L Bennett Od Pllc
28 Virginia Ave |
$32.70 | 133 | 128 |
|
Grant Memorial Hospital
65 Hospital Dr |
$60.96 | 121 | 114 |
|
Cheryl L Bennett
28 Virginia Ave |
$25.87 | 104 | 102 |
|
Grant Memorial Hospital
100 Hospital Dr Ste 1 |
$28.60 | 42 | 30 |
|
Suenette Lynn Barr
1898 Welton Orchard Rd |
$19.95 | 34 | 26 |
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 Petersburg, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Petersburg, WV is $36.04 per claim, based on 87,383 claims from 34 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 Petersburg, WV?
There are 34 Medicaid providers offering Office Visit related services in Petersburg, WV according to public payment data.
What is the price range for Office Visit in Petersburg, WV?
Medicaid reimbursement for Office Visit in Petersburg, WV ranges from $0.00 to $133.61 per claim, with an average of $36.04. 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 Petersburg, WV
Personal Care Services
Avg $308.97
99,435 claims
Blood Work & Lab Tests
Avg $18.72
74,171 claims
Case Management Services
Avg $56.29
46,048 claims
Non-Emergency Medical Transportation
Avg $47.10
38,644 claims
Emergency Room Visit
Avg $189.42
34,356 claims
Substance Abuse Treatment
Avg $98.26
28,668 claims
Urinalysis & Urine Tests
Avg $17.18
22,829 claims
Home Health Visit
Avg $623.03
21,164 claims