Average Medicaid Office Visit Payments in Philippi, WV: $10.86
Avg. Paid
$10.86
Range
$0.00 – $78.91
Total Claims
52,873
Providers
21
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 Philippi, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eric R. Anger
1 Healthcare Dr |
$4.63 | 35 | 29 |
|
Barbour County Health Department
109 Wabash Ave |
$0.00 | 41 | 41 |
|
Barbour County Board Of Health Barbour County Health Department
109 Wabash Ave |
$32.72 | 93 | 76 |
|
Garrett L Butler
3 Healthcare Dr |
$19.32 | 133 | 127 |
|
Mark Bryan Farnsworth
Rr 4 Box 315 |
$34.75 | 192 | 181 |
|
Jessica Sias
3 Health Care Drive |
$0.59 | 344 | 319 |
|
Larry L Fitzwater
#1 Healthcare Drive |
$78.91 | 381 | 321 |
|
Lindsay Brooke Arbogast
3 Healthcare Dr |
$31.98 | 547 | 474 |
|
Tisha Nicole Marsh
116 Mcclellan Rd |
$15.59 | 665 | 506 |
|
Megan Dawn Weese
Abu Wellness Center |
$62.68 | 797 | 703 |
|
Shane Charles Ritchie
3 Healthcare Dr |
$18.83 | 860 | 766 |
|
Susan Marie Ketchem
116 Mcclellan Rd |
$0.00 | 1,300 | 1,125 |
|
Scott A Nesland
116 Mcclellan Rd |
$0.00 | 1,341 | 1,202 |
|
Tessa Ann Ricottilli
116 Mcclellan Rd |
$0.00 | 1,587 | 1,440 |
|
Pete Joseph Palko
116 Mcclellan Rd |
$0.01 | 1,748 | 1,600 |
|
Amanda Hile
3 Health Care Drive |
$0.00 | 1,835 | 1,659 |
|
Carol Marie Everson
116 Mcclellan Rd |
$0.00 | 2,449 | 2,226 |
|
Stephen L Harris
116 Mcclellan Rd |
$0.01 | 2,486 | 2,285 |
|
Cecil Todd Holbert
116 Mcclellan Rd |
$0.00 | 5,295 | 4,733 |
|
Broaddus Hospital Association, Inc.
#1 Healthcare Drive |
$11.66 | 5,591 | 4,559 |
|
Belington Community Medical Services Association
116 Mcclellan Rd |
$14.81 | 25,153 | 21,947 |
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 Philippi, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Philippi, WV is $10.86 per claim, based on 52,873 claims from 21 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 Philippi, WV?
There are 21 Medicaid providers offering Office Visit related services in Philippi, WV according to public payment data.
What is the price range for Office Visit in Philippi, WV?
Medicaid reimbursement for Office Visit in Philippi, WV ranges from $0.00 to $78.91 per claim, with an average of $10.86. 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 Philippi, WV
Blood Work & Lab Tests
Avg $34.71
44,246 claims
Emergency Room Visit
Avg $144.56
23,451 claims
Physical Therapy
Avg $49.47
10,388 claims
Urinalysis & Urine Tests
Avg $33.61
7,054 claims
Ambulance Transport
Avg $184.36
6,297 claims
EKG / ECG (Electrocardiogram)
Avg $44.24
4,300 claims
Vaccines & Immunizations
Avg $18.71
3,308 claims
X-Ray
Avg $62.17
3,261 claims