Average Medicaid Office Visit Payments in Point Pleasant, WV: $48.78
Avg. Paid
$48.78
Range
$7.17 – $86.82
Total Claims
91,206
Providers
28
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 Point Pleasant, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hope For Tomorrow, Llc
3471 Ohio River Rd |
$59.57 | 48,147 | 20,957 |
|
Randall Fleming Hawkins
2520 Valley Drive |
$44.25 | 6,797 | 5,522 |
|
Tierra N Crockett
2801 Jackson Ave |
$7.17 | 6,618 | 4,901 |
|
Pleasant Valley Hospital, Inc.
2520 Valley Dr |
$34.55 | 4,357 | 3,757 |
|
Valley Health Systems Inc
2801 Jackson Ave |
$14.33 | 4,088 | 3,549 |
|
Brianne Willis
2605 Jackson Ave |
$42.20 | 3,587 | 2,461 |
|
John A Wade
2414 Jefferson Ave |
$50.68 | 3,392 | 3,019 |
|
Jessica Elaine Bailey
2520 Valley Dr |
$43.59 | 3,311 | 1,168 |
|
Theresa Sola Simon
2520 Valley Drive |
$72.12 | 2,020 | 1,665 |
|
Zachary O Bosley
2605 Jackson Ave |
$62.84 | 1,345 | 1,176 |
|
John Franklin Wiltz
2801 Jackson Ave |
$15.83 | 1,089 | 727 |
|
Jenna Barbour
2605 Jackson Ave |
$50.96 | 958 | 800 |
|
Melissa Jean Taylor
2520 Valley Dr |
$49.05 | 765 | 377 |
|
Fri Mofor-Eta
2416 Jefferson Ave |
$41.42 | 661 | 482 |
|
Brooke Briana Frost
2520 Valley Dr |
$47.33 | 616 | 372 |
|
Sarah B Mechelle Sprouse
2500 Jefferson Ave |
$54.57 | 601 | 333 |
|
Shrikant K Vaidya
2520 Valley Dr |
$34.28 | 508 | 430 |
|
Timothy A Damron
2520 Valley Drive |
$38.86 | 460 | 417 |
|
Charlotte Elisha Reed
2520 Valley Dr |
$52.74 | 433 | 376 |
|
New Lifeclinics Inc
3471 Ohio River Rd |
$55.18 | 418 | 165 |
|
John A. Wade, Jr. Md, Inc.
2414 Jefferson Ave |
$86.82 | 309 | 267 |
|
Nisar Ahmad Amin
2520 Valley Dr |
$40.24 | 298 | 191 |
|
Tasha Nichole Gaskins
2520 Valley Dr |
$22.26 | 203 | 144 |
|
Patricia Jane Hanes
2520 Valley Dr |
$43.90 | 151 | 144 |
|
Yuna Farah-Peterson
2520 Valley Dr |
$19.40 | 30 | 25 |
|
Colbe Ingels
2520 Valley Dr |
$46.24 | 16 | 14 |
|
Micaela Owens
2520 Valley Drive |
$21.79 | 15 | 14 |
|
Kirsten Alyssa Gibbs
2605 Jackson Ave |
$31.45 | 13 | 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 Point Pleasant, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Point Pleasant, WV is $48.78 per claim, based on 91,206 claims from 28 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 Point Pleasant, WV?
There are 28 Medicaid providers offering Office Visit related services in Point Pleasant, WV according to public payment data.
What is the price range for Office Visit in Point Pleasant, WV?
Medicaid reimbursement for Office Visit in Point Pleasant, WV ranges from $7.17 to $86.82 per claim, with an average of $48.78. 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 Point Pleasant, WV
Substance Abuse Treatment
Avg $178.00
119,358 claims
Blood Work & Lab Tests
Avg $37.04
64,044 claims
Durable Medical Equipment (DME)
Avg $26.84
22,195 claims
Emergency Room Visit
Avg $101.99
16,756 claims
Ambulance Transport
Avg $114.12
16,268 claims
Dental Cleaning & Exam
Avg $31.40
12,103 claims
Urinalysis & Urine Tests
Avg $9.86
11,787 claims
EKG / ECG (Electrocardiogram)
Avg $10.76
9,632 claims