Average Medicaid Office Visit Payments in Princeton, WV: $44.35
Avg. Paid
$44.35
Range
$0.00 – $98.01
Total Claims
619,780
Providers
136
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 Princeton, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southern Highlands Community Mental Health Center, Inc.
200 12Th Street Extension |
$58.56 | 91,179 | 65,225 |
|
Bluestone Health Association, Inc.
3997 Beckley Rd |
$7.68 | 43,007 | 37,028 |
|
Inas Hassan Al-Attar
34 New Hope Rd Ste 3 |
$52.93 | 37,804 | 30,436 |
|
Princeton Community Hospital Assn Inc.
118 12Th Street |
$69.72 | 28,278 | 24,228 |
|
Byron Smith
122 12Th St |
$80.23 | 25,993 | 23,452 |
|
Southern Highlands Community Mental Health Center, Inc.
200 12Th Street Ext |
$23.03 | 21,520 | 14,031 |
|
Foot And Ankle Clinic Of The Virginias Inc
401 Rogers St |
$59.58 | 18,293 | 15,559 |
|
William Claude Bird
3997 Beckley Rd |
$2.07 | 15,058 | 14,130 |
|
Jana Peters
365 Courthouse Road |
$9.78 | 14,375 | 11,731 |
|
Brandon M Lingenfelter Do Phd
411 12Th Street Ext |
$73.89 | 12,366 | 8,822 |
|
Anjum Rana
144 Undercliff Ter |
$75.31 | 12,322 | 9,982 |
|
Brandon M Lingenfelter
411 12Th Street Ext |
$60.98 | 12,093 | 9,007 |
|
Faith Family Health, Llc
617 Mercer St |
$55.84 | 12,090 | 6,950 |
|
Jana Michelle Peters
365 Courthouse Road |
$0.35 | 10,812 | 8,547 |
|
Vishnu A Patel
1155 Mercer St |
$34.26 | 10,655 | 9,834 |
|
Leigh Brooks
3997 Beckley Rd |
$0.26 | 10,169 | 6,798 |
|
Bluestone Health Association, Inc.
324 Oakvale Rd Ste 12 |
$11.33 | 10,137 | 9,197 |
|
Nasreen Dar
6 Quail Valley Medical Ctr |
$49.06 | 9,020 | 7,115 |
|
Shahid R Rana
608 New Hope Rd Ste 4 |
$40.56 | 8,646 | 8,157 |
|
Robert Wilson Edwards
218 Undercliff Ter |
$63.28 | 7,584 | 5,419 |
|
Richard A Shorter
904 Harrison St |
$41.59 | 7,494 | 6,245 |
|
Lively Pediatrics, Pllc
608 New Hope Rd Ste 7 |
$61.32 | 7,483 | 5,901 |
|
Marshal T Gwynn
401 Rogers St |
$32.57 | 6,606 | 5,677 |
|
Tahir I Rana
100 New Hope Road |
$66.57 | 6,354 | 5,904 |
|
Robert W Edwards Iii Md Inc
218 Undercliff Ter |
$74.72 | 6,301 | 4,222 |
|
Robert P. Kropac
311 Courthouse Rd |
$63.64 | 5,826 | 5,473 |
|
James P Morgan
277 Greasy Ridge Rd |
$91.83 | 5,620 | 5,436 |
|
Melody Ponce'
405 12Th Street Ext |
$28.16 | 4,892 | 4,793 |
|
Mary Sue Curry
617 Mercer St |
$23.15 | 4,868 | 2,498 |
|
Bluestone Health Association, Inc.
200 12Th Street Ext |
$22.32 | 4,746 | 4,447 |
|
New Beginnings Therapy Services, Llc
616 Harrison St |
$80.23 | 4,163 | 1,863 |
|
Douglas Stewart Dockery
401 Rogers St |
$30.67 | 4,099 | 3,480 |
|
Bluefield Gastroenterology Pllc
405 12Th Street Ext |
$51.47 | 4,082 | 3,801 |
|
Ryan T Runyon
904 Harrison St |
$38.09 | 3,969 | 3,377 |
|
Mark Anthony Weitzel
122 12Th St Ste A |
$42.76 | 3,881 | 3,479 |
|
Timothy John Donatelli
401 Rogers St |
$34.91 | 3,854 | 3,426 |
|
Philip J Branson
311 Courthouse Rd |
$40.83 | 3,695 | 3,311 |
|
Frederick B Morgan
311 Courthouse Road |
$43.34 | 3,567 | 3,175 |
|
Midtowne Family Practice Pllc
403 12Th Street Ext |
$57.22 | 3,432 | 2,779 |
|
Linda Sue Mooney
405 12Th Street Ext |
$25.61 | 3,394 | 3,263 |
|
Pamela P Faulkner
403 12Th Street Ext |
$44.38 | 3,222 | 2,793 |
|
Melissa Ann Shrewsbury
122 12Th St Ste A |
$33.67 | 3,159 | 2,882 |
|
James Louis Chianese
401 Rogers St |
$36.12 | 3,057 | 2,822 |
|
Jamie Yahya Blankenship
904 Harrison St |
$0.00 | 3,052 | 2,822 |
|
Phillip Allen Peterson
3997 Beckley Rd |
$40.96 | 2,857 | 2,701 |
|
Lori Tucker
904 Harrison St |
$49.22 | 2,827 | 2,152 |
|
Community Health Systems Inc.
904 Harrison St |
$0.65 | 2,713 | 2,237 |
|
Ghazala Qureshi Khokar
608 New Hope Rd Ste 3 |
$61.19 | 2,679 | 2,292 |
|
Ciriaco Ada Mendoza
122 12Th Street Ext |
$98.01 | 2,629 | 2,548 |
|
Jacqui Lynn Hill
143 Undercliff Ter |
$46.09 | 2,615 | 2,169 |
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 Princeton, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Princeton, WV is $44.35 per claim, based on 619,780 claims from 136 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 Princeton, WV?
There are 136 Medicaid providers offering Office Visit related services in Princeton, WV according to public payment data.
What is the price range for Office Visit in Princeton, WV?
Medicaid reimbursement for Office Visit in Princeton, WV ranges from $0.00 to $98.01 per claim, with an average of $44.35. 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 Princeton, WV
Blood Work & Lab Tests
Avg $9.28
351,079 claims
Substance Abuse Treatment
Avg $113.71
163,491 claims
Emergency Room Visit
Avg $122.81
156,749 claims
X-Ray
Avg $14.10
127,278 claims
Durable Medical Equipment (DME)
Avg $37.88
113,506 claims
Case Management Services
Avg $81.76
110,969 claims
Urinalysis & Urine Tests
Avg $8.42
100,738 claims
Ambulance Transport
Avg $133.71
76,805 claims