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 |
|---|---|---|---|
|
Kimberly Groves
150 Courthouse Rd Ste 301B |
$25.90 | 13 | 13 |
|
Lyndsey Weatherly
Mercer Medical Group Pediatrics |
$41.06 | 13 | 13 |
|
Nicholas David Higinbotham
311 Courthouse Rd |
$43.95 | 13 | 12 |
|
Tina Sanders
106 Thorn St |
$0.00 | 18 | 14 |
|
Stephen Zachary Cox
508 New Hope Rd Ste 7 |
$71.60 | 27 | 26 |
|
Brooke Alexandria Kirk
150 Misty Lane (Princeton Family Medicine Pllc) |
$0.00 | 45 | 45 |
|
Erika Marie Lou Powell
324 Oakvale Rd Ste 12 |
$8.58 | 65 | 58 |
|
Todd E Duggan
112 12Th St |
$26.36 | 70 | 54 |
|
Leslie P. Chandel
200 12Th Street Ext |
$0.00 | 70 | 59 |
|
Staci Lyn Linkous
200 12Th Street Extension |
$0.00 | 85 | 31 |
|
Melissa Bogle
3997 Beckley Rd |
$16.79 | 85 | 72 |
|
Brandi Huffman
3997 Beckley Rd |
$0.00 | 90 | 85 |
|
Sherri Lynn Williams
12 Th Street |
$69.50 | 104 | 98 |
|
Izhar A Rana
100 Newhope Rd |
$35.53 | 109 | 100 |
|
Prime-Care 12, Inc
702 Stafford Dr |
$70.14 | 121 | 100 |
|
Christopher Darin Parrish
407 12Th Street Ext |
$38.93 | 122 | 98 |
|
Kimberly Dawn Kessler
296 New Hope Rd |
$17.06 | 129 | 129 |
|
Theodore P Werblin Md Pc
1051 Stafford Dr |
$45.13 | 131 | 108 |
|
Nancy Ann Lohuis
118 12Th Street |
$52.65 | 131 | 119 |
|
Tracy Mckenzie
3997 Beckley Rd |
$19.23 | 135 | 102 |
|
Heather Marie Cook
3997 Beckley Rd |
$0.50 | 141 | 138 |
|
Donna G Southers
324 Oakvale Rd Ste 12 |
$7.89 | 176 | 146 |
|
Gordon F Prescott
508 New Hope Rd Ste 7 |
$29.07 | 187 | 170 |
|
Christopher Grant Blankenship
365 Courthouse Rd |
$16.31 | 189 | 180 |
|
Misty Lee Meadows
200 12Th Street Ext |
$1.67 | 196 | 173 |
|
Erik Stapleton
311 Courthouse Rd |
$14.43 | 202 | 177 |
|
Shanna Michele Autrey
160 Undercliff Ter |
$0.38 | 202 | 185 |
|
Susan Fawn Blevins
3997 Beckley Rd |
$0.00 | 225 | 215 |
|
Amanda Nicole Neal
118 12Th Street Ext |
$48.11 | 249 | 206 |
|
Kayla Laws
904 Harrison St |
$0.00 | 249 | 228 |
|
Riaz Uddin Riaz
315 Courthouse Rd |
$30.31 | 256 | 236 |
|
April Anne Christ
118 12Th Street Ext |
$37.35 | 286 | 253 |
|
Tonya R. Jackson-Lockett
223 Gelding St |
$0.00 | 307 | 138 |
|
Beverly L Whitt
405 12Th Street Ext |
$23.55 | 316 | 254 |
|
Nick Higinbotham Do Pc
311 Courthouse Rd |
$61.69 | 326 | 285 |
|
Nicholas Samuel Muscari
324 Oakvale Rd Ste 12 |
$0.00 | 348 | 332 |
|
Naeem Pervaiz
608 New Hope Rd |
$20.09 | 379 | 340 |
|
Revonda Wills
365 Courthouse Rd |
$0.00 | 407 | 394 |
|
Abbas Yousef El-Khatib
296 New Hope Rd Ste 2 |
$22.79 | 442 | 412 |
|
Todd Andrew Smith
407 12Th Street Ext |
$36.86 | 453 | 380 |
|
Cuddalore P Vasudevan
508 New Hope Rd Ste 7 |
$36.56 | 514 | 452 |
|
Tara Mitchell
608 New Hope Rd Ste 7 |
$49.25 | 604 | 519 |
|
Alina Daniela Vrinceanu-Hamm
200 12Th Street Ext |
$17.64 | 609 | 337 |
|
Kristin R Youther
702 Stafford Dr |
$77.32 | 612 | 601 |
|
Misty Dillow
122 12Th Street Ext |
$64.91 | 715 | 692 |
|
William A Merva
508 New Hope Rd Ste 7 |
$34.45 | 751 | 664 |
|
Joseph M. Baisden
210 New Hope Rd |
$24.48 | 771 | 674 |
|
Marshall C Long
118 12Th Street Ext |
$40.21 | 811 | 711 |
|
Florencio Pascual Neri
702 Stafford Dr |
$58.42 | 956 | 812 |
|
Mark T Wilt
401 Rogers St |
$33.03 | 965 | 787 |
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