Average Medicaid Office Visit Payments in Rainelle, WV: $12.12
Avg. Paid
$12.12
Range
$0.00 – $76.84
Total Claims
48,373
Providers
25
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 Rainelle, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rainelle Medical Center Inc
176 Medical Center Dr |
$8.97 | 23,118 | 19,235 |
|
Charles Robert Burdette
1515 Snowden Rd |
$47.83 | 3,602 | 3,287 |
|
Fonda Deeann Harrell
176 Medical Center Dr |
$0.01 | 3,008 | 2,628 |
|
Daonna Autumn Martin
176 Medical Center Dr |
$0.04 | 2,640 | 2,160 |
|
Tearsa R. Keatley
176 Medical Center Dr |
$0.00 | 1,860 | 1,562 |
|
Hannah Dawn Davis
658 Main St Ste A |
$0.19 | 1,636 | 1,391 |
|
Jaclyn Lea Adkins
645 Kanawha Ave |
$76.84 | 1,389 | 1,288 |
|
Sharif S Shammaa
176 Medical Center Dr |
$0.00 | 1,293 | 1,211 |
|
Kenneth Earl Gwinn
176 Medical Center Dr |
$0.00 | 1,196 | 986 |
|
Lisa Marie Kessler
645 Kanawha Ave |
$0.09 | 1,138 | 955 |
|
Robert Eugene Olexo
176 Medical Center Dr |
$0.00 | 1,015 | 893 |
|
James E. Lowe
1101 Main St |
$13.38 | 896 | 701 |
|
Ashley Marie Fritzius
176 Medical Center Dr |
$0.01 | 843 | 749 |
|
Heather L. Boyce
176 Medical Center Dr |
$0.00 | 757 | 524 |
|
Jerra Leigh Shuff
645 Kanawha Ave |
$0.00 | 746 | 680 |
|
David P Allen
1102 Main St |
$74.38 | 712 | 664 |
|
Christopher A. Martin
645 Kanawha Ave |
$0.00 | 597 | 530 |
|
Rhonda Witt
176 Medical Center Dr |
$68.38 | 498 | 487 |
|
Tonia Tawes
176 Medical Center Dr |
$0.01 | 418 | 360 |
|
Patricia E Lally
645 Kanawha Ave |
$0.00 | 380 | 343 |
|
Brittany Nicole Parker
176 Medical Center Dr |
$0.56 | 320 | 194 |
|
Pamela S Butcher
645 Kanawha Ave |
$0.00 | 132 | 112 |
|
James David Scott
176 Medical Center Dr |
$0.14 | 111 | 80 |
|
Hannah Nichols
176 Medical Center Dr |
$0.00 | 54 | 43 |
|
Rachel Shaina Miller
176 Medical Center Dr |
$0.00 | 14 | 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 Rainelle, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rainelle, WV is $12.12 per claim, based on 48,373 claims from 25 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 Rainelle, WV?
There are 25 Medicaid providers offering Office Visit related services in Rainelle, WV according to public payment data.
What is the price range for Office Visit in Rainelle, WV?
Medicaid reimbursement for Office Visit in Rainelle, WV ranges from $0.00 to $76.84 per claim, with an average of $12.12. 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 Rainelle, WV
Blood Work & Lab Tests
Avg $8.83
26,065 claims
Psychiatric Evaluation
Avg $12.88
21,416 claims
Case Management Services
Avg $33.93
8,409 claims
Dental Cleaning & Exam
Avg $34.58
4,909 claims
Eye Exam
Avg $47.11
4,383 claims
Vaccines & Immunizations
Avg $3.72
3,749 claims
Substance Abuse Treatment
Avg $651.50
2,183 claims
Tooth Extraction
Avg $80.90
1,755 claims