Average Medicaid Office Visit Payments in Romney, WV: $26.85
Avg. Paid
$26.85
Range
$0.00 – $59.68
Total Claims
92,823
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 Romney, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hampshire Memorial Hospital, Inc.
329 Sunrise Blvd |
$16.73 | 20,433 | 18,514 |
|
Trinity Family Health Care, Llc
55 N Bolton St |
$59.68 | 13,690 | 10,531 |
|
Abdur Chowdhury
329 Sunrise Blvd |
$59.37 | 11,017 | 8,441 |
|
Chad Taylor Hott
1 S Marsham St |
$30.31 | 7,488 | 5,770 |
|
Hahn Medical Practices, Inc
Rt 50 E |
$12.54 | 6,329 | 5,172 |
|
E. A. Hawse Health Center, Inc.
22347 Northwestern Pike |
$0.00 | 5,034 | 4,225 |
|
Lauren Mongold
22347 Northwestern Pike |
$18.67 | 4,486 | 3,733 |
|
Andrew Wilcox
329 Sunrise Blvd |
$0.02 | 4,085 | 3,761 |
|
Tiffany Lee Garner
22347 Northwestern Pike |
$13.14 | 3,311 | 2,737 |
|
Jerica Elaine Bobo
22347 Northwestern Pike |
$0.00 | 3,134 | 2,571 |
|
Jerry Mitchell Hahn
Rt 50 East |
$26.01 | 2,439 | 2,121 |
|
Hahn Medical Practices, Inc
22347 Northwestern Pike |
$48.29 | 2,371 | 2,042 |
|
Kari B Combs
22347 Northwestern Pike |
$0.00 | 2,349 | 1,892 |
|
Joseph O Yeater
Rt 50 |
$0.17 | 1,251 | 1,027 |
|
Patrick Allen Turnes
329 Sunrise Blvd |
$0.00 | 1,172 | 1,095 |
|
Gina Sizemore
Rt 50 East Sunrise Professional Building |
$27.82 | 1,008 | 823 |
|
Hampshire Memorial Hospital, Inc.
363 Sunrise Blvd |
$18.60 | 561 | 349 |
|
Darlys W Strite
329 Sunrise Blvd |
$0.00 | 496 | 423 |
|
Alec David James
363 Sunrise Blvd |
$0.00 | 473 | 418 |
|
Heather D Hahn
22347 Northwestern Pike |
$32.18 | 348 | 287 |
|
Karen Marie Kimmel
329 Sunrise Blvd |
$0.00 | 346 | 304 |
|
Jill Landis
22347 Northwestern Pike |
$18.30 | 287 | 248 |
|
Dama Vance
Rt 50 East Sunrise Professional Building |
$30.03 | 255 | 228 |
|
Elizabeth Ann Voit
22347 Northwestern Pike |
$0.00 | 253 | 220 |
|
Salah Philip Razzook
97 S Bolton St |
$24.24 | 207 | 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 Romney, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Romney, WV is $26.85 per claim, based on 92,823 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 Romney, WV?
There are 25 Medicaid providers offering Office Visit related services in Romney, WV according to public payment data.
What is the price range for Office Visit in Romney, WV?
Medicaid reimbursement for Office Visit in Romney, WV ranges from $0.00 to $59.68 per claim, with an average of $26.85. 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 Romney, WV
Blood Work & Lab Tests
Avg $26.68
50,690 claims
Emergency Room Visit
Avg $170.28
26,563 claims
Physical Therapy
Avg $27.82
22,573 claims
Non-Emergency Medical Transportation
Avg $10.25
22,020 claims
Substance Abuse Treatment
Avg $107.93
19,942 claims
Psychiatric Evaluation
Avg $57.34
11,723 claims
Case Management Services
Avg $121.08
9,668 claims
Urinalysis & Urine Tests
Avg $29.99
7,377 claims