Average Medicaid Office Visit Payments in Saint Albans, WV: $24.07
Avg. Paid
$24.07
Range
$0.00 – $97.88
Total Claims
70,847
Providers
20
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 Saint Albans, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Womencare Inc
12 Kanawha Ter |
$14.69 | 27,448 | 24,352 |
|
Kimberley Lis Barracco
12 Kanawha Ter |
$61.11 | 13,247 | 12,429 |
|
Zachary Holbert
2308 Curtis Ave |
$4.98 | 8,236 | 3,953 |
|
Lisa A. Kelly
12 Kanawha Ter |
$0.15 | 4,630 | 3,397 |
|
Ajay Patel
450 2Nd St |
$29.03 | 4,166 | 3,402 |
|
Jennifer Lynn Ranson
12 Kanawha Ter |
$0.35 | 3,549 | 2,647 |
|
Bernard Dean Grose
12 Kanawha Ter |
$0.67 | 1,943 | 1,396 |
|
Ajay T Patel Md Inc
450 2Nd St |
$70.41 | 1,416 | 1,192 |
|
I. Elaine Moore
311 8Th Ave |
$0.00 | 1,257 | 1,105 |
|
Erica R Frye
12 Kanawha Ter |
$0.00 | 920 | 671 |
|
Ten Up Ministries, Inc
2333 Maccorkle Ave Ste 201 |
$73.63 | 831 | 770 |
|
Wv Medical Services And Counseling
303 6Th Ave |
$58.19 | 728 | 502 |
|
Freedom Medical Care, Pllc
2308 Curtis Ave |
$97.88 | 689 | 455 |
|
Rita Ramesh Patel
12 Kanawha Ter |
$26.02 | 467 | 434 |
|
Sarah Ann Conn
303 6Th Ave |
$25.15 | 453 | 349 |
|
Francis Scott Hunter
12 Kanawha Ter |
$50.31 | 354 | 329 |
|
Steven Michael Potwin
215 5Th Ave |
$51.12 | 211 | 197 |
|
Tina Beatty
12 Kanawha Ter |
$0.00 | 182 | 174 |
|
John F. Wiles
5 Sheridan Dr |
$42.10 | 108 | 103 |
|
Michael Patrick Noto
209 4Th Ave |
$5.12 | 12 | 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 Saint Albans, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Saint Albans, WV is $24.07 per claim, based on 70,847 claims from 20 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 Saint Albans, WV?
There are 20 Medicaid providers offering Office Visit related services in Saint Albans, WV according to public payment data.
What is the price range for Office Visit in Saint Albans, WV?
Medicaid reimbursement for Office Visit in Saint Albans, WV ranges from $0.00 to $97.88 per claim, with an average of $24.07. 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 Saint Albans, WV
Substance Abuse Treatment
Avg $93.40
183,078 claims
Home Health Visit
Avg $328.39
79,368 claims
Non-Emergency Medical Transportation
Avg $9.70
70,729 claims
Blood Work & Lab Tests
Avg $23.16
32,744 claims
Vaccines & Immunizations
Avg $11.52
17,167 claims
Personal Care Services
Avg $237.81
13,771 claims
Physical Therapy
Avg $27.47
11,481 claims
Chiropractic Care
Avg $22.62
10,593 claims