Average Medicaid Office Visit Payments in Saint Marys, WV: $58.97
Avg. Paid
$58.97
Range
$0.79 – $81.61
Total Claims
51,232
Providers
18
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 Marys, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mindfulness, Llc
210 2Nd St |
$74.12 | 12,396 | 9,235 |
|
Amanda N Voldness
1861 N Pleasants Hwy # 101 |
$60.80 | 11,916 | 8,631 |
|
Osric Armand Malone-Prioleau
210 2Nd St |
$81.61 | 7,485 | 4,985 |
|
Kendal Neill
1861 N Pleasants Hwy # 101 |
$68.35 | 3,285 | 2,702 |
|
Heather Straight
1861 N Pleasants Hwy # 101 |
$46.87 | 2,881 | 2,622 |
|
Allan Dip-Figueroa
1861 N Pleasants Hwy # 101 |
$33.08 | 2,532 | 2,328 |
|
William Rehl
1861 N Pleasants Hwy # 101 |
$13.24 | 2,509 | 2,227 |
|
Michael Mauzy
1861 N Pleasants Hwy # 101 |
$59.60 | 1,881 | 1,742 |
|
Sheila Weese
201 2Nd St |
$30.03 | 1,736 | 1,525 |
|
Lydia Sarver
1861 N Pleasants Hwy # 101 |
$50.36 | 1,697 | 1,130 |
|
Marietta Memorial Hospital Of Tyler County Inc
1861 N Pleasants Hwy # 101 |
$0.79 | 1,637 | 1,389 |
|
Teresita P Dejosef
111 Lafayette St |
$60.60 | 488 | 440 |
|
Ritchie County Primary Care Assoc., Inc.
2330 N Pleasants Hwy |
$25.63 | 302 | 261 |
|
City Of Sistersville
201 2Nd St |
$1.70 | 253 | 229 |
|
Paige Gribble
1861 N Pleasants Hwy # 101 |
$1.76 | 152 | 146 |
|
Lydia Richards
1861 N Pleasants Hwy # 101 |
$3.56 | 36 | 35 |
|
Larry Wayne Carr
214 Washington St |
$31.32 | 31 | 24 |
|
Kaitlyn Graham
210 2Nd St |
$27.57 | 15 | 13 |
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 Marys, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Saint Marys, WV is $58.97 per claim, based on 51,232 claims from 18 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 Marys, WV?
There are 18 Medicaid providers offering Office Visit related services in Saint Marys, WV according to public payment data.
What is the price range for Office Visit in Saint Marys, WV?
Medicaid reimbursement for Office Visit in Saint Marys, WV ranges from $0.79 to $81.61 per claim, with an average of $58.97. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Saint Marys, WV
Blood Work & Lab Tests
Avg $8.17
7,188 claims
Durable Medical Equipment (DME)
Avg $44.20
4,036 claims
Ambulance Transport
Avg $105.15
1,848 claims
Eye Exam
Avg $54.72
923 claims
Case Management Services
Avg $16.47
844 claims
Vaccines & Immunizations
Avg $8.31
553 claims
Urinalysis & Urine Tests
Avg $6.72
129 claims
Behavioral & Mental Health Therapy
Avg $47.55
120 claims