Average Medicaid Office Visit Payments in South Charleston, WV: $57.79
Avg. Paid
$57.79
Range
$0.00 – $130.86
Total Claims
745,810
Providers
159
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 South Charleston, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Urgent Care, Inc.- West Virginia
4812 Maccorkle Avenue Sw |
$67.44 | 392,482 | 365,602 |
|
Ths Physician Partners Inc
4605 Maccorkle Ave Sw |
$56.65 | 59,148 | 51,807 |
|
Ammar Shammaa
4803 Kentucky St |
$61.25 | 15,852 | 7,450 |
|
Herbert J. Thomas Memorial Hospital Association
4605 Maccorkle Ave Sw |
$18.67 | 15,248 | 14,124 |
|
Nasim Ahmad Sheikh
4502 Maccorkle Ave Sw |
$44.05 | 13,674 | 11,313 |
|
Woman Care Clinic Inc
4501 Maccorkle Ave Sw |
$62.02 | 13,481 | 7,877 |
|
Patel & Patel Md Inc
401 Division St Ste 306 |
$67.53 | 11,403 | 7,607 |
|
Kiran R Patel
401 Division St |
$57.75 | 9,257 | 5,972 |
|
Absolute Care Clinic Of South Charleston
428 Division St Ste 3B |
$61.70 | 8,818 | 3,250 |
|
Lincoln County Primary Care Center, Inc.
1563 Sand Plant Rd |
$11.19 | 8,676 | 7,485 |
|
Clark Edwin Childers
4607 Maccorkle Ave Sw |
$49.39 | 7,869 | 6,567 |
|
Kenneth Adkins
1563 Sand Plant Rd |
$0.20 | 7,860 | 6,419 |
|
Mohamad B. Haffar
117 7Th Ave |
$47.43 | 7,074 | 6,613 |
|
C. Edwin Childers, Jr., Md, Pllc
4607 Maccorkle Ave Sw |
$59.71 | 5,980 | 5,186 |
|
Damous Psychological Services Pllc
218 D St |
$83.34 | 4,960 | 4,182 |
|
Pulmonary Associates Of Char Llc
4619 Kanawha Ave., Sw |
$77.14 | 4,940 | 4,545 |
|
Melissa Rena Kijewski
1563 Sand Plant Rd |
$0.62 | 4,507 | 3,833 |
|
Cheri Lyn Call
218 D St |
$74.18 | 4,381 | 4,166 |
|
Jonathan Grant Casto
509 2Nd Ave |
$1.89 | 3,793 | 3,524 |
|
Steven Lee Jarvis
1563 Sand Plant Rd |
$0.01 | 3,667 | 2,975 |
|
West Virginia Dermatology And Skin Surgery Center
4202 Maccorkle Ave Sw Ste 200 |
$52.95 | 3,623 | 3,438 |
|
William Alexander Wade
4619 Kanawha Ave., Sw |
$44.03 | 3,615 | 3,457 |
|
Phillip Cox
4619 Kanawha Ave Sw |
$46.89 | 3,591 | 3,413 |
|
Melanie Anne Winnings
4607 Maccorkle Ave |
$46.24 | 3,564 | 3,315 |
|
Spring Hill Primary Care Physicians Pllc
707 Chestnut St |
$65.21 | 3,353 | 3,034 |
|
Alexander Ryan Epperly
4815 Kanawha Ave Sw |
$32.09 | 3,299 | 2,805 |
|
Bernard Joseph Luby
4607 Maccorkle Ave Sw Ste 206 |
$45.60 | 3,222 | 2,739 |
|
Muhib Shukri Tarakji
418 Greenway Ave |
$57.30 | 3,116 | 2,866 |
|
Julie Ann Detemple
509 2Nd Ave |
$50.37 | 3,112 | 2,832 |
|
Kevin L Eggleston
4619 Kanawha Ave., Sw |
$44.39 | 3,112 | 2,976 |
|
Gilbert Goliath
4607 Maccorkle Ave Sw Ste 400 |
$47.14 | 3,084 | 2,786 |
|
Robby L Keith
4619 Kanawha Avenue, Se |
$44.42 | 2,961 | 2,831 |
|
James D. Perry
4619 Kanawha Ave Sw |
$45.93 | 2,881 | 2,750 |
|
Narender Rao Jogenpally
401 Division St Ste 100 |
$28.03 | 2,733 | 2,575 |
|
Eric Crayton Jones
4607 Maccorkle Ave |
$42.32 | 2,696 | 2,535 |
|
Rohit Patel
129 7Th Ave |
$34.44 | 2,609 | 2,108 |
|
Tamejiro Takubo
4619 Kanawha Ave Sw |
$46.49 | 2,606 | 2,491 |
|
Charleston Gastroenterology Associates
401 Division St Ste 205 |
$57.05 | 2,540 | 2,270 |
|
Gilbert Goliath Md Pllc
4607 Maccorkle Ave Sw Suite 400 |
$55.28 | 2,499 | 2,178 |
|
Ashley Genee Casto
509 2Nd Ave |
$1.62 | 2,449 | 2,291 |
|
John Ponugupati
401 Division St |
$27.09 | 2,380 | 2,178 |
|
Christopher Cleveland Skaggs
707 Chestnut St |
$50.36 | 2,347 | 2,098 |
|
Phillip D Surface
4607 Maccorkle Ave Sw Ste 401 |
$31.22 | 2,303 | 1,983 |
|
Katrina Walker
506 Chestnut St |
$35.41 | 2,286 | 2,125 |
|
Julian Llado Espiritu
24 Maccorkle Ave Sw |
$86.78 | 2,278 | 1,907 |
|
Lisa Marie Mcclure
500 Poplar St |
$40.08 | 2,253 | 2,156 |
|
Family Health Associates Of The Kanawha Valley, Pllc
509 2Nd Ave |
$56.09 | 2,242 | 1,923 |
|
Jaime T Hayes
4605 Maccorkle Ave Sw |
$14.20 | 2,132 | 1,993 |
|
Greta Virginia Guyer
500 Poplar St |
$34.99 | 2,096 | 1,989 |
|
Paul Timothy Kuryla
400 Division St Ste 6 |
$46.30 | 2,082 | 1,906 |
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 South Charleston, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Charleston, WV is $57.79 per claim, based on 745,810 claims from 159 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 South Charleston, WV?
There are 159 Medicaid providers offering Office Visit related services in South Charleston, WV according to public payment data.
What is the price range for Office Visit in South Charleston, WV?
Medicaid reimbursement for Office Visit in South Charleston, WV ranges from $0.00 to $130.86 per claim, with an average of $57.79. 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 South Charleston, WV
Blood Work & Lab Tests
Avg $17.69
253,168 claims
Personal Care Services
Avg $366.81
143,455 claims
X-Ray
Avg $15.64
115,267 claims
Urinalysis & Urine Tests
Avg $10.20
108,673 claims
Emergency Room Visit
Avg $104.71
98,390 claims
Durable Medical Equipment (DME)
Avg $39.77
69,766 claims
Vaccines & Immunizations
Avg $12.72
64,090 claims
Ultrasound
Avg $54.22
53,512 claims