Average Medicaid Office Visit Payments in Spencer, WV: $28.27
Avg. Paid
$28.27
Range
$0.00 – $595.49
Total Claims
109,226
Providers
26
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 Spencer, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roane County Family Health Care, Inc.
146 Williams Dr |
$13.09 | 27,349 | 22,997 |
|
Hospital Development Co
200 Hospital Dr |
$8.47 | 22,504 | 19,550 |
|
Hospital Development Co
200 Hospital Dr |
$16.88 | 16,725 | 14,913 |
|
Carroll D Christiansen
146 Williams Dr |
$0.00 | 12,098 | 10,896 |
|
Daniel B. Prudich
200 Hospital Dr |
$88.99 | 3,154 | 3,050 |
|
Virginia Elizabeth Hunter
200 Hospital Dr |
$595.49 | 2,821 | 2,381 |
|
Caitlyn Mcdonald
200 Hospital Dr |
$0.00 | 2,821 | 1,776 |
|
Richard Scott Criser
200 Hospital Dr |
$51.26 | 2,785 | 2,404 |
|
Brett K Radow
149 Main St |
$44.78 | 2,527 | 2,214 |
|
Grant Stephen Parkins
200 Hospital Dr |
$0.04 | 2,120 | 1,462 |
|
Kelley N Ross
200 Hospital Dr |
$0.00 | 2,096 | 1,473 |
|
Betty A Barr
303 Main St |
$0.83 | 2,013 | 1,671 |
|
Laura K Smith
146 Williams Dr |
$0.00 | 1,641 | 1,071 |
|
Sabir Hussain
200 Hospital Dr |
$17.80 | 1,538 | 1,203 |
|
Leann Thomas
200 Hospital Dr |
$0.00 | 1,460 | 997 |
|
David Loyd Adkins
200 Hospital Dr |
$0.42 | 1,257 | 798 |
|
Maria L Kessell
200 Hospital Dr |
$0.00 | 1,086 | 1,000 |
|
Carrie L Mckown
200 Hospital Dr |
$0.00 | 874 | 616 |
|
Scott P Duffy
200 Hospital Dr |
$0.00 | 867 | 559 |
|
David Lee Hopper
200 Hospital Dr |
$6.44 | 664 | 476 |
|
Melanie L Wilson
200 Hospital Dr |
$0.00 | 359 | 326 |
|
Hong-Kin Ng
200 Hospital Dr |
$0.00 | 150 | 84 |
|
Terra D Keen-Smith
200 Hospital Dr |
$0.00 | 139 | 125 |
|
George Jason Clevenger
146 Williams Dr |
$31.97 | 65 | 56 |
|
Mousa Ghassan Dajjani
200 Hospital Dr |
$0.00 | 60 | 55 |
|
Hospital Development Co
200 Hospital Dr |
$89.02 | 53 | 46 |
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 Spencer, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Spencer, WV is $28.27 per claim, based on 109,226 claims from 26 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 Spencer, WV?
There are 26 Medicaid providers offering Office Visit related services in Spencer, WV according to public payment data.
What is the price range for Office Visit in Spencer, WV?
Medicaid reimbursement for Office Visit in Spencer, WV ranges from $0.00 to $595.49 per claim, with an average of $28.27. 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 Spencer, WV
Blood Work & Lab Tests
Avg $29.42
67,705 claims
Emergency Room Visit
Avg $155.89
26,064 claims
Ambulance Transport
Avg $171.89
11,569 claims
EKG / ECG (Electrocardiogram)
Avg $32.70
10,039 claims
Urinalysis & Urine Tests
Avg $25.76
9,783 claims
Physical Therapy
Avg $49.57
8,750 claims
X-Ray
Avg $79.44
7,986 claims
Eye Exam
Avg $38.52
6,103 claims