Average Medicaid Office Visit Payments in Summersville, WV: $19.99
Avg. Paid
$19.99
Range
$0.00 – $85.42
Total Claims
170,499
Providers
62
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 Summersville, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark Tomsho
400 Fairview Heights Rd |
$1.43 | 41,254 | 33,035 |
|
Summersville Pediatrics Inc.
400 Fairview Heights Rd |
$15.85 | 36,758 | 29,989 |
|
West Virginia Health Care Cooperative Inc
400 Fairview Heights Rd |
$71.72 | 9,006 | 7,831 |
|
West Virginia Health Care Cooperative Inc
400 Fairview Heights Rd |
$3.51 | 8,412 | 7,675 |
|
Richard Stockton Trenbath
211 Merchants Walk |
$24.22 | 7,767 | 6,146 |
|
Cheryl L Johns
315 Fairview Heights Rd |
$5.45 | 6,559 | 4,424 |
|
Robert Charles Stanley
702 Professional Park Dr |
$76.51 | 4,160 | 3,911 |
|
Whitney Boggs
315 Fairview Heights Rd |
$0.00 | 3,865 | 2,286 |
|
Keith Richard De Young
415 Main St |
$11.16 | 3,574 | 2,769 |
|
Summersville Family Medicine Inc
211 Merchants Walk |
$25.65 | 3,184 | 1,526 |
|
West Virginia Health Care Cooperative Inc
400 Fairview Heights Rd |
$4.26 | 3,097 | 1,720 |
|
Paul Joseph Conley
400 Fairview Heights Rd |
$68.16 | 3,066 | 2,897 |
|
Crystal Y Clark-Crookshanks
131 Wellness Dr |
$0.00 | 3,003 | 2,012 |
|
Lois A Urick
1 Stevens Rd |
$62.32 | 2,722 | 1,171 |
|
Jill M Johnson
415 Main St |
$24.43 | 2,609 | 2,395 |
|
Summersville Regional Medical Center
400 Fairview Heights Rd |
$24.66 | 2,571 | 2,290 |
|
Sara Sanson
415 Main St |
$1.72 | 2,333 | 1,829 |
|
Miraflor G Khorshad
415 Main St |
$85.42 | 2,286 | 2,192 |
|
Carlotta Ray Evans
4089 Webster Rd Ste 4 |
$50.59 | 2,022 | 1,832 |
|
Delores A Lucky
818 Arbuckle Road |
$38.08 | 1,789 | 1,608 |
|
Michael E. Taylor
400 Fairview Heights Rd |
$0.00 | 1,618 | 1,486 |
|
Mark Lynwood Wantz
350 Fairview Heights Rd |
$38.27 | 1,518 | 1,326 |
|
Bandy B Mullins
400 Fairview Heights Rd |
$44.53 | 1,508 | 1,367 |
|
New River Health Association, Inc.
30 Grizzley Ln |
$15.38 | 1,398 | 1,206 |
|
Kathy Hamon
415 Main St |
$2.60 | 1,378 | 1,158 |
|
New River Health Association, Inc.
315 Fairview Heights Rd |
$4.03 | 1,347 | 1,095 |
|
Lisa A Coleman
400 Fairview Heights Rd Ste 102 |
$37.80 | 1,238 | 1,161 |
|
Bruce Kevin Greenberg
350 Fairview Heights Rd |
$43.20 | 1,005 | 855 |
|
Margaret Suzanne Wantz
350 Fairview Heights Rd |
$47.71 | 937 | 820 |
|
David F Meriwether
315 Fairview Heights Road |
$30.87 | 727 | 631 |
|
Purificacion Salgado
400 Fairview Heights Rd |
$0.00 | 655 | 563 |
|
Benjamin Lee Hensley
400 Fairview Heights Rd |
$47.31 | 566 | 534 |
|
Angela Richmond
830 Northside Dr Ste 107 |
$35.77 | 553 | 331 |
|
Beth Marie Hudspeth
415 Main St |
$0.00 | 494 | 441 |
|
John Stephen Shank
350 Fairview Heights Rd |
$52.55 | 470 | 422 |
|
Summersville Skin Care Center Inc
818 Arbuckle Rd |
$58.89 | 393 | 375 |
|
Callie Dawn Woods
400 Fairview Heights Rd |
$22.61 | 383 | 297 |
|
Rachel Richardson
131 Wellness Dr |
$0.00 | 382 | 309 |
|
Sunita Phasge Greenberg
350 Fairview Heights Rd |
$36.17 | 349 | 305 |
|
Amy Mann
702 Professional Park Dr Ste 104 |
$68.61 | 344 | 319 |
|
Lukasz A Rostocki
400 Fairview Heights Rd |
$43.48 | 328 | 233 |
|
Mountain State Urgent Care
4089 Webster Rd |
$45.81 | 263 | 190 |
|
Gwendolyn Huffman
131 Wellness Dr |
$1.96 | 247 | 173 |
|
Joy P Ford
5870 Webster Rd |
$20.30 | 245 | 181 |
|
Jennifer Dunn
1073 Arbuckle Rd |
$68.04 | 236 | 150 |
|
Ryan Gregory Griffith
400 Fairview Heights Rd |
$21.94 | 222 | 198 |
|
Anita R. Stewart
1 Stevens Rd |
$58.62 | 219 | 199 |
|
John Vayden Blake
315 Fairview Heights Rd |
$0.00 | 201 | 194 |
|
Brooke Janine Key
400 Fairview Heights Rd Ste 204 |
$18.32 | 184 | 173 |
|
Judy Marie Spencer
400 Fairview Heights Rd |
$0.00 | 183 | 174 |
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 Summersville, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Summersville, WV is $19.99 per claim, based on 170,499 claims from 62 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 Summersville, WV?
There are 62 Medicaid providers offering Office Visit related services in Summersville, WV according to public payment data.
What is the price range for Office Visit in Summersville, WV?
Medicaid reimbursement for Office Visit in Summersville, WV ranges from $0.00 to $85.42 per claim, with an average of $19.99. 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 Summersville, WV
Blood Work & Lab Tests
Avg $21.02
169,476 claims
Emergency Room Visit
Avg $120.02
80,749 claims
Vaccines & Immunizations
Avg $9.71
37,239 claims
X-Ray
Avg $25.75
33,562 claims
Urinalysis & Urine Tests
Avg $16.63
27,111 claims
EKG / ECG (Electrocardiogram)
Avg $30.31
20,618 claims
Durable Medical Equipment (DME)
Avg $42.20
18,353 claims
Physical Therapy
Avg $29.91
17,959 claims