Average Medicaid Office Visit Payments in Sutton, WV: $15.14
Avg. Paid
$15.14
Range
$0.00 – $229.04
Total Claims
43,997
Providers
14
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 Sutton, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Care Of West Virginia, Inc.
100 Carter Braxton Dr |
$28.07 | 141 | 124 |
|
Amy R Leibli
266 Skidmore Ln |
$229.04 | 188 | 159 |
|
Community Care Of West Virginia, Inc.
200 Jerry Burton Dr |
$40.61 | 286 | 238 |
|
Stephanie Hope Jackson
266 Skidmore Ln |
$0.00 | 296 | 221 |
|
Christina B Gillenwater
273 Skidmore Ln |
$0.00 | 1,208 | 966 |
|
Brandi Carpenter
273 Skidmore Ln |
$0.00 | 1,428 | 1,023 |
|
Sarah Alice Curry
273 Skidmore Ln |
$0.03 | 1,578 | 1,168 |
|
Hometown Health Care Llc
404 Main St |
$63.17 | 1,731 | 1,412 |
|
Charity Delane Kniceley Woods
404 Main St |
$55.22 | 1,933 | 1,555 |
|
Andrea Jo Tanner
273 Skidmore Ln |
$0.05 | 2,758 | 2,245 |
|
Katherine Flint
266 Skidmore Ln |
$0.01 | 5,137 | 4,047 |
|
Stacy C Miller
266 Skidmore Ln |
$0.03 | 5,751 | 4,523 |
|
Community Care Of West Virginia, Inc.
266 Skidmore Ln |
$13.14 | 10,666 | 9,432 |
|
Community Care Of West Virginia, Inc.
235 Skidmore Ln |
$23.02 | 10,896 | 9,580 |
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 Sutton, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sutton, WV is $15.14 per claim, based on 43,997 claims from 14 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 Sutton, WV?
There are 14 Medicaid providers offering Office Visit related services in Sutton, WV according to public payment data.
What is the price range for Office Visit in Sutton, WV?
Medicaid reimbursement for Office Visit in Sutton, WV ranges from $0.00 to $229.04 per claim, with an average of $15.14. 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 Sutton, WV
Home Health Visit
Avg $318.22
20,254 claims
Personal Care Services
Avg $392.12
15,429 claims
Ambulance Transport
Avg $155.41
11,104 claims
Nursing Facility Care
Avg $13.63
3,759 claims
Blood Work & Lab Tests
Avg $14.44
3,212 claims
Non-Emergency Medical Transportation
Avg $50.04
2,260 claims
Speech Therapy
Avg $9.52
2,203 claims
Vaccines & Immunizations
Avg $12.30
1,606 claims