Average Medicaid Office Visit Payments in Welch, WV: $28.52
Avg. Paid
$28.52
Range
$0.00 – $73.14
Total Claims
80,199
Providers
15
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 Welch, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Family Healthcare Associates, Inc
19771 Coal Heritage Rd Ste 102 |
$5.99 | 27,567 | 21,840 |
|
Rahmet Muzaffer
520 Virginia Ave |
$59.57 | 24,080 | 18,683 |
|
State Of West Virginia Welch Community Hospital
454 Mcdowell St |
$21.29 | 15,494 | 13,509 |
|
State Of West Virginia Welch Community Hospital
454 Mcdowell St |
$11.49 | 5,242 | 3,574 |
|
Appalachian Mountains Medical, Llc
454 Mcdowell St |
$44.00 | 3,243 | 2,703 |
|
Ruperto D Dumapit
922 Virginia Ave |
$43.54 | 3,057 | 2,849 |
|
Tug River Health Association, Inc
950 Mount View Rd |
$37.68 | 520 | 417 |
|
Julia Blevins
454 Mcdowell St |
$0.00 | 407 | 340 |
|
Anthony Dillon
959 Mount View High School Rd |
$1.31 | 253 | 222 |
|
Carol Suzanne Dennison
950 Mount View Rd |
$0.00 | 236 | 210 |
|
Looney Enterprises Llc
794 Virginia Ave. |
$73.14 | 29 | 28 |
|
Erica Lynn Damewood
454 Mcdowell St |
$4.55 | 23 | 12 |
|
Julieta B. Sison
454 Mcdowell St |
$0.00 | 20 | 20 |
|
Kelly Beth Belt
454 Mcdowell Street |
$0.00 | 15 | 15 |
|
Charlotte Buckner
454 Mcdowell St |
$3.37 | 13 | 12 |
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 Welch, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Welch, WV is $28.52 per claim, based on 80,199 claims from 15 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 Welch, WV?
There are 15 Medicaid providers offering Office Visit related services in Welch, WV according to public payment data.
What is the price range for Office Visit in Welch, WV?
Medicaid reimbursement for Office Visit in Welch, WV ranges from $0.00 to $73.14 per claim, with an average of $28.52. 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 Welch, WV
Blood Work & Lab Tests
Avg $9.46
65,045 claims
Emergency Room Visit
Avg $100.42
26,969 claims
Urinalysis & Urine Tests
Avg $5.59
19,885 claims
X-Ray
Avg $11.37
16,924 claims
Home Health Visit
Avg $210.46
11,382 claims
EKG / ECG (Electrocardiogram)
Avg $8.76
10,362 claims
Physical Therapy
Avg $23.99
9,021 claims
Vaccines & Immunizations
Avg $11.18
7,813 claims