Average Medicaid Office Visit Payments in Wheeling, WV: $51.57
Avg. Paid
$51.57
Range
$0.00 – $153.33
Total Claims
471,387
Providers
208
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 Wheeling, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wheeling Hospital Inc
1 Medical Park |
$59.97 | 61,218 | 47,484 |
|
Wheeling Hospital Inc
1 Medical Park |
$33.27 | 45,489 | 37,626 |
|
Northwood Health Systems Inc
1819 Wood St |
$78.28 | 45,004 | 30,289 |
|
Victor A Wood
24 Homestead Ave |
$48.13 | 33,705 | 30,347 |
|
Lifeline Addiction Specialists, Pllc
237 Kruger St |
$60.94 | 17,445 | 9,440 |
|
Ryan John Wakim
1100 Main St Ste 104 |
$65.34 | 9,826 | 6,893 |
|
Maria R Moreno
2000 Eoff St |
$91.47 | 9,680 | 9,142 |
|
Samy F Sakla
2000 Eoff St |
$49.57 | 8,503 | 6,598 |
|
David Alexander Mosman
30 Medical Park |
$32.86 | 8,174 | 6,740 |
|
Sarah Beth Truex
2101 Chapline St |
$32.06 | 6,784 | 5,987 |
|
Park Valley Behavioral Health Care, Pllc
32 20Th St Ste 500 |
$66.87 | 6,725 | 5,508 |
|
Alecia Hathaway
2101 Chapline St |
$28.66 | 6,551 | 5,475 |
|
Alfredo A Aguirre
32 20Th St Ste 500 |
$59.31 | 6,442 | 5,098 |
|
Steven Lynn Corder
2121 Eoff St |
$20.34 | 6,413 | 4,523 |
|
Joseph H Goodwin
3500 Jacob St |
$25.20 | 5,973 | 3,568 |
|
Stephen Ray Timms
20 Medical Park |
$33.95 | 5,709 | 4,162 |
|
Ryan Rico
24 Homestead Ave |
$63.19 | 4,959 | 4,380 |
|
Laura Emily Morris
30 Medical Park |
$49.81 | 4,787 | 2,803 |
|
Jeremy Abraham Schreiber
12 Elm Ter |
$89.26 | 4,207 | 3,731 |
|
Rodney Franklin Sempirek
2121 Eoff St |
$18.65 | 4,184 | 3,564 |
|
Stacy Marie Brandt
1038 Market St |
$34.51 | 4,034 | 3,674 |
|
Jeremy J Tiu
176 Anthoni Ave |
$56.51 | 3,942 | 3,627 |
|
Timothy J Wilson
1132 National Rd |
$45.92 | 3,917 | 3,611 |
|
Martha Ulyssa Donahue
2121 Eoff St |
$23.00 | 3,828 | 3,076 |
|
Peter Z Bala
30 Medical Park |
$42.93 | 3,593 | 1,977 |
|
Monica A Smith
2121 Eoff St |
$19.65 | 3,467 | 2,835 |
|
Christopher Tiu
176 Anthoni Ave |
$51.69 | 3,449 | 3,185 |
|
Loren R Kaiser
30 Medical Park |
$34.78 | 3,432 | 2,766 |
|
Sara Howard
30 Medical Park |
$33.92 | 3,428 | 3,154 |
|
Gregory Ganzer
2101 Chapline St |
$29.85 | 3,407 | 3,033 |
|
Brian Philip Vaske
30 Medical Park |
$40.29 | 3,272 | 2,682 |
|
Wheeling Health Right, Inc.
61 29Th Street |
$66.98 | 3,233 | 2,914 |
|
Laura R Blosser
30 Medical Park |
$35.67 | 3,135 | 2,174 |
|
Ganzer - Hahn Dermatology Associates, Pllc
2101 Chapline St |
$59.21 | 3,093 | 2,920 |
|
Matthew W Morris
30 Medical Park |
$33.87 | 3,035 | 2,302 |
|
Debra Lynn Birch
1 Medical Park |
$93.43 | 2,972 | 1,279 |
|
Lauren Ashley Hill
58 16Th St |
$104.92 | 2,878 | 2,625 |
|
Chandra S Swamy
30 Medical Park |
$52.00 | 2,815 | 1,425 |
|
Derek M Miller
2101 Chapline St |
$29.64 | 2,747 | 2,383 |
|
Dr. Vic Wood Inc
24 Homestead Ave |
$69.46 | 2,744 | 2,439 |
|
Scott Brandon Ramos
2000 Eoff St |
$27.54 | 2,732 | 2,419 |
|
Ellen L Kitts
1305 National Rd |
$43.15 | 2,618 | 2,493 |
|
Tejal B Patel
40 Medical Park |
$50.49 | 2,565 | 2,466 |
|
Christina Marie Saggio
30 Medical Park Ste 221 |
$26.78 | 2,543 | 2,110 |
|
Leah Jeannette Jones
20 Medical Park |
$28.60 | 2,537 | 2,316 |
|
Attila Alan Lenkey
2101 Jacob St |
$30.34 | 2,395 | 2,028 |
|
Claire E Paxton
30 Medical Park |
$36.23 | 2,371 | 1,743 |
|
James Keith Burress
2000 Eoff St |
$34.14 | 2,256 | 2,047 |
|
Brittney Vargo
1 Medical Park |
$81.93 | 2,093 | 872 |
|
Timothy Henry Knierim
40 Medical Park |
$110.72 | 2,069 | 1,992 |
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 Wheeling, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wheeling, WV is $51.57 per claim, based on 471,387 claims from 208 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 Wheeling, WV?
There are 208 Medicaid providers offering Office Visit related services in Wheeling, WV according to public payment data.
What is the price range for Office Visit in Wheeling, WV?
Medicaid reimbursement for Office Visit in Wheeling, WV ranges from $0.00 to $153.33 per claim, with an average of $51.57. 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 Wheeling, WV
Blood Work & Lab Tests
Avg $21.61
404,602 claims
Personal Care Services
Avg $190.69
361,754 claims
Emergency Room Visit
Avg $121.67
300,977 claims
X-Ray
Avg $10.54
285,734 claims
Substance Abuse Treatment
Avg $104.80
253,274 claims
CT Scan (Computed Tomography)
Avg $67.30
113,973 claims
Durable Medical Equipment (DME)
Avg $40.01
113,360 claims
Behavioral & Mental Health Therapy
Avg $337.71
102,414 claims