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 |
|---|---|---|---|
|
Adel E Frenn
2000 Eoff St |
$37.49 | 12 | 12 |
|
Noelle Nicole Brossman
620 National Rd Ste 300 |
$90.00 | 12 | 12 |
|
Abby Jo Busby
1 Medical Park |
$23.15 | 12 | 12 |
|
Walter Neal Taubenslag
20 Medical Park |
$44.54 | 12 | 12 |
|
Edward K. Chiu, Md, Inc
1021 Mt Dechantal Rd |
$40.87 | 13 | 12 |
|
Donald Lombino
2000 Eoff St |
$19.80 | 13 | 12 |
|
Serenity Hills Life Center
667 Stone Shannon Rd |
$46.75 | 14 | 14 |
|
Mark T Voellinger Md Inc
20 Medical Park Ste 203 |
$61.45 | 14 | 14 |
|
David Alan Bowman
40 Medical Park |
$33.88 | 14 | 14 |
|
Wheeling Foot Clinic
1061 Main St |
$41.87 | 14 | 12 |
|
Jatinder Singh
1 Medical Park |
$0.00 | 15 | 15 |
|
Raymond Dale Greaser
58 16Th St Ste 410 |
$0.00 | 16 | 15 |
|
Pamela Corder
7 E Cove Ave |
$28.82 | 17 | 13 |
|
Charles Alan Tracy
40 Medical Park |
$18.97 | 17 | 13 |
|
Jondavid Pollock
1 Medical Park |
$30.71 | 19 | 15 |
|
Terrence Orlofske
40 Medical Park |
$18.00 | 20 | 15 |
|
Cynthia Jane Mueller
58 16Th St |
$37.63 | 21 | 14 |
|
Victoria Joanna Criswell
146 N 19Th St |
$41.63 | 22 | 18 |
|
George Phillip Naum
31 Fieldcrest Ave |
$134.34 | 27 | 23 |
|
John Jason Wolen
21 Armory Dr |
$85.13 | 28 | 27 |
|
Shashi R Urval
58 16Th Street |
$31.10 | 28 | 26 |
|
Jason Scott Newton
58 16Th St |
$23.13 | 29 | 28 |
|
Whitney O'Brien
20 Copperhead Dr |
$47.96 | 30 | 29 |
|
Melissa May White
1819 Wood St |
$51.37 | 30 | 28 |
|
Carla Jo St. Myers
2101 Jacob St. |
$41.70 | 32 | 32 |
|
Tracy Bober
1 Medical Park |
$30.41 | 34 | 29 |
|
Carly Christine Mccardle
1 Medical Park |
$53.91 | 36 | 32 |
|
Laura May Miller
20 Medical Park |
$33.88 | 38 | 36 |
|
Michael E Wilson
1000 National Rd |
$23.76 | 41 | 40 |
|
Leigh Anne Massey
2108 Lumber Ave Ste 2 |
$63.94 | 44 | 42 |
|
Alexandra Kaitlin Tennant
21 Armory Dr |
$14.38 | 47 | 39 |
|
Sarah Nally
2343 Short Creek Rd |
$23.31 | 47 | 43 |
|
Rajai T Khoury
20 Medical Park |
$60.45 | 48 | 40 |
|
Tiffany Marie Dougherty
1 Medical Park |
$21.23 | 50 | 48 |
|
Vera Ann Barton-Maxwell
61 29Th St |
$59.11 | 53 | 50 |
|
Daniel Wayne Wilson
109 Mount Wood Rd |
$16.54 | 54 | 50 |
|
Jennifer Tanya Suders
58 16Th St Ste 500 |
$35.91 | 56 | 53 |
|
William S Przybysz
20 Medical Park |
$21.78 | 71 | 69 |
|
Abigail Maria Smith
10 Medical Park |
$31.51 | 74 | 62 |
|
Candace Ashley Isaacs
58 16Th Street |
$20.84 | 74 | 66 |
|
William Carl Mercer
58 16Th St |
$7.35 | 82 | 66 |
|
Lawrence W Witzberger
10 Medical Park |
$35.99 | 84 | 79 |
|
Charles Clark Milton
Wheeling Hospital Inc |
$19.27 | 90 | 78 |
|
Alecto Healthcare Services Wheeling Llc
2000 Eoff St |
$52.50 | 96 | 78 |
|
David A Ghaphery
601 National Road |
$48.80 | 96 | 86 |
|
Family Medicine Llc
2108 Lumber Ave |
$51.53 | 101 | 66 |
|
David Michael Nally
40 Medical Park |
$56.81 | 101 | 95 |
|
Rex D Lasure
40 Medical Park Ste 401 |
$21.38 | 108 | 82 |
|
Jamie Evick
2115 Chapline St |
$38.88 | 108 | 96 |
|
Thomas George Wack
616 Fairmont Pike Rt 88 |
$19.27 | 112 | 99 |
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