West Virginia · G2076

Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in West Virginia

West Virginia Medicare Avg
$138.31
21% below national avg
National Medicare Avg
$174.62
All states combined
Billed Charge (WV)
$181.28
What providers submit
Est. Commercial (WV)
$383.68
National avg: $414.86
Est. Cash / Self-Pay (WV)
$183.69
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

52
Services in WV
7
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in West Virginia

Provider Medicare Services
Huntington Treatment Center, Llc $129.43 16
Beckley Treatment Center, Llc $140.63 14
Parkersburg Treatment Center, Llc $149.15 12

West Virginia Pricing in Context

In West Virginia, CPT code G2076 (Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A) carries an average Medicare payment of $138.31 — 21% below the national benchmark of $174.62. 7 providers across the state submitted claims for this procedure in 2023, performing 52 total services. Individual payments in WV ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in West Virginia is $181.28, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because West Virginia sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in West Virginia lands near $383.68, with self-pay cash prices typically around $183.69. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A cost in West Virginia?

The average Medicare payment for Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in West Virginia is $138.31, which is 21% below the national average of $174.62. Providers in WV typically bill $181.28 for this procedure.

What does Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A cost with insurance in West Virginia?

With commercial insurance in West Virginia, Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A costs an estimated $383.68. Without insurance, the estimated cash price is $183.69. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in West Virginia?

7 providers in West Virginia billed Medicare for Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in 2023, performing 52 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A cheaper in West Virginia than the national average?

Yes — Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A costs 21% below the national average in West Virginia. The state average Medicare payment is $138.31 compared to $174.62 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial