Average Medicaid Office Visit Payments in Aiken, SC: $69.54
Avg. Paid
$69.54
Range
$0.57 – $253.19
Total Claims
317,075
Providers
138
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 Aiken, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Burton Tiffany
215 Town Creek Rd |
$76.50 | 42,862 | 38,353 |
|
Jonathan C Collins
206 Centre South Blvd |
$67.52 | 24,732 | 21,835 |
|
James Francis Boehner
410 University Parkway |
$69.32 | 17,171 | 14,414 |
|
Paula Anne Luther
206 Centre South Blvd |
$65.74 | 16,244 | 14,793 |
|
Robert Daniel Boone
410 University Parkway |
$69.92 | 16,103 | 13,219 |
|
Oletha Rosina Minto
410 University Parkway |
$65.41 | 15,015 | 10,297 |
|
Henry W Tam
216 Edgefield Ave Nw |
$63.19 | 14,033 | 13,412 |
|
Gloria Rouhani
410 University Pkwy Ste 1550 |
$66.35 | 11,985 | 8,672 |
|
State Of South Carolina
222 Beaufort St, Ne |
$56.87 | 11,869 | 11,431 |
|
South Carolina Dept Of Mental Health Accounting Office
1135 Gregg Hwy |
$180.17 | 11,202 | 10,334 |
|
Mark A Roberts
415 Barnwell Ave Nw |
$66.29 | 9,996 | 7,867 |
|
Ray Bauer Vaughters
526 Richland Ave W |
$45.76 | 8,802 | 7,711 |
|
Curtis Jay Elam
1000 Clyburn Pl |
$143.32 | 5,324 | 4,550 |
|
Anthony Todd Arnott
1029 York St Ne |
$75.37 | 4,501 | 4,258 |
|
Jory Gibbons Croft
Aiken Specialty Services |
$127.49 | 4,353 | 3,986 |
|
Gary T Fischbach
6124 Woodside Executive Ct |
$134.26 | 4,175 | 4,063 |
|
Phillip T Suwan
410 University Pkwy Ste 2600 |
$23.72 | 3,938 | 3,738 |
|
Tannis Jeanette Bolton
131 Rinehart Way |
$35.19 | 3,757 | 3,502 |
|
Ayaz J. Chaudhary
48 Physician Dr |
$41.06 | 3,564 | 3,400 |
|
Evan Franklin Ekman
191 Centre South Blvd Ste 30 |
$59.23 | 3,555 | 3,297 |
|
Ahmad Nadeem Gill
111 Miracle Drive |
$41.14 | 3,396 | 3,013 |
|
Ray B. Vaughters
39 Varden Dr |
$42.74 | 3,384 | 2,859 |
|
Clark D Moore
191 Centre South Blvd |
$46.61 | 3,077 | 2,499 |
|
Douglas E Holford
410 University Pkwy |
$26.23 | 2,957 | 2,616 |
|
Jonathan Hal Anderson
770 Medical Park Dr |
$26.60 | 2,885 | 2,545 |
|
Lloyd B Daniels
80 Physician Dr |
$137.39 | 2,592 | 2,424 |
|
Frank Michael Vasovski
410 University Pkwy |
$75.81 | 2,525 | 2,321 |
|
Stephen John Enns
224 Greenville St Nw |
$68.65 | 2,502 | 2,364 |
|
Patrick George Mcmenamin
170 University Pkwy |
$59.66 | 2,424 | 2,247 |
|
Weems R Pennington
137 Miracle Dr |
$29.87 | 2,237 | 2,127 |
|
Gerald D Oliver
1055A Silver Bluff Rd |
$71.60 | 2,053 | 1,944 |
|
Anne Wishart Geddes
6167 Braided Mane Pass Sw |
$51.35 | 2,029 | 1,917 |
|
Jamie Jeanette Tuttle
1029 York St Ne |
$24.04 | 1,998 | 1,864 |
|
Kristi Oxley
410 University Pkwy Ste 1550 |
$34.23 | 1,824 | 1,599 |
|
Sheetal L Higbee
222 University Pkwy |
$47.21 | 1,804 | 1,718 |
|
Ansermo Lester Arthur
137 Miracle Dr |
$27.16 | 1,791 | 1,663 |
|
Lorenzo Keith Sampson
410 University Pkwy Ste 2310 |
$38.75 | 1,694 | 1,512 |
|
Matthew Bryan Hanna
6167 Braided Mane Pass Sw |
$50.01 | 1,610 | 1,529 |
|
Tiffani Yvonne Thomas
121 Aurora Pl Ste B |
$65.91 | 1,501 | 1,396 |
|
Victoria M. Stoeppler
1000 Clyburn Pl |
$137.44 | 1,484 | 1,423 |
|
Gregory Hubert Esselman
121 Aurora Place |
$48.40 | 1,476 | 1,382 |
|
Afsar M Waraich
103 Gregg Ave, Nw |
$34.67 | 1,380 | 1,324 |
|
Jose A. Cardenas
410 University Pkwy Ste 1520 |
$38.49 | 1,347 | 1,208 |
|
Ashley Jarratt Protzman
6167 Braided Mane Pass Sw |
$43.58 | 1,325 | 1,199 |
|
Misbba Khan
410 University Pkwy Ste 1520 |
$49.54 | 1,289 | 1,179 |
|
Aiken Regional Medical Centers Llc
302 University Parkway |
$33.62 | 1,263 | 1,082 |
|
Khaled F Kamel
410 University Pkwy Ste 1520 |
$34.94 | 1,212 | 1,165 |
|
Adam W Bruckner
420 Society Hill Dr |
$41.42 | 1,177 | 1,074 |
|
Christine Gordon
150 University Pkwy |
$57.21 | 1,159 | 1,027 |
|
David William Cundey
137 Miracle Dr |
$24.06 | 1,145 | 1,046 |
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 Aiken, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Aiken, SC is $69.54 per claim, based on 317,075 claims from 138 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 Aiken, SC?
There are 138 Medicaid providers offering Office Visit related services in Aiken, SC according to public payment data.
What is the price range for Office Visit in Aiken, SC?
Medicaid reimbursement for Office Visit in Aiken, SC ranges from $0.57 to $253.19 per claim, with an average of $69.54. 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 Aiken, SC
Blood Work & Lab Tests
Avg $38.71
260,672 claims
Urinalysis & Urine Tests
Avg $6.93
177,814 claims
Speech Therapy
Avg $48.97
176,207 claims
Emergency Room Visit
Avg $47.39
141,007 claims
Physical Therapy
Avg $62.72
119,058 claims
Home Health Visit
Avg $54.29
96,550 claims
Psychiatric Evaluation
Avg $151.21
92,274 claims
X-Ray
Avg $20.23
90,532 claims