Average Medicaid Office Visit Payments in Anderson, SC: $61.81
Avg. Paid
$61.81
Range
$4.25 – $171.78
Total Claims
750,373
Providers
307
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 Anderson, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anmed Health
800 N Fant St |
$51.40 | 134,307 | 122,544 |
|
South Carolina Dept Of Mental Health Accounting Office
1 Linwa Blvd |
$163.01 | 39,746 | 33,851 |
|
Thomas John Sunshine
2126 N Highway 81 |
$82.64 | 21,026 | 18,820 |
|
Asad A Syed
2000 E Greenville St |
$72.65 | 20,258 | 18,633 |
|
Jae I Sohn
500 N Fant St |
$70.16 | 16,010 | 15,043 |
|
Jay Sanjay Patel
108 Montgomery Dr |
$37.49 | 15,358 | 13,605 |
|
Elzbieta W Syed
2000 E Greenville St |
$74.88 | 15,298 | 14,276 |
|
Deandra L Clark
500 N Fant St |
$80.36 | 15,173 | 13,977 |
|
Ruchika Jain
500 N Fant St |
$70.79 | 14,244 | 13,040 |
|
Ernest Cleage Martin
309 W Beltline Blvd |
$44.57 | 11,961 | 10,005 |
|
State Of South Carolina
220 Mcgee Road |
$56.41 | 11,630 | 11,272 |
|
Lynda Dee Vedders
2000 E Greenville St |
$33.44 | 11,027 | 10,844 |
|
James Winbush
803 N Fant St |
$48.21 | 10,789 | 8,354 |
|
Eric P. Loudermilk
100 Health Way Suite 1260 |
$20.00 | 10,606 | 9,885 |
|
Luke Hollis O'Steen
2022 Cardinal Cir |
$43.20 | 9,775 | 9,284 |
|
Henry B Hearn
2000 E Greenville St |
$68.88 | 9,457 | 6,086 |
|
Pramod Reddy Ganta
2508 N Main St Ste G |
$21.57 | 8,778 | 3,578 |
|
Dale E Treash
705 N Fant St |
$80.22 | 8,670 | 7,772 |
|
Mary B Hobbs
705 N Fant St |
$78.74 | 8,323 | 7,800 |
|
Joseph Michael Stone
705 N Fant St |
$78.52 | 8,321 | 7,811 |
|
Nathan F Bradford
500 N Fant St Ste C |
$60.89 | 7,995 | 7,584 |
|
Joseph M Mcelwee
2000 E Greenville St |
$57.35 | 7,913 | 7,540 |
|
John Mark Baker
600 N Fant St |
$63.57 | 7,729 | 7,356 |
|
Sarah Marie Wheat
160 Perpetual Sq |
$66.19 | 7,688 | 6,907 |
|
Charles Frempong Wadee
1403 East Greenville Street |
$54.06 | 7,266 | 5,528 |
|
Jonathan David Parker
160 Perpetual Square Drive |
$61.00 | 7,158 | 6,251 |
|
Shannon Bledsoe
160 Perpetual Sq |
$63.01 | 7,038 | 6,238 |
|
Kent B Sizemore
500 N Fant St |
$64.86 | 6,106 | 5,694 |
|
Daniel Robert Hopkins
800 N Fant St |
$78.56 | 5,746 | 5,693 |
|
Andrew D Clark
160 Perpetual Sq |
$63.25 | 5,680 | 5,156 |
|
Megan Leigh Witrick
2000 E Greenville St Ste 3000 |
$69.58 | 5,596 | 5,029 |
|
Matthew Haynie Bradshaw
2000 E Greenville St |
$65.65 | 5,287 | 4,737 |
|
Barry H Maddox
2000 E Greenville St |
$65.05 | 5,245 | 4,776 |
|
Mark Johnson Quarterman
2022 Cardinal Cir |
$48.64 | 5,111 | 4,862 |
|
Jeffrey S Delo
2000 E Greenville St |
$45.96 | 4,930 | 3,594 |
|
Allison Gratzer Chandler
160 Perpetual Sq |
$63.51 | 4,918 | 4,502 |
|
Scott A Kellner
2000 E Greenville St |
$58.64 | 4,779 | 4,576 |
|
Christopher Bice Clemow
2000 E Greenville St Ste 3700 |
$57.96 | 4,697 | 4,508 |
|
Scott S Counts
2000 E Greenville St |
$60.21 | 4,554 | 4,405 |
|
Mandy L Mitchell
2000 E Greenville St |
$66.23 | 4,516 | 3,222 |
|
Natawadee P Young
2000 E Greenville St |
$58.44 | 4,236 | 4,050 |
|
Zoza Grace Spears
341 W Beltline Blvd |
$70.02 | 4,233 | 3,898 |
|
Jay B Nayak
2000 E Greenville St |
$47.03 | 4,182 | 3,422 |
|
Karen Weise
600 N Fant St |
$59.89 | 4,175 | 3,991 |
|
Mary Francis Finney
2000 E Greenville St Ste 2000 |
$69.35 | 4,115 | 3,832 |
|
Brian M Jakubowicz
100 Healthy Way Ste 1260 |
$24.49 | 3,919 | 3,693 |
|
Caroline H Sanders
2000 E Greenville St |
$57.68 | 3,791 | 3,533 |
|
Meagan Elizabeth Slattery
3322 N Main St |
$30.99 | 3,764 | 2,634 |
|
Joseph B Mulvihill
2000 E Greenville St |
$62.40 | 3,729 | 3,490 |
|
Thomas Justin Way
1655 E Greenville St |
$64.12 | 3,699 | 3,594 |
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 Anderson, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Anderson, SC is $61.81 per claim, based on 750,373 claims from 307 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 Anderson, SC?
There are 307 Medicaid providers offering Office Visit related services in Anderson, SC according to public payment data.
What is the price range for Office Visit in Anderson, SC?
Medicaid reimbursement for Office Visit in Anderson, SC ranges from $4.25 to $171.78 per claim, with an average of $61.81. 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 Anderson, SC
Blood Work & Lab Tests
Avg $25.90
621,609 claims
Home Health Visit
Avg $59.19
317,626 claims
Dental Cleaning & Exam
Avg $34.41
224,913 claims
Ambulance Transport
Avg $33.27
214,519 claims
Physical Therapy
Avg $36.17
205,138 claims
Speech Therapy
Avg $38.31
179,595 claims
Personal Care Services
Avg $20.02
178,522 claims
Psychiatric Evaluation
Avg $139.78
177,736 claims