Average Medicaid Office Visit Payments in Bluffton, SC: $61.39
Avg. Paid
$61.39
Range
$1.39 – $110.27
Total Claims
136,920
Providers
58
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 Bluffton, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gail Elizabeth Kane
3 Progressive St |
$44.16 | 13 | 13 |
|
Charles Joseph Nivens
3 Plantation Park Drive |
$9.00 | 13 | 12 |
|
Kathleen Brikmann Hefferon
75 Baylor Dr Ste 155 |
$1.39 | 13 | 12 |
|
Allison Kathryn Vigil
Beaufort Memorial Express Care & Occupational Health |
$51.22 | 15 | 12 |
|
Denise Santoli
48 Pennington Dr |
$59.01 | 27 | 18 |
|
Jason William Cotter
75 Baylor Dr |
$13.06 | 56 | 25 |
|
Rhonda L Wallace
11 Arley Way Ste 201 |
$92.12 | 57 | 52 |
|
Christopher M Opella
1 Burnt Church Rd |
$67.28 | 69 | 67 |
|
Lynn Marie Goetze
4818 Bluffton Pkwy |
$69.30 | 78 | 78 |
|
Amy Lynn Dougherty
110 Traders Cross Fl 1 |
$2.84 | 84 | 81 |
|
Misty Marie Penrod
3 Progressive St |
$110.27 | 88 | 85 |
|
Lynn Norton
75 Baylor Dr Ste 200 |
$58.60 | 109 | 108 |
|
Johnna Hicks Stevens
Beaufort Memorial Bluffton Primary Care |
$68.64 | 110 | 99 |
|
Dana Renee Garnand
75 Baylor Dr Ste 205 |
$37.68 | 136 | 128 |
|
Gabrielle Holloway
11 Arley Way Ste 201 |
$53.37 | 141 | 127 |
|
Jamie Renee' Slump
1006 Fording Island Rd |
$65.60 | 154 | 148 |
|
Christine Marie Scheemaker
64 Bluffton Rd |
$52.16 | 236 | 215 |
|
Maria Ernestina Jasinskas
God-Centered Psychiatric Care, Llc |
$30.37 | 310 | 279 |
|
Kathy Lyn Christman
100 Buckwalter Place Blvd Ste 120 |
$28.83 | 354 | 328 |
|
Carroll H Fowlkes
Beaufort Memorial Express Care & Occupational Health |
$52.71 | 393 | 377 |
|
Rachel Allyson Fox
64 Bluffton Rd |
$45.64 | 432 | 376 |
|
Nikki A Keisler
4818 Bluffton Pkwy |
$73.97 | 448 | 399 |
|
Elizabeth Anne Rose
64 Bluffton Rd |
$53.16 | 528 | 476 |
|
John C. Lystash
29 Plantation Park Dr |
$16.46 | 589 | 486 |
|
Anthony Williamson
75 Baylor Dr Ste 155 |
$85.64 | 713 | 684 |
|
Roger Wesley Ulrich
11 Arley Way |
$65.54 | 725 | 616 |
|
Nikki L Newman
1 Burnt Church Rd Ste A |
$44.99 | 843 | 784 |
|
Anemaria Lutas
10 Oak Forest Rd Ste C |
$34.71 | 1,040 | 994 |
|
Majd Chahin
100 Buckwalter Place Blvd Ste 130 |
$29.46 | 1,072 | 873 |
|
Kenisha Mcelveen
38 Sheridan Park Cir Ste F |
$33.21 | 1,173 | 1,082 |
|
Deana L Harmon
75 Baylor Dr Ste 200 |
$60.33 | 1,213 | 1,135 |
|
Ardra R Davis-Tolbert
75 Baylor Dr |
$55.84 | 1,221 | 1,092 |
|
Amy Mcnamara
167 Bluffton Rd Ste G |
$54.80 | 1,356 | 1,322 |
|
Soldrea L Roberts
7 Arley Way Ste 101 |
$68.47 | 1,419 | 1,215 |
|
Donna J Roberts
1 Burnt Church Rd |
$80.48 | 1,520 | 1,487 |
|
Carleton Argo Mentzer
64 Bluffton Rd |
$50.27 | 1,540 | 1,419 |
|
Mallorie Boswell Greenway
2700 May River Xing Ste 100 |
$41.71 | 1,559 | 1,338 |
|
Miranda Elizabeth Moss
1 Burnt Church Rd Ste A |
$52.34 | 1,585 | 1,458 |
|
Erica R. Downey
75 Baylor Dr Ste 200 |
$62.42 | 1,697 | 1,522 |
|
Robert Lynn Smith
4818 Bluffton Pkwy Ste 5 |
$62.99 | 1,854 | 1,745 |
|
Shawna Marie Thompson
75 Baylor Dr Ste 200 |
$41.40 | 1,914 | 1,467 |
|
Barbara L Sarb
38 Sheridan Park Cir Ste F |
$42.99 | 1,968 | 1,910 |
|
Tracy Ann Blusewicz
29 Plantation Park Dr Ste 401 |
$69.31 | 1,978 | 1,558 |
|
Meredith E Mitchell
75 Baylor Dr |
$59.37 | 2,176 | 1,930 |
|
Katherine Price Coley
29 Plantation Park Dr Ste 401 |
$69.06 | 2,610 | 1,958 |
|
Rosanne M Paul
350 Fording Island Rd Ste 100 |
$53.45 | 2,931 | 2,825 |
|
Halle M Welch
75 Baylor Dr Ste 200 |
$39.22 | 3,010 | 2,725 |
|
Jennifer Jacquelyn Green
25 Sherington Dr |
$51.11 | 3,233 | 2,736 |
|
Claude H Tolbert
75 Baylor Dr |
$60.87 | 3,335 | 2,966 |
|
Amanda Janke
169 Bluffton Rd Ste J |
$79.58 | 3,603 | 3,459 |
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 Bluffton, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bluffton, SC is $61.39 per claim, based on 136,920 claims from 58 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 Bluffton, SC?
There are 58 Medicaid providers offering Office Visit related services in Bluffton, SC according to public payment data.
What is the price range for Office Visit in Bluffton, SC?
Medicaid reimbursement for Office Visit in Bluffton, SC ranges from $1.39 to $110.27 per claim, with an average of $61.39. 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 Bluffton, SC
Physical Therapy
Avg $79.97
82,363 claims
Speech Therapy
Avg $76.72
75,631 claims
Vaccines & Immunizations
Avg $12.97
73,212 claims
Dental Cleaning & Exam
Avg $33.38
69,238 claims
Home Health Visit
Avg $52.91
50,688 claims
Personal Care Services
Avg $27.50
34,500 claims
Emergency Room Visit
Avg $61.30
22,540 claims
Eye Exam
Avg $36.93
21,728 claims