Average Medicaid Office Visit Payments in Boiling Springs, SC: $61.78
Avg. Paid
$61.78
Range
$8.72 – $186.35
Total Claims
43,176
Providers
22
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 Boiling Springs, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Morgan Smith Porter
106 Parris Bridge Rd Ste A |
$36.47 | 6,796 | 3,084 |
|
Brianna Parker Reamer
2746 Boiling Springs Rd |
$61.02 | 6,757 | 6,430 |
|
Gregory L Gibson
3941 Highway 9 |
$65.22 | 4,544 | 4,260 |
|
Katherine Mitchum Spinks
2400 Boiling Springs Rd |
$55.44 | 4,206 | 3,982 |
|
David Carson Moore
316 Village Creek Dr |
$65.73 | 3,570 | 3,311 |
|
Felisha Booker
1214 Turning Leaf Cir |
$55.97 | 3,273 | 2,877 |
|
Jarrell Dupree Nesmith
2400 Boiling Springs Rd |
$81.07 | 2,338 | 2,241 |
|
Brandon David Hecht
2400 Boiling Springs Rd |
$75.14 | 2,200 | 2,097 |
|
Prisma Health-Upstate
2400 Boiling Springs Rd |
$8.72 | 1,978 | 1,455 |
|
Gertrude Po Cotiaux
2400 Boiling Springs Rd Ste A |
$65.51 | 1,909 | 1,828 |
|
Blair Gault
1888 Boiling Springs Rd |
$186.35 | 1,863 | 1,530 |
|
Lisa Lenore Ruppert Carroll
3941 Highway 9 |
$39.82 | 1,037 | 1,013 |
|
Amber Nicole Stroupe
2400 Boiling Springs Rd |
$51.65 | 996 | 957 |
|
Jennifer G. Baugh
3941 Highway 9 |
$79.32 | 853 | 804 |
|
Phillip C Edmonds
431 Bellport Dr |
$70.29 | 356 | 288 |
|
Jennifer Ann Kollock
220 Castleton Cir |
$45.35 | 197 | 191 |
|
Rebecca Joy Brown
316 Village Creek Dr |
$77.47 | 137 | 127 |
|
Brice B. Dille
1520 Boiling Springs Rd |
$80.94 | 59 | 55 |
|
Emily Lane
1888 Boiling Springs Rd |
$58.31 | 46 | 44 |
|
Jennifer Nicole Gahan
1888 Boiling Springs Rd |
$38.74 | 29 | 28 |
|
John Stephen Mcphail
1520 Boiling Springs Rd |
$60.65 | 19 | 18 |
|
Heather Donaldson
1888 Boiling Springs Rd |
$54.06 | 13 | 12 |
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 Boiling Springs, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Boiling Springs, SC is $61.78 per claim, based on 43,176 claims from 22 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 Boiling Springs, SC?
There are 22 Medicaid providers offering Office Visit related services in Boiling Springs, SC according to public payment data.
What is the price range for Office Visit in Boiling Springs, SC?
Medicaid reimbursement for Office Visit in Boiling Springs, SC ranges from $8.72 to $186.35 per claim, with an average of $61.78. 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 Boiling Springs, SC
Blood Work & Lab Tests
Avg $12.83
17,383 claims
Eye Exam
Avg $37.91
12,583 claims
Durable Medical Equipment (DME)
Avg $24.35
11,271 claims
Dental Cleaning & Exam
Avg $34.36
6,494 claims
Physical Therapy
Avg $47.22
2,311 claims
Non-Emergency Medical Transportation
Avg $7.60
1,805 claims
Vaccines & Immunizations
Avg $16.68
1,735 claims
Speech Therapy
Avg $91.62
1,545 claims