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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Charleston, SC: $64.67

Avg. Paid

$64.67

Range

$0.00 – $482.26

Total Claims

2,228,092

Providers

1,159

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 Charleston, SC

Provider Avg. Paid Claims Patients
Joseph Daniel Thomas

171 Ashley Ave

$47.10 12 12
Dena Patel Rhinehart

169 Ashley Ave

$49.65 12 12
Megan Lynne Walters

171 Ashley Ave

$10.84 12 12
Kara Cole

171 Ashley Ave

$22.40 12 12
Dennis Ryan Delany

171 Ashley Ave

$43.89 12 12
Robert Frederick Labadie

171 Ashley Ave

$23.00 12 12
Ruth Mary Weber

171 Ashley Ave

$43.06 12 12
William Purvis Lancaster

169 Ashley Ave

$26.12 12 12
Shawna Jan Mccafferty

169 Ashley Ave Rm 202

$43.66 12 12
Stephanie Michelle Greene

171 Ashley Ave

$37.07 12 12
Erin Hayes

171 Ashley Ave

$85.54 12 12
Hamza Hashmi

171 Ashley Ave

$56.53 12 12
Brian Samuel Dantzler

46 Markfield Dr

$36.24 12 12
Ming Yeong Lim

171 Ashley Ave

$44.12 12 12
Kaitlyn Maureen Boggs

169 Ashley Ave Rm 202

$42.05 12 12
Kathy Bolus

650 Ellis Oak Dr

$54.03 12 12
Monther Saud Amer Altiti

96 Jonathan Lucas St

$75.39 12 12
Adam Fox

171 Ashley Ave

$27.08 12 12
Ralitza Hristova Peneva

171 Ashley Ave

$36.16 12 12
Jared Nix

171 Ashley Ave

$16.68 12 12
Leah Goodwin Hopkins

171 Ashley Ave

$51.36 12 12
Stephen Daniel Ballis

169 Ashley Avenue

$39.38 12 12
Nastassia Bryant

171 Ashley Ave

$55.53 12 12
Eric Joseph Lentsch

9228 Medical Plaza Drive

$35.08 12 12
Kristen Capito

169 Ashley Ave

$76.91 12 12
Puja Sukhwani Elias

25 Courtenay Dr

$47.66 12 12
Medical University Hospital Authority

171 Ashley Ave

$111.49 12 12
James Ball

12-A Farmfield Ave

$46.43 12 12
Andrew Steven Eiseman

171 Ashley Ave

$28.47 12 12
Alicia Marie Zukas

171 Ashley Ave

$46.96 12 12
Kristen P Nawabi

171 Ashley Ave

$39.30 12 12
Kristian O. Hochberg

1327 Ashley River Rd

$8.78 12 12
Joseph M Jenrette

171 Ashley Ave

$21.53 13 13
Darius Lucian Lazarus

96 Jonathan Lucas Street Musc - Csb 822 / Msc 629

$4.61 13 12
Victoria Keiser

171 Ashley Ave

$67.90 13 13
Adero Zari Faye Francis

1483 Tobias Gadson Blvd Ste 1

$65.70 13 13
Ernest B Clyburn

171 Ashley Ave

$37.53 13 13
Whitney Putillion

1033 Saint Andrews Blvd Ste 600

$32.50 13 13
Josef Karl Eichinger

171 Ashley Ave

$38.20 13 13
James Gardner

171 Ashley Ave

$104.77 13 13
Eiad Sabia

316 Calhoun St

$22.88 13 13
Luminita Tudor

96 Jonathan Lucas St # 630

$134.88 13 13
Jason Greer Lake

171 Ashley Ave

$75.06 13 13
Caroline Marie Flake

2085 Henry Tecklenburg Dr

$28.49 13 12
Colin Lee Echard

51 Nassau St

$23.33 13 12
Leah Rochelle Chiles

171 Ashley Ave

$81.78 13 12
Jamie I Page

1327 Ashley River Rd

$56.48 13 13
Sara D Bowers

59 George St

$13.85 13 13
Marcelo L. Hochman

2097 Henry Techlenburg Dr

$34.22 13 13
Bhishamjit Singh Chera

171 Ashley Ave

$30.16 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 Charleston, SC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Charleston, SC is $64.67 per claim, based on 2,228,092 claims from 1159 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 Charleston, SC?

There are 1159 Medicaid providers offering Office Visit related services in Charleston, SC according to public payment data.

What is the price range for Office Visit in Charleston, SC?

Medicaid reimbursement for Office Visit in Charleston, SC ranges from $0.00 to $482.26 per claim, with an average of $64.67. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Charleston, SC