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
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 Charleston, SC
Blood Work & Lab Tests
Avg $31.73
2,049,584 claims
Emergency Room Visit
Avg $65.50
1,335,995 claims
Vaccines & Immunizations
Avg $12.93
599,641 claims
X-Ray
Avg $21.35
595,983 claims
Psychiatric Evaluation
Avg $153.64
519,793 claims
Urinalysis & Urine Tests
Avg $22.37
515,077 claims
Dental Cleaning & Exam
Avg $33.80
338,813 claims
Physical Therapy
Avg $57.16
306,530 claims