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 |
|---|---|---|---|
|
Medical University Hospital Authority
169 Ashley Ave |
$50.35 | 755,825 | 675,180 |
|
Medical University Hospital Authority
171 Ashley Ave |
$101.53 | 58,212 | 50,761 |
|
South Carolina Dept Of Mental Health Accounting Office
2100 Charlie Hall Blvd |
$179.87 | 45,807 | 41,688 |
|
Molly Kathleen Slade
169 Ashley Ave |
$78.09 | 30,041 | 28,629 |
|
John Bruce Etheridge
2781 Tricom Street |
$78.74 | 24,136 | 22,678 |
|
Stephen Wesley Stripling
2051 Charlie Hall Blvd |
$84.50 | 20,862 | 19,952 |
|
Robert Andrew Clifford
2051 Charlie Hall Blvd |
$86.38 | 17,112 | 16,280 |
|
Philip K. Lowe
2781 Tricom St |
$83.18 | 15,236 | 14,534 |
|
Elizabeth J Kirlis
2051 Charlie Hall Blvd |
$83.59 | 14,711 | 14,219 |
|
Kirk A Meekins
171 Ashley Ave |
$21.08 | 12,859 | 10,002 |
|
Anna Dunn Hoffius
171 Ashley Ave |
$64.79 | 12,551 | 11,964 |
|
Eliza Agrest Varadi
452 Folly Rd |
$72.31 | 11,862 | 11,092 |
|
Michael L Leonardi
2781 Tricom Street |
$80.05 | 11,465 | 10,824 |
|
Kenosha D Gleaton
2048 Charlie Hall Blvd |
$80.80 | 10,992 | 7,852 |
|
Colleen Jane Boylston
2713 Dantzler Dr |
$77.33 | 10,420 | 10,016 |
|
Sandi L Mckenzie
171 Ashley Ave |
$43.58 | 10,078 | 9,888 |
|
Henry M Lemon
171 Ashley Ave |
$65.50 | 9,919 | 9,608 |
|
Jeffrey W Buncher
1124 Sam Rittenberg Blvd |
$75.68 | 9,708 | 6,115 |
|
Roger Patrick Sullivan
9228 Medical Plaza Dr |
$72.52 | 9,551 | 8,963 |
|
Ashley Wells
165 Ashley Ave |
$77.36 | 9,535 | 8,954 |
|
Lara Wine Lee
171 Ashley Ave |
$76.28 | 9,142 | 9,023 |
|
Eduardo Cifuentes
2777 Speissegger Dr |
$83.79 | 8,717 | 8,011 |
|
Taryn Elizabeth Tyner
1871 Savage Rd |
$81.26 | 8,645 | 8,160 |
|
Jeffrey James Dietrich
46 Markfield Dr Ste A |
$55.56 | 8,518 | 7,147 |
|
Thomas Kenneth Koch
171 Ashley Ave |
$107.94 | 8,399 | 8,273 |
|
Todd R Vasko
1871 Savage Road |
$79.34 | 8,360 | 7,905 |
|
Olumide Michael Mughelli
1843 Ashley River Rd |
$69.21 | 8,358 | 6,362 |
|
Andrew Evin Davidson
46 Markfield Dr Ste A |
$47.33 | 8,249 | 6,902 |
|
Luke Emmanuel Edmondson
171 Ashley Ave |
$62.66 | 8,246 | 7,744 |
|
Philip J Mcgaha
1871 Savage Road |
$81.24 | 7,875 | 7,461 |
|
Preeth A Menon
Charleston Pain &Rehabilitation Center |
$73.09 | 7,449 | 6,639 |
|
Kara Blevens Huncik
2051 Charlie Hall Blvd |
$81.41 | 7,435 | 7,052 |
|
Rodrigo Garcia De La Torre Astudillo
2051 Charlie Hall Blvd |
$77.81 | 7,367 | 7,095 |
|
Leah Schrier Mcbee
171 Ashley Ave |
$49.47 | 7,252 | 7,177 |
|
William Mclaurin Graham
2051 Charlie Hall Blvd |
$79.04 | 7,163 | 6,963 |
|
Wilmont Gregory Martin
1818 Remount Rd |
$74.78 | 7,031 | 6,498 |
|
David Randall White
171 Ashley Ave |
$84.83 | 6,953 | 6,752 |
|
Edward M. Tavel
2695 Elms Plantation Blvd. |
$24.29 | 6,801 | 6,458 |
|
Mary Margaret Dugan
171 Ashley Ave |
$41.43 | 6,762 | 6,645 |
|
John Mark Redwine
5325 Appian Way |
$67.99 | 6,743 | 6,158 |
|
Helen Read Bertrand
830 Folly Rd Ste B |
$65.21 | 6,625 | 6,143 |
|
Nagraj Kasi
171 Ashley Ave |
$108.44 | 6,612 | 6,345 |
|
Gretchen Lee Hahn
171 Ashley Ave |
$53.13 | 6,539 | 4,258 |
|
Clarice Seifert Clemmens
171 Ashley Ave |
$86.64 | 6,408 | 6,155 |
|
J Todd Purves
96 Jonathan Lucas St |
$53.47 | 6,174 | 5,641 |
|
Elizabeth Braden Schmidt Antonio
169 Ashley Ave |
$83.73 | 6,172 | 5,062 |
|
Janaina Nogueira Anderson
171 Ashley Ave |
$115.65 | 6,152 | 6,016 |
|
Faye Leboeuf
171 Ashley Ave |
$48.70 | 6,143 | 4,717 |
|
Robert Francis Murphy
171 Ashley Ave |
$66.03 | 6,136 | 5,941 |
|
Robert John Teachman
776 Daniel Ellis Dr |
$80.54 | 6,127 | 5,361 |
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