Average Medicaid Office Visit Payments in Clemson, SC: $62.21
Avg. Paid
$62.21
Range
$18.10 – $135.41
Total Claims
72,659
Providers
47
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 Clemson, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas Arthur Malone
735 Mcmillan Rd |
$43.00 | 9,538 | 7,607 |
|
James E Feiste
885 Tiger Blvd |
$72.18 | 8,281 | 7,507 |
|
Marion A Wills
450 Old Greenville Hwy |
$76.57 | 7,454 | 7,086 |
|
Elizabeth Anton Chea
208 Frontage Rd |
$76.91 | 6,694 | 6,245 |
|
Antoinette Marie Bannister
450 Old Greenville Hwy |
$72.51 | 5,744 | 5,368 |
|
Beth Lynn Dickerson
450 Old Greenville Hwy |
$50.57 | 5,168 | 4,725 |
|
Edmond R Jordan
895 Tiger Blvd |
$64.09 | 4,185 | 3,803 |
|
Jennifer L. Cheek
1300 Tiger Blvd |
$53.27 | 2,303 | 2,174 |
|
Bethany C Boyd
885 Tiger Blvd |
$50.79 | 2,265 | 2,119 |
|
Manju Lakra
1011 Tiger Blvd |
$135.41 | 1,983 | 1,841 |
|
Caitlin A Jordan
101 Chapman Hill Rd Ste 201 |
$54.87 | 1,954 | 1,786 |
|
Henry D. Salter
735 Mcmillan Rd |
$62.52 | 1,852 | 1,705 |
|
Shazia Siddiqui
895 Tiger Blvd |
$57.91 | 1,738 | 1,670 |
|
Trudy Lovejoy
101 Chapman Hill Rd |
$21.81 | 1,539 | 1,506 |
|
Aaron David Tolan
101 Chapman Hill Rd |
$77.18 | 1,189 | 1,078 |
|
Jessica Graves Rivera
101 Chapman Hill Rd |
$51.62 | 1,128 | 1,027 |
|
Malee S Thompson
735 Mcmillan Rd. |
$58.19 | 965 | 937 |
|
Jennifer Esker
735 Mcmillan Rd |
$48.50 | 961 | 863 |
|
Robert Glen Quattlebaum
885 Tiger Blvd |
$50.09 | 844 | 740 |
|
Whitney Williams
101 Edwards Hall |
$39.54 | 777 | 743 |
|
Donald Gene Holbrooks
101 Chapman Hill Rd Ste 101 |
$45.74 | 745 | 709 |
|
William Bedingfield
101 Chapman Hill Rd Ste 201 |
$63.63 | 726 | 688 |
|
Ruth Anne Etter
1300 Tiger Blvd |
$37.41 | 557 | 540 |
|
Kelly A Yannizzi
735 Mcmillan Rd |
$41.60 | 535 | 473 |
|
Jack Parker Miller
895 Tiger Blvd |
$57.15 | 529 | 481 |
|
Pamela Carraway Hitt
1300 Tiger Blvd |
$18.90 | 312 | 290 |
|
George Timothy Baxley
220 Keowee Trl |
$50.10 | 283 | 281 |
|
Breanna Emily Gallagher
1300 Tiger Blvd |
$26.33 | 278 | 248 |
|
Jerry F Sherrill
101 Chapman Hill Rd |
$46.26 | 268 | 262 |
|
Renee A. Monaghan
895 Tiger Blvd |
$54.41 | 215 | 208 |
|
Kenneth Kyle Merck
1300 Tiger Blvd |
$34.11 | 201 | 194 |
|
Jocelyn B Sikes
885 Tiger Blvd |
$35.93 | 191 | 168 |
|
Alexander Grady Ham
895 Tiger Blvd |
$43.07 | 172 | 169 |
|
Christopher Lee Miles
101 Chapman Hill Rd Ste 201 |
$70.35 | 167 | 152 |
|
Michael Thomas Weingarten
895 Tiger Blvd |
$66.28 | 160 | 155 |
|
Amie Michelle Jakubiak
735 Mcmillan Road |
$53.73 | 160 | 159 |
|
Sandra L Jacobs
1300 Tiger Blvd |
$18.10 | 148 | 148 |
|
Prasiksha Sitaula
885 Tiger Blvd |
$86.26 | 110 | 96 |
|
Foothills Community Health Care
110 Liberty Dr |
$59.16 | 68 | 63 |
|
Kimberly Renee Ostrowski
885 Tiger Blvd Ste A |
$89.20 | 57 | 56 |
|
Stephanie Knott Beacham
101 Chapman Hill Rd Ste 201 |
$57.35 | 56 | 54 |
|
Lori Ellen Rash
101 Chapman Hill Rd |
$93.17 | 52 | 40 |
|
Chad Charles Ward
101 Chapman Hill Rd |
$48.89 | 42 | 40 |
|
Kenneth G Jackson
885 Tiger Blvd |
$39.04 | 27 | 27 |
|
Kristine Boswell
101 Edwards Hall |
$37.42 | 13 | 13 |
|
Benson Elliott Bagwell
111 Evergreen Dr |
$51.08 | 13 | 12 |
|
Brandi Leigh Harper
1300 Tiger Blvd |
$43.30 | 12 | 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 Clemson, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clemson, SC is $62.21 per claim, based on 72,659 claims from 47 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 Clemson, SC?
There are 47 Medicaid providers offering Office Visit related services in Clemson, SC according to public payment data.
What is the price range for Office Visit in Clemson, SC?
Medicaid reimbursement for Office Visit in Clemson, SC ranges from $18.10 to $135.41 per claim, with an average of $62.21. 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 Clemson, SC
Vaccines & Immunizations
Avg $18.25
12,191 claims
Blood Work & Lab Tests
Avg $3.95
10,615 claims
Psychiatric Evaluation
Avg $109.52
6,057 claims
Physical Therapy
Avg $43.65
4,810 claims
EKG / ECG (Electrocardiogram)
Avg $4.43
3,380 claims
Urinalysis & Urine Tests
Avg $3.30
3,188 claims
Dental Cleaning & Exam
Avg $32.24
2,665 claims
Eye Exam
Avg $29.03
2,088 claims