Average Medicaid Office Visit Payments in Clinton, SC: $86.41
Avg. Paid
$86.41
Range
$9.19 – $263.84
Total Claims
90,629
Providers
48
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 Clinton, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carter Jameson Mccormack
1012 Medical Ridge Rd |
$26.62 | 13 | 12 |
|
Jennifer White Patterson
22725 Highway 76 E |
$259.16 | 17 | 15 |
|
Kristal Smith Pitts
1304 Springdale Dr |
$29.80 | 19 | 15 |
|
Harvard Keith Riddle
22995 Highway 76 E |
$24.86 | 19 | 14 |
|
James August Newman
22725 Highway 76 E |
$18.91 | 21 | 12 |
|
Bruce A Marshall
1012 Medical Ridge Rd |
$33.81 | 43 | 38 |
|
Carolina Health Centers, Inc.
23265 Highway 76 E |
$157.90 | 82 | 76 |
|
Ian Shaver
939 Springdale Dr |
$56.73 | 89 | 77 |
|
Catherine M Kearon
939 Springdale Dr |
$23.12 | 100 | 99 |
|
Matthew Stolz
22995 Us Highway 76 |
$30.21 | 101 | 80 |
|
Cathy Putman Pasco
1304 Springdale Dr |
$27.11 | 110 | 102 |
|
Rebecca West Lawrence
939 Springdale Dr |
$45.53 | 147 | 138 |
|
Vincent S Toussaint
103 Mississippi Drive |
$44.89 | 156 | 150 |
|
Stacey Marie Flaherty
22725 Highway 76 E |
$18.51 | 166 | 144 |
|
Samuel Jacob Montgomery
22995 Us Highway 76 |
$31.19 | 167 | 139 |
|
Arielya Taylor Binn
1304 Springdale Dr |
$55.10 | 176 | 166 |
|
Allison Buryk
939 Springdale Dr |
$40.86 | 251 | 250 |
|
Akhtar Hussain
106 Medical Park Ct |
$48.47 | 265 | 260 |
|
William S Owens
22971 Highway 76 E |
$43.97 | 298 | 275 |
|
Samuel Mayhew Wilson
1073 Medical Ridge Rd |
$9.19 | 302 | 198 |
|
James A. Loging
22971 Highway 76 E |
$34.67 | 315 | 291 |
|
James Dallis
22725 Highway 76 E Ste A |
$52.75 | 333 | 309 |
|
Brittany Edge Thomas
1012 Medical Ridge Rd |
$39.05 | 336 | 327 |
|
Ayesha Shavon Hinton Nutt
1304 Springdale Dr |
$41.97 | 344 | 311 |
|
Neal Robert Goodbar
210 S Broad St |
$60.25 | 406 | 371 |
|
Vivian Breslin
939 Springdale Dr |
$21.59 | 419 | 397 |
|
Mark R Wilson
22971 Highway 76 E |
$33.24 | 421 | 402 |
|
Burgess Murray Mauldin
22725 Highway 76 E |
$170.67 | 452 | 426 |
|
Dianna Plyler Kubacz
1304 Springdale Dr |
$82.04 | 464 | 450 |
|
Jessica Leopard Cauble
996 Medical Ridge Rd |
$69.53 | 475 | 473 |
|
Kimberly B Pugh
22725 Highway 76 E Ste A |
$54.11 | 814 | 741 |
|
Raymond Michael Wiggins
1012 Medical Ridge Rd |
$60.45 | 822 | 400 |
|
Taylor Anne Whaley
102 Medical Park Ct |
$48.68 | 827 | 657 |
|
Ryan Sattar
700 Plaza Cir Ste N |
$39.19 | 1,102 | 648 |
|
Prisma Health-Upstate
22725 Highway 76 E |
$21.71 | 1,239 | 931 |
|
Giridhar Gundu
22971 Highway 76 E |
$33.93 | 1,308 | 1,164 |
|
Sara P Moore
210 S Broad St |
$55.47 | 1,350 | 1,287 |
|
Cassandra Carr
23265 Highway 76 E |
$263.84 | 1,494 | 1,411 |
|
Brittany Ranae Rogers
102 Medical Park Ct |
$56.05 | 1,696 | 1,494 |
|
Wendy W Nix
210 S Broad St |
$47.99 | 1,971 | 1,864 |
|
Phillip H Milner
22971 Highway 76 E |
$31.80 | 2,686 | 2,438 |
|
John F Adams
22725 Highway 76 E |
$44.13 | 2,742 | 2,680 |
|
Nancy Patel
700 Plaza Cir Ste N |
$36.32 | 3,758 | 2,970 |
|
Georges P. Godfrin
245 Human Services Rd |
$52.11 | 4,042 | 3,614 |
|
Timothy James Harkins
102 Medical Park Ct |
$62.06 | 4,510 | 3,661 |
|
Michelle L Hagenbuch
500 Plaza Circle |
$72.04 | 6,462 | 5,533 |
|
Ashley Jane Jenkins
500 Plaza Cir Ste J |
$180.00 | 10,283 | 9,701 |
|
Sally Elaine Burgess
996 Medical Ridge Rd |
$92.34 | 37,016 | 31,416 |
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 Clinton, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clinton, SC is $86.41 per claim, based on 90,629 claims from 48 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 Clinton, SC?
There are 48 Medicaid providers offering Office Visit related services in Clinton, SC according to public payment data.
What is the price range for Office Visit in Clinton, SC?
Medicaid reimbursement for Office Visit in Clinton, SC ranges from $9.19 to $263.84 per claim, with an average of $86.41. 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 Clinton, SC
Blood Work & Lab Tests
Avg $27.60
137,061 claims
Emergency Room Visit
Avg $39.83
82,977 claims
Speech Therapy
Avg $25.85
67,669 claims
Urinalysis & Urine Tests
Avg $13.58
66,288 claims
Vaccines & Immunizations
Avg $10.04
35,243 claims
Nursing Facility Care
Avg $14.47
28,424 claims
Physical Therapy
Avg $36.75
25,536 claims
X-Ray
Avg $25.19
21,874 claims