Average Medicaid Office Visit Payments in Columbia, SC: $72.57
Avg. Paid
$72.57
Range
$0.00 – $365.16
Total Claims
2,249,167
Providers
1,174
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 Columbia, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Doctors Care, Pa
1818 Henderson St |
$68.48 | 112,348 | 107,523 |
|
South Carolina Department Of Mental Health Accounting Office
2715 Colonial Dr |
$139.49 | 62,899 | 52,191 |
|
Prisma Health-Midlands
3301 Harden Street |
$48.25 | 59,265 | 51,502 |
|
Prisma Health-Midlands
5 Richland Medical Park Dr |
$65.04 | 58,717 | 52,050 |
|
Todd M. Kraemer
460 Clemson Rd |
$66.82 | 29,309 | 23,594 |
|
Patricia A Mcclerklin
112 Doctors Cir |
$61.89 | 28,836 | 26,571 |
|
Jonathan O Nwanagu
1333 Taylor St Ste 3J |
$75.74 | 24,929 | 17,201 |
|
Joe Blair Castles
14 Richland Medical Park Dr |
$68.61 | 23,837 | 21,129 |
|
David C Winn
7035 Saint Andrews Rd |
$75.54 | 23,609 | 22,658 |
|
Eleanya Ogburu-Ogbonnaya
2601 Millwood Ave |
$54.52 | 22,680 | 19,863 |
|
Charles Guy Castles
14 Richland Medical Park Dr |
$66.12 | 20,824 | 18,448 |
|
Michael J Bykowsky
1 Richland Medical Park Dr Ste 200 |
$30.52 | 20,181 | 11,158 |
|
Mojibola Olayinka Solaja
120 Wildewood Park Dr |
$72.68 | 15,828 | 13,884 |
|
Philip F Mubarak
2113 Adams Grv |
$68.12 | 15,040 | 14,090 |
|
Kiersten Leigh Lofton
601 Clemson Rd |
$77.89 | 15,028 | 13,989 |
|
Nada J Hamzy
601 Clemson Rd |
$77.80 | 14,467 | 12,873 |
|
Michael G Barker
140 Park Central Dr |
$81.44 | 14,141 | 13,134 |
|
Nazia Aslam Jones
2113 Adams Grv Ste 101 |
$74.49 | 14,104 | 13,098 |
|
Theodore M Dubose
110 Summit Centre Dr |
$73.90 | 13,968 | 12,649 |
|
William B Painter
140 Park Central Dr |
$74.75 | 13,900 | 12,540 |
|
Jennifer M Soroos
601 Clemson Rd |
$79.89 | 13,880 | 12,870 |
|
Ramkumar Jayagopalan
2113 Adams Grv |
$78.56 | 13,863 | 12,728 |
|
Orson Ravenell
3 Richland Medical Park |
$65.07 | 13,566 | 9,799 |
|
Lori L Cook
115 Blarney Dr Ste 109 |
$82.59 | 13,335 | 11,786 |
|
Christopher Robert Hydorn
14 Richland Medical Park Dr |
$87.99 | 12,894 | 12,245 |
|
Barry W Cabiness
601 Clemson Rd |
$75.33 | 12,864 | 11,739 |
|
Deborah M Greenhouse
140 Park Central Dr |
$70.04 | 12,532 | 10,678 |
|
William Grant Willard
1749 Marshall St |
$75.44 | 12,525 | 11,473 |
|
Emilie Z Bartlett
140 Park Central Dr |
$77.77 | 12,294 | 11,454 |
|
Kevin O Wessinger
1749 Marshall St |
$68.68 | 11,970 | 11,253 |
|
Elizabeth Stokely Haile
110 Summit Centre Dr |
$75.75 | 11,958 | 10,910 |
|
Henry Jackson Miller
14 Medical Park, Ste 400 |
$77.08 | 11,719 | 11,061 |
|
Kevin W. Krebs
115 Atrium Way |
$73.06 | 11,230 | 10,702 |
|
Mark D Locke
14 Richland Medical Park Dr |
$101.40 | 11,228 | 10,742 |
|
David Littlejohn Bowen
14 Medical Park |
$116.79 | 11,213 | 10,440 |
|
Matthew William Mubarak
2113 Adams Grv Ste 101 |
$81.91 | 11,128 | 10,288 |
|
Michael Patrick Horan
14 Richland Medical Park Dr |
$102.93 | 10,821 | 10,356 |
|
Kimberly Hightower
4605 Monticello Rd |
$185.45 | 10,784 | 10,266 |
|
Michael T. Finch
110 Summit Centre Dr |
$74.64 | 10,724 | 9,949 |
|
South Carolina Dept Of Mental Health Accounting Office
2414 Bull St |
$250.53 | 10,572 | 8,174 |
|
Jonathan Black
1 Richland Medical Park Dr |
$48.27 | 10,465 | 8,157 |
|
Carryn Nacia Rice
1333 Taylor St Ste 1C |
$181.31 | 10,169 | 9,739 |
|
John Michael Carroll
6108 Garners Ferry Rd |
$82.90 | 10,127 | 9,572 |
|
Anil Kumar Juneja
182 Laurelhurst Ave |
$54.88 | 9,988 | 9,430 |
|
Sarahann Marguerite Draffin
237 Longtown Rd |
$72.42 | 9,985 | 9,418 |
|
Laura M. Ledlie
1749 Marshall St |
$76.04 | 9,968 | 9,264 |
|
Kayla D Richardson
Sc House Calls Inc. |
$2.12 | 9,962 | 8,642 |
|
Nicholas Anthony Grimaldi
114 Gateway Corporate Blvd Ste 240 |
$23.95 | 9,829 | 7,520 |
|
Siobhan Drumm Wulf
Pediatric Outpatient Center |
$79.34 | 9,512 | 8,818 |
|
Eric M Schlueter
1228 Harden St |
$170.96 | 9,497 | 9,172 |
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 Columbia, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Columbia, SC is $72.57 per claim, based on 2,249,167 claims from 1174 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 Columbia, SC?
There are 1174 Medicaid providers offering Office Visit related services in Columbia, SC according to public payment data.
What is the price range for Office Visit in Columbia, SC?
Medicaid reimbursement for Office Visit in Columbia, SC ranges from $0.00 to $365.16 per claim, with an average of $72.57. 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 Columbia, SC
Blood Work & Lab Tests
Avg $34.82
1,311,438 claims
Emergency Room Visit
Avg $72.77
1,188,627 claims
Case Management Services
Avg $52.18
1,047,210 claims
Behavioral & Mental Health Therapy
Avg $63.05
790,433 claims
Dental Cleaning & Exam
Avg $34.66
777,605 claims
Psychiatric Evaluation
Avg $122.40
643,281 claims
Home Health Visit
Avg $65.66
600,597 claims
Urinalysis & Urine Tests
Avg $27.45
559,580 claims