Average Medicaid Office Visit Payments in Duncan, SC: $74.67
Avg. Paid
$74.67
Range
$12.03 – $191.68
Total Claims
22,865
Providers
15
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 Duncan, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richard Lucarelli
1575 E Main St |
$63.40 | 144 | 126 |
|
Michael Tanbonliong
1575 E Main St |
$49.88 | 157 | 152 |
|
James Spencer Gainey
1515 E Main St |
$63.41 | 197 | 182 |
|
Christopher Ken Broome
1923 E Main St |
$12.03 | 214 | 185 |
|
Ann Therese Bartee
1575 E Main St |
$43.24 | 272 | 240 |
|
Brittany Noel Woodard
1575 E Main St |
$105.29 | 280 | 274 |
|
Snehal Patel
1098 E Main St |
$46.58 | 951 | 914 |
|
Amanda Murphy Leonard
1667 E Main St |
$54.95 | 966 | 884 |
|
Kimberly Ann Saeger
500 Squires Pt Ste A |
$48.07 | 1,261 | 1,153 |
|
Jason Hennessy
500 Squires Pt Ste A |
$191.68 | 2,428 | 2,380 |
|
Beth Ellen Fiszer
500 Squires Pt Ste B |
$49.15 | 2,450 | 2,323 |
|
Clifford William Bowers
700 Squires Pt Ste B |
$80.34 | 2,621 | 2,524 |
|
Walter Dean Kucaba
1575 E Main St |
$62.36 | 2,784 | 2,637 |
|
Antoinette Denise Rhynes
500 Squires Pt |
$58.32 | 3,978 | 3,796 |
|
Carrie Johnson
500 Squires Pt Ste A |
$65.86 | 4,162 | 3,904 |
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 Duncan, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Duncan, SC is $74.67 per claim, based on 22,865 claims from 15 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 Duncan, SC?
There are 15 Medicaid providers offering Office Visit related services in Duncan, SC according to public payment data.
What is the price range for Office Visit in Duncan, SC?
Medicaid reimbursement for Office Visit in Duncan, SC ranges from $12.03 to $191.68 per claim, with an average of $74.67. 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 Duncan, SC
Speech Therapy
Avg $35.06
60,431 claims
Durable Medical Equipment (DME)
Avg $24.50
42,391 claims
Case Management Services
Avg $57.28
41,393 claims
Dental Cleaning & Exam
Avg $33.34
31,024 claims
Physical Therapy
Avg $73.24
21,135 claims
Dental Filling
Avg $94.03
4,514 claims
Emergency Room Visit
Avg $59.63
4,494 claims
Substance Abuse Treatment
Avg $101.95
4,351 claims