Average Medicaid Office Visit Payments in Fort Mill, SC: $68.71
Avg. Paid
$68.71
Range
$0.00 – $250.38
Total Claims
95,838
Providers
79
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 Fort Mill, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gisele J Girault
342 Patricia Ln Ste 102 |
$27.58 | 11,709 | 10,360 |
|
Ebele Gwendolyn Orazulike
342 Patricia Lane |
$78.75 | 10,244 | 9,036 |
|
Mauricio Valencia
6237 Carolina Commons Dr Ste 101 |
$103.92 | 5,010 | 4,960 |
|
Bridgette Orehek
704 Gold Hill Rd |
$54.06 | 4,925 | 4,777 |
|
Quimby Edward Mccaskill
704 Gold Hill Rd |
$72.01 | 4,685 | 4,494 |
|
Christopher Todd Jones
601 Sutton Rd S Ste 201 |
$66.33 | 4,277 | 4,108 |
|
Jennifer Paige Williams
704 Gold Hill Rd |
$71.46 | 4,080 | 3,927 |
|
Ashlene Teresa Karasch
704 Gold Hill Rd |
$61.60 | 3,770 | 3,633 |
|
Nikita W. Lindsay
704 Gold Hill Rd |
$70.55 | 3,324 | 3,209 |
|
Crystal Antrease Maxwell
2021 Bridgemill Dr |
$177.47 | 3,292 | 3,043 |
|
Patricia Tonkowicz
704 Gold Hill Rd |
$84.07 | 3,135 | 3,030 |
|
Dexter Cook
704 Gold Hill Rd |
$69.50 | 3,111 | 2,932 |
|
Ethan Christian Richard
885 Gold Hill Rd Ste 506 |
$75.18 | 2,687 | 2,174 |
|
Laura Ann Pagnotta
704 Gold Hill Rd |
$74.10 | 2,364 | 2,250 |
|
Sital Jethwa
704 Gold Hill Rd |
$45.11 | 1,854 | 1,387 |
|
Dustin Spencer
2764 Pleasant Rd Ste A-10701 |
$65.58 | 1,733 | 1,357 |
|
Lindsay Schalles
1057 Red Ventures Dr Ste 150 |
$13.03 | 1,677 | 1,104 |
|
David Alan Brown
704 Gold Hill Rd |
$59.52 | 1,640 | 1,560 |
|
Teri Wolfe
1740 Highway 160 W |
$11.25 | 1,404 | 965 |
|
Danielle Nicole Griffin
601 Sutton Rd S Ste 101 |
$27.65 | 1,281 | 783 |
|
Lauren Michelle Bregman
1154 Carolina Pl |
$77.52 | 1,281 | 1,228 |
|
Brian David Tallerico
986 Wellness Way Ste 300 |
$98.59 | 1,226 | 1,184 |
|
Kashiti Genikka Nicole Long
1935 Holbrook Rd |
$169.40 | 1,149 | 1,124 |
|
Meghan Bynum Fields
704 Gold Hill Rd |
$40.81 | 1,101 | 1,018 |
|
Amy E.B. Zink
1740 Highway 160 W |
$250.38 | 1,047 | 1,036 |
|
Benjamin Wesley Benzing
704 Gold Hill Rd |
$72.12 | 780 | 745 |
|
Kimberly Correa
704 Gold Hill Rd |
$39.66 | 766 | 704 |
|
Krystal J Lane
710 Joy Dr |
$55.68 | 619 | 582 |
|
Michael Patrick Roberts
601 S Sutton Rd |
$53.40 | 537 | 505 |
|
Krystal Kayla Carmichael
986 Wellness Way Ste 350 |
$84.82 | 536 | 465 |
|
Paul Hess
704 Gold Hill Rd |
$124.27 | 532 | 507 |
|
Martin Peter Cichon
704 Gold Hill Rd |
$73.61 | 520 | 495 |
|
Bennie Gloria Diamond
515 River Crossing Dr Ste 180 |
$54.46 | 512 | 455 |
|
Riddhi Patel
481 Munn Rd Ste 100 |
$25.65 | 495 | 480 |
|
Martin Vincent Taormina
986 Wellness Way Ste 330 |
$8.24 | 487 | 442 |
|
Amy Brown
1740 Highway 160 W |
$51.85 | 469 | 457 |
|
Rebecca Marie Vaglio
908 Smithfield Way Ste 101 |
$64.69 | 462 | 354 |
|
Jeffrey Fulton Hatchell
704 Gold Hill Rd |
$61.90 | 447 | 397 |
|
Barrett Anthony Little
601 Sutton Rd S Ste 101 |
$62.35 | 430 | 404 |
|
Jaden Breyanne Light
1935 Holbrook Rd |
$61.34 | 430 | 391 |
|
Lorryn Berlin
704 Gold Hill Rd |
$48.01 | 425 | 396 |
|
Megan Elizabeth Hohenberger
908 Smithfield Way Ste 101 |
$88.65 | 419 | 334 |
|
Breanna Leigh Martin
502 6Th Baxter Xing |
$44.01 | 399 | 379 |
|
Ryan Kumar Singhi
1658 Highway 160 W |
$9.41 | 362 | 350 |
|
Kacie Jo Costello Moody
704 Gold Hill Rd |
$53.04 | 299 | 284 |
|
Rachel Fry
1350 Therns Ferry Dr |
$1.59 | 298 | 72 |
|
Kayla Kipp Mosser
704 Gold Hill Rd |
$58.83 | 292 | 280 |
|
Nicole C Keeter
1700 1St Baxter Xing Ste 101 |
$50.28 | 275 | 268 |
|
Karl Weber
1935 Holbrook Rd |
$44.53 | 257 | 248 |
|
David Matthew Macknet
601 S Sutton Rd |
$40.70 | 250 | 232 |
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 Fort Mill, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fort Mill, SC is $68.71 per claim, based on 95,838 claims from 79 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 Fort Mill, SC?
There are 79 Medicaid providers offering Office Visit related services in Fort Mill, SC according to public payment data.
What is the price range for Office Visit in Fort Mill, SC?
Medicaid reimbursement for Office Visit in Fort Mill, SC ranges from $0.00 to $250.38 per claim, with an average of $68.71. 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 Fort Mill, SC
Speech Therapy
Avg $58.20
151,879 claims
Physical Therapy
Avg $60.35
105,424 claims
Psychiatric Evaluation
Avg $77.68
40,821 claims
Dental Cleaning & Exam
Avg $33.62
38,806 claims
Vaccines & Immunizations
Avg $20.37
26,996 claims
Tooth Extraction
Avg $132.04
23,378 claims
Chiropractic Care
Avg $24.26
19,952 claims
Emergency Room Visit
Avg $102.65
17,033 claims