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 |
|---|---|---|---|
|
Courtney Marie Casey
502 Sixth Baxter Xing |
$66.33 | 12 | 12 |
|
Sarah Adams Harris
127 Ben Casey Dr Ste 106 |
$29.21 | 14 | 12 |
|
Ronald Newton Locke
127 Ben Casey Dr Ste 106 |
$57.14 | 15 | 15 |
|
Brian Owen Pope
704 Gold Hill Rd |
$56.20 | 15 | 13 |
|
Natalia Klett
1852 Sc 160-102 |
$60.79 | 17 | 12 |
|
Kaci Capps Hopkins
1852 Highway 160 W |
$51.63 | 20 | 12 |
|
Glen Thomas Feltham
130 Crisanto Avenue |
$80.52 | 27 | 26 |
|
Matthew Cyril Wendt
601 S Sutton Rd |
$59.31 | 30 | 27 |
|
Archie Sims
1740 Highway 160 W |
$13.27 | 31 | 29 |
|
Karen Mcgarvey
1740 Sc 160 West |
$15.18 | 32 | 31 |
|
Heather Cathleen Hollandsworth
485 Tom Hall St Ste 101 |
$0.00 | 33 | 30 |
|
Shawnie Renee Perkins
1012 Market St Ste 301 |
$21.63 | 34 | 27 |
|
Meridith Maxwell Womick
515 River Crossing Dr |
$55.45 | 34 | 33 |
|
Saumya Kumari Mehta
502 Sixth Baxter Xing |
$74.40 | 41 | 37 |
|
Elizabeth Ann Zimmerman
515 Rivercrossing Dr Ste 180 |
$61.27 | 44 | 40 |
|
Arnold B Campo
377 Rubin Center Dr |
$56.85 | 55 | 53 |
|
Kelley Ann Rosebrock
704 Gold Hill Rd |
$57.17 | 61 | 59 |
|
Edward Charles Brown
601 S Sutton Rd |
$35.06 | 108 | 103 |
|
Charlotte Heaver Myers
1852 Highway 160 W |
$36.75 | 127 | 97 |
|
Jason H. Perey
704 Gold Hill Rd |
$50.00 | 141 | 130 |
|
Benjamin David Sutker
601 S Sutton Rd |
$81.00 | 144 | 133 |
|
Megan R Joint
485 Tom Hall St Ste 101 |
$48.21 | 151 | 149 |
|
Lance M Gowen
515 Rivercrossing Dr Ste 180 |
$60.99 | 153 | 137 |
|
Ying Qu
1061 Red Ventures Dr Ste 130 |
$12.69 | 157 | 126 |
|
Dara Anita Josiah-Howze
111 Clebourne St |
$90.62 | 179 | 164 |
|
Meredith Kathryn Fleming
485 Tom Hall St Ste 101 |
$39.97 | 195 | 173 |
|
Inna Slisz
704 Gold Hill Rd |
$63.58 | 201 | 185 |
|
Elizabeth Ryan Loflin
5529 Arden Mill Dr Ste 101 |
$44.32 | 217 | 183 |
|
Pratik Arunkumar Mehta
502 Sixth Baxter Xing |
$59.07 | 246 | 222 |
|
David Matthew Macknet
601 S Sutton Rd |
$40.70 | 250 | 232 |
|
Karl Weber
1935 Holbrook Rd |
$44.53 | 257 | 248 |
|
Nicole C Keeter
1700 1St Baxter Xing Ste 101 |
$50.28 | 275 | 268 |
|
Kayla Kipp Mosser
704 Gold Hill Rd |
$58.83 | 292 | 280 |
|
Rachel Fry
1350 Therns Ferry Dr |
$1.59 | 298 | 72 |
|
Kacie Jo Costello Moody
704 Gold Hill Rd |
$53.04 | 299 | 284 |
|
Ryan Kumar Singhi
1658 Highway 160 W |
$9.41 | 362 | 350 |
|
Breanna Leigh Martin
502 6Th Baxter Xing |
$44.01 | 399 | 379 |
|
Megan Elizabeth Hohenberger
908 Smithfield Way Ste 101 |
$88.65 | 419 | 334 |
|
Lorryn Berlin
704 Gold Hill Rd |
$48.01 | 425 | 396 |
|
Barrett Anthony Little
601 Sutton Rd S Ste 101 |
$62.35 | 430 | 404 |
|
Jaden Breyanne Light
1935 Holbrook Rd |
$61.34 | 430 | 391 |
|
Jeffrey Fulton Hatchell
704 Gold Hill Rd |
$61.90 | 447 | 397 |
|
Rebecca Marie Vaglio
908 Smithfield Way Ste 101 |
$64.69 | 462 | 354 |
|
Amy Brown
1740 Highway 160 W |
$51.85 | 469 | 457 |
|
Martin Vincent Taormina
986 Wellness Way Ste 330 |
$8.24 | 487 | 442 |
|
Riddhi Patel
481 Munn Rd Ste 100 |
$25.65 | 495 | 480 |
|
Bennie Gloria Diamond
515 River Crossing Dr Ste 180 |
$54.46 | 512 | 455 |
|
Martin Peter Cichon
704 Gold Hill Rd |
$73.61 | 520 | 495 |
|
Paul Hess
704 Gold Hill Rd |
$124.27 | 532 | 507 |
|
Krystal Kayla Carmichael
986 Wellness Way Ste 350 |
$84.82 | 536 | 465 |
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