Average Medicaid Office Visit Payments in Gaffney, SC: $73.83
Avg. Paid
$73.83
Range
$0.00 – $262.83
Total Claims
138,518
Providers
58
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 Gaffney, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elizabeth Marie Hargett
1552 N Limestone St Ste B |
$33.76 | 13 | 13 |
|
Cherokee Medical Center
1530 N Limestone St |
$40.72 | 14 | 12 |
|
Bruce H Wellmon
101 Professional Park |
$62.16 | 15 | 13 |
|
Cherokee Medical Center
517 Chesnee Hwy Ste A |
$186.16 | 20 | 20 |
|
Cherokee Internal Medicine Pa
211 W Montgomery Street |
$0.00 | 24 | 15 |
|
Beth Virginia Edwards
1530 N Limestone St |
$72.49 | 112 | 106 |
|
Cherokee Community Care, Llc
1307 N Logan St |
$111.53 | 131 | 119 |
|
Cherokee Medical Center
840 W Floyd Baker Blvd |
$262.83 | 167 | 164 |
|
Michael S Dale
139 Medical Center Dr |
$31.14 | 188 | 181 |
|
Taylor Sears
722 Hyatt St Ste C |
$105.68 | 195 | 188 |
|
Ashleigh Elizabeth Johnson
517 Chesnee Hwy Ste A |
$93.02 | 200 | 194 |
|
Paul F Zubel
1506 N Limestone St Ste D |
$35.90 | 282 | 258 |
|
Steven John Lewis
1506 N Limestone St |
$35.50 | 292 | 236 |
|
Teyanna Joyce Dillingham
1341 N Limestone St |
$233.63 | 306 | 294 |
|
Baolam Ho
722 Hyatt St Ste C |
$95.96 | 383 | 362 |
|
Cherokee Pediatric Associates, Llc
1610 B North Limestone St |
$41.63 | 564 | 514 |
|
Joseph Anthony Destefano
840 W Floyd Baker Blvd |
$111.32 | 577 | 555 |
|
Trisha Magnuson
1530 N Limestone St |
$14.87 | 579 | 356 |
|
David J Lydon
722 Hyatt St |
$69.34 | 613 | 564 |
|
Marilu Lopez Nazareno
840 W Floyd Baker Blvd |
$54.87 | 783 | 758 |
|
Betsey Collins Scruggs
722 Hyatt St |
$48.03 | 814 | 795 |
|
Donald T Morgan
722 Hyatt St |
$70.18 | 943 | 884 |
|
Robert Wayne Kaemmerlen
840 W Floyd Baker Blvd |
$56.23 | 1,178 | 1,132 |
|
Herbert Francis Barnhill
722 Hyatt St |
$77.36 | 1,193 | 1,049 |
|
Susan Kay Bland
722 Hyatt St |
$50.81 | 1,265 | 1,160 |
|
Gregory Paul Colbath
1552 N Limestone St Ste B |
$46.89 | 1,308 | 1,232 |
|
Pamela Knight Tatham
1341 N. Limestone Street |
$190.05 | 1,314 | 1,241 |
|
Doshandra N Nelson
722 Hyatt St |
$60.78 | 1,350 | 1,271 |
|
Barbara C Ray
1604 N Limestone St |
$46.51 | 1,603 | 1,385 |
|
Jessica Margie Lee Mccain
101 Professional Park |
$57.97 | 1,628 | 1,515 |
|
Elizabeth Page Kiser
840 W Floyd Baker Blvd |
$131.22 | 1,662 | 1,607 |
|
Damien Bailey
1529 N Limestone St |
$29.96 | 1,672 | 1,067 |
|
Dianna Michelle Perry
722 Hyatt St |
$59.65 | 1,764 | 1,613 |
|
Melisa Hammett
1604 N Limestone St |
$176.75 | 1,920 | 1,840 |
|
Julie Shelton Daniels
840 W Floyd Baker Blvd |
$56.56 | 2,235 | 2,156 |
|
Kathleen Gilfillan Bowling
517 Chesnee Hwy |
$69.53 | 2,422 | 2,322 |
|
Mark Reynolds
840 West Floyd Baker Blvd |
$110.35 | 2,724 | 2,669 |
|
Frank F Phillips
1552 N Limestone St Ste B |
$52.00 | 2,796 | 2,531 |
|
Khalid N Soherwardy
317 N Logan St |
$49.65 | 2,900 | 2,467 |
|
Catherine Suzanne Davis
103 Stuard St |
$82.04 | 3,058 | 2,873 |
|
Richard J Ruffing
722 Hyatt St |
$62.39 | 3,209 | 3,011 |
|
Marian Jane Wasson
1307 N Logan St |
$62.52 | 3,388 | 3,163 |
|
Robert E Jackson
517 Chesnee Hwy Ste A |
$98.84 | 3,794 | 3,561 |
|
Roy Woodley Furr
1307 N Logan St |
$79.00 | 3,816 | 3,466 |
|
Alfred Thomas Ezman
211 W Montgomery St |
$47.84 | 3,859 | 2,097 |
|
Troy D. Mccurry
517 Chesnee Hwy Ste A |
$63.14 | 4,019 | 3,869 |
|
Kristen Danielle Deluna
840 W Floyd Baker Blvd |
$102.62 | 4,331 | 4,274 |
|
Jessica Weathers Stamey
1530 N Limestone St |
$62.27 | 4,544 | 3,471 |
|
Emily Staggs
840 W Floyd Baker Blvd |
$104.43 | 4,793 | 4,720 |
|
State Of South Carolina
400 South Logan Street |
$55.50 | 5,279 | 4,992 |
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 Gaffney, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gaffney, SC is $73.83 per claim, based on 138,518 claims from 58 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 Gaffney, SC?
There are 58 Medicaid providers offering Office Visit related services in Gaffney, SC according to public payment data.
What is the price range for Office Visit in Gaffney, SC?
Medicaid reimbursement for Office Visit in Gaffney, SC ranges from $0.00 to $262.83 per claim, with an average of $73.83. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Gaffney, SC
Blood Work & Lab Tests
Avg $32.95
119,159 claims
Case Management Services
Avg $47.62
80,272 claims
Emergency Room Visit
Avg $43.22
75,100 claims
Urinalysis & Urine Tests
Avg $20.42
62,790 claims
Speech Therapy
Avg $35.17
48,853 claims
Physical Therapy
Avg $70.68
35,618 claims
Dental Cleaning & Exam
Avg $33.98
35,507 claims
Ambulance Transport
Avg $43.33
27,504 claims