Average Medicaid Office Visit Payments in Georgetown, SC: $74.04
Avg. Paid
$74.04
Range
$7.44 – $199.74
Total Claims
192,650
Providers
70
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 Georgetown, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jonathan Philip Elias
435 Marina Dr |
$74.21 | 52,615 | 47,522 |
|
Michelle M Steffen
435 Marina Dr |
$78.00 | 41,350 | 37,864 |
|
Melanie Whitman
57 Jessamine Ave |
$84.85 | 14,000 | 12,749 |
|
Jonathan Keith Mason
57 Jessamine Ave |
$72.05 | 6,736 | 6,211 |
|
Georgetown Memorial Hospital
606 Black River Rd |
$57.60 | 5,918 | 4,472 |
|
Robert E Kimpton
1068 N Fraser St |
$76.02 | 5,875 | 5,600 |
|
Brandy P Baker
1075 N Fraser St |
$46.14 | 5,384 | 5,016 |
|
Anna Newell
57 Jessamine Ave |
$137.75 | 3,779 | 3,535 |
|
State Of South Carolina
531 Lafayette Circle |
$46.64 | 3,194 | 3,117 |
|
Marica Green
57 Jessamine Ave |
$125.60 | 2,937 | 2,687 |
|
Mary Sara Baker
422 N Fraser St |
$69.19 | 2,892 | 2,648 |
|
Monica Selander-Han
606 Black River Rd Ste 300 |
$69.22 | 2,745 | 2,301 |
|
Henry Grady Adkins
1075 N Fraser St |
$56.89 | 2,645 | 2,533 |
|
Andrea Richmond-Mart
606 Black River Rd Ste 300 |
$84.36 | 2,624 | 2,238 |
|
Merri Maddox Paden
606 Black River Rd Ste 300 |
$55.69 | 2,493 | 2,176 |
|
Lillianne Marie Lewis Debnam
57 Jessamine Ave |
$154.30 | 2,235 | 2,116 |
|
Thomas E Crosby
1075 N Fraser St |
$50.51 | 2,035 | 1,930 |
|
Catherine Baker Burbage
2405 N Fraser St |
$47.36 | 2,027 | 1,584 |
|
Erika Honeycutt
57 Jessamine Ave |
$172.09 | 1,810 | 1,765 |
|
Earl James Han
2185 N Fraser St |
$40.65 | 1,776 | 1,634 |
|
Linda Joyce Petrusick
57 Jessamine Street |
$128.83 | 1,710 | 1,622 |
|
Robert E Elvington
606 Black River Rd Ste 100 |
$45.08 | 1,585 | 1,419 |
|
Pauline Almeida Seebode
1068 N Fraser St |
$52.89 | 1,498 | 1,403 |
|
Lamberto Paragas
606 Black River Rd |
$15.30 | 1,490 | 771 |
|
Michele Lively
1075 N Fraser St |
$31.94 | 1,465 | 1,168 |
|
Mae Eileen Janiga
1075 N Fraser St |
$42.74 | 1,368 | 1,179 |
|
Roxanne P Latimer
1068 N Fraser St |
$65.35 | 1,348 | 1,286 |
|
Darlene Arnette Fludd
2482 Powell Rd |
$96.28 | 1,215 | 1,022 |
|
Mark E Triana
2185 N Fraser St |
$19.93 | 1,080 | 996 |
|
Owen Cannon Johnson
302 Church St |
$44.11 | 1,067 | 929 |
|
Newton Craig Brackett
2405 N Fraser St |
$35.96 | 1,000 | 862 |
|
Sara Elizabeth Adams
2405 N Fraser St |
$58.75 | 973 | 848 |
|
Jeffrey William Cronk
2405 N Fraser St |
$39.95 | 932 | 791 |
|
David Lee Milling
2405 N Fraser St |
$37.97 | 839 | 559 |
|
Rebekah England Hanna
435 Marina Dr |
$43.28 | 744 | 673 |
|
Victoria Lynn Kiningham
606 Black River Rd Ste 300 |
$163.68 | 723 | 576 |
|
Luis Thormer Chastain
1075 N Fraser St |
$62.76 | 722 | 672 |
|
Emily Kate Jenkins
435 Marina Dr |
$153.12 | 719 | 689 |
|
Alexander V Duvall
1075 N Fraser St |
$45.58 | 687 | 640 |
|
Kelli S Daughtry
1014 Huger Dr |
$7.44 | 587 | 429 |
|
Ronald J Long
1306 N Fraser St |
$60.94 | 577 | 474 |
|
Melissa Baker Patterson
606 Black River Rd |
$30.19 | 563 | 534 |
|
Stephen James Pigman
1068 N Fraser St |
$52.65 | 555 | 519 |
|
Megan Patrick
1075 N Fraser St |
$38.90 | 518 | 432 |
|
Amy C Smith
1011 N Fraser St |
$35.91 | 393 | 369 |
|
Carol Ann Bogdan
2405 N Fraser St |
$32.69 | 350 | 300 |
|
Eugene V Mayeaux
606 Black River Rd |
$16.02 | 266 | 178 |
|
Julia Marie Barton Hulsey
1075 N Fraser St |
$71.77 | 263 | 241 |
|
Michelle West Nagro
302 Church St |
$50.46 | 254 | 231 |
|
Dayna Chinners Wilder
606 Black River Rd |
$22.92 | 221 | 209 |
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 Georgetown, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Georgetown, SC is $74.04 per claim, based on 192,650 claims from 70 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 Georgetown, SC?
There are 70 Medicaid providers offering Office Visit related services in Georgetown, SC according to public payment data.
What is the price range for Office Visit in Georgetown, SC?
Medicaid reimbursement for Office Visit in Georgetown, SC ranges from $7.44 to $199.74 per claim, with an average of $74.04. 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 Georgetown, SC
Blood Work & Lab Tests
Avg $42.53
172,345 claims
Physical Therapy
Avg $34.82
117,469 claims
Vaccines & Immunizations
Avg $14.62
98,157 claims
Emergency Room Visit
Avg $48.14
81,767 claims
Urinalysis & Urine Tests
Avg $18.20
52,636 claims
Speech Therapy
Avg $31.53
44,215 claims
Dental Cleaning & Exam
Avg $34.12
32,857 claims
X-Ray
Avg $30.76
30,656 claims