Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Greenville, SC: $63.19

Avg. Paid

$63.19

Range

$0.00 – $719.00

Total Claims

2,475,692

Providers

1,448

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 Greenville, SC

Provider	Avg. Paid	Claims	Patients
Prisma Health-Upstate 1120 Grove Rd	$24.30	111,784	85,637
Prisma Health-Upstate 20 Medical Ridge Dr	$76.39	107,869	97,341
Prisma Health-Upstate 701 Grove Rd	$38.81	52,614	43,580
South Carolina Dept Of Mental Health Accounting Office 124 Mallard St	$151.81	50,122	43,230
Prisma Health-Upstate 5 W Main St	$83.82	44,537	41,285
Prisma Health-Upstate 877 W Faris Rd	$65.38	38,218	34,600
Anthony Petruso 1 E Stone Ave	$62.93	28,597	25,762
Shriners Hospitals For Children 950 W Faris Rd	$27.72	28,538	27,213
Naveen R Bethi 545W Butler Rd	$56.86	26,464	20,410
Prisma Health-Upstate 900 W Faris Rd	$21.59	24,595	19,563
Dawn Polly 274 Commonwealth Dr	$65.87	20,994	19,601
William B Gamble 800 Pelham Road	$60.37	19,709	17,798
Bassam E Haddad 2076 Woodruff Rd	$50.63	19,301	14,192
Rae Lynne Hornsby 142 Milestone Way	$101.94	17,117	16,114
Artur Adam Charowski 20 Medical Ridge Dr	$43.57	16,880	16,505
Callie Cook Barnwell 20 Medical Ridge Dr	$40.10	16,692	16,359
Prisma Health-Upstate 900 W Faris Rd	$29.54	15,000	11,070
Gary Allen Bass 131 Commonwealth Dr	$75.46	14,617	13,318
Christian Montagano 2498 N Pleasantburg Dr	$94.37	13,981	12,886
Melissa Ryan Robinson 57 Cross Park Ct	$45.18	13,570	13,298
Marie Edith Calixte 800 Pelham Road	$66.29	13,242	11,753
Elizabeth W Burton 20 Medical Ridge Dr	$49.93	12,670	12,069
Oliver Perry Earle 890 South Cleveland Street	$73.81	12,607	11,987
Jack E Colker 701 Grove Rd	$58.71	11,955	11,004
Anna Catherine Neal 20 Medical Ridge Dr	$42.15	11,571	11,342
Dana Armand Graham 11402 Anderson Rd	$36.36	11,570	10,418
David Evan Lazarus 105 Doctors Dr	$84.45	11,561	11,131
Vinita Srivastava 401 Guess St	$50.91	11,534	9,490
Stephen Eddie Lookadoo 9 Mills Ave	$70.58	11,241	10,578
Alison Elizabeth Smith 1 Halton Green Way	$105.87	10,984	9,964
Easter Lurenda Pennington 1 Doctors Dr	$49.43	10,638	10,333
Joseph Leo Maurer 20 Medical Ridge Dr	$71.04	10,354	9,858
Prisma Health-Upstate 3 Butternut Dr	$9.03	10,251	7,293
Michael Lawrence Beckish 105 Doctors Dr	$67.11	10,226	9,685
State Of South Carolina 352 Halton Rd	$57.29	10,221	9,953
Sharon Wretzel 20 Medical Ridge Dr	$48.79	10,188	9,920
Lisa Marie Forgione 35 Southpointe Dr	$44.14	10,074	6,969
Kimberly B Dean 525 Verdae Blvd	$123.43	10,032	7,532
Prisma Health-Upstate 65 International Dr	$10.94	9,809	6,868
Jeffrey Dean Harris 142 Milestone Way	$82.61	9,773	9,480
Shreeram U Kumar 800 Pelham Rd	$79.60	9,712	8,446
Rhyan L Summer 701 Grove Rd	$31.79	9,238	9,107
Stephen Jones 525 Verdae Blvd Ste 200	$89.05	9,068	8,238
Jonelle Moffat Oronzio 20 Medical Ridge Dr	$46.36	8,853	8,692
Shana Fay Egge 20 Medical Ridge Dr	$128.66	8,480	8,160
Christopher Chase Bray 105 Doctors Dr	$57.66	8,341	7,970
Prisma Health-Upstate 13 Edgewood Dr	$45.08	8,335	7,205
William M Darby 131 Commonwealth Dr	$79.28	8,333	7,710
Chad Anthony Leep 3611 Pelham Rd	$82.53	8,230	7,820
Mark H Princell 701 Congaree Rd	$77.92	8,224	7,857

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 Greenville, SC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Greenville, SC is $63.19 per claim, based on 2,475,692 claims from 1448 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 Greenville, SC?

There are 1448 Medicaid providers offering Office Visit related services in Greenville, SC according to public payment data.

What is the price range for Office Visit in Greenville, SC?

Medicaid reimbursement for Office Visit in Greenville, SC ranges from $0.00 to $719.00 per claim, with an average of $63.19. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Greenville, SC: $63.19

Providers Offering Office Visit in Greenville, SC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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