Average Medicaid Office Visit Payments in Hilton Head, SC: $88.64
Avg. Paid
$88.64
Range
$25.61 – $238.70
Total Claims
22,646
Providers
17
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 Hilton Head, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Peter John Salerno
35 Bill Fries Dr Suitei |
$86.57 | 13,863 | 11,831 |
|
Robert C Lusik
845 William Hilton Pkwy |
$77.30 | 4,789 | 4,542 |
|
Amanda Kay Sutherland
8 Hospital Center Blvd Ste 150 |
$76.23 | 1,515 | 1,206 |
|
Rene Holmes
10 Pope Ave |
$238.70 | 961 | 928 |
|
Kelly Rebecca Latta
15 Moss Creek Vlg |
$76.43 | 490 | 469 |
|
John Thomas Daniels
2323 Main St., Ste 202 |
$35.16 | 303 | 286 |
|
Jalen Maxell Manor
10 Pope Ave |
$50.41 | 215 | 212 |
|
Francis C Imbarrato
15 Wild Azalea Lane |
$101.35 | 134 | 124 |
|
Michael R Kaup
25 Hospital Center Blvd |
$48.11 | 132 | 120 |
|
Joel M Johnson
93 Main St |
$57.71 | 68 | 56 |
|
Melissa Layser
19 Moss Creek Vlg Ste B4 |
$36.28 | 68 | 64 |
|
David E Maurer
23 Main St Ste 201 |
$118.08 | 28 | 26 |
|
Tracey Alexa Leaver-Williams
25 Hospital Center Blvd |
$53.78 | 21 | 15 |
|
Christopher Lee Culpepper
25 Hospital Center Cmns Ste 100 |
$25.61 | 21 | 12 |
|
Mark A Lawton
25 Hospital Center Blvd. |
$72.25 | 14 | 12 |
|
Harvinder Kohli
8 Hospital Center Blvd Ste 110 |
$28.51 | 12 | 12 |
|
Miranda L Garcia
12 Lafayette Pl |
$52.72 | 12 | 12 |
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 Hilton Head, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hilton Head, SC is $88.64 per claim, based on 22,646 claims from 17 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 Hilton Head, SC?
There are 17 Medicaid providers offering Office Visit related services in Hilton Head, SC according to public payment data.
What is the price range for Office Visit in Hilton Head, SC?
Medicaid reimbursement for Office Visit in Hilton Head, SC ranges from $25.61 to $238.70 per claim, with an average of $88.64. 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 Hilton Head, SC
Dental Cleaning & Exam
Avg $33.21
15,785 claims
Vaccines & Immunizations
Avg $14.78
10,938 claims
Emergency Room Visit
Avg $75.76
3,499 claims
Dental Filling
Avg $89.93
2,466 claims
Physical Therapy
Avg $75.93
2,214 claims
Psychiatric Evaluation
Avg $104.08
1,296 claims
Urinalysis & Urine Tests
Avg $2.81
1,053 claims
Hearing Test (Audiometry)
Avg $1.08
774 claims