Average Medicaid Office Visit Payments in Irmo, SC: $69.83
Avg. Paid
$69.83
Range
$6.66 – $83.85
Total Claims
114,034
Providers
48
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 Irmo, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott A Mckay
1846 Dutch Fork Road |
$42.95 | 12 | 12 |
|
Joel Wesley Duncan
1 Wellness Blvd Ste 109 |
$14.52 | 13 | 12 |
|
Lauren Camp Carsten
7611 Saint Andrews Rd |
$31.13 | 14 | 12 |
|
Hunter B Porter
1846 Dutch Fork Rd |
$39.92 | 27 | 27 |
|
Cynthia Denise Hutson
7182 Woodrow St Ste 200 |
$28.95 | 41 | 37 |
|
Benjamin J Levinson
7182 Woodrow St Ste 200 |
$31.48 | 43 | 40 |
|
Stephanie M Jokerst
1032A Kinley Rd |
$44.22 | 64 | 53 |
|
Virginia Elizabeth Hyatt
1846 Dutch Fork Rd |
$41.76 | 67 | 63 |
|
Kelsey Campbell Rutter
1330 Dutch Fork Rd |
$38.08 | 72 | 63 |
|
Joseph N Gabriel
7182 Woodrow St Ste 200 |
$38.22 | 76 | 67 |
|
John Gould
7430 College St |
$60.82 | 78 | 68 |
|
Charity Jean Berg-Maggard
1008 Lake Murray Blvd |
$43.03 | 87 | 81 |
|
Davinder Kaur Lally
7182 Woodrow St Ste 200 |
$34.46 | 89 | 67 |
|
William J Fravel
1846 Dutch Fork Rd |
$51.74 | 91 | 79 |
|
Julia P Hoeft
1330 Dutch Fork Rd |
$38.55 | 94 | 83 |
|
Cameo Green Coleman
1008 Lake Murray Blvd |
$26.86 | 94 | 66 |
|
Hailey L Atkinson
7430 College St |
$41.12 | 119 | 114 |
|
Ian Smith
1 Wellness Blvd Ste 109 |
$24.24 | 125 | 119 |
|
Melissa Rowland
1 Wellness Blvd Ste 106 |
$39.50 | 183 | 162 |
|
Misty Ann Sawyer
1 Wellness Blvd Ste 203 |
$39.40 | 206 | 202 |
|
John Eric Ashton
7182 Woodrow St Ste 200 |
$24.29 | 211 | 195 |
|
Miriam Holihan
1 Wellness Blvd Ste 200 |
$40.59 | 289 | 235 |
|
Beverly E Summer
1 Wellness Blvd |
$39.88 | 310 | 290 |
|
Mandev Guram
7182 Woodrow St Ste 200 |
$22.11 | 346 | 275 |
|
Louis Carey Hite
7430 College St |
$83.85 | 374 | 316 |
|
Christian Baker
1079 Dutch Fork Rd |
$70.53 | 608 | 594 |
|
Briana Martin Huyck
7611 Saint Andrews Rd |
$65.68 | 639 | 572 |
|
Lida Hamidi
1008 Lake Murray Blvd |
$57.82 | 881 | 869 |
|
Barbara S Hall
1079 Dutch Fork Rd |
$47.54 | 1,085 | 1,027 |
|
Stacy Jill Hoover
1 Wellness Blvd Ste 202 |
$67.22 | 1,139 | 1,058 |
|
Lesa Marie Jackson
14 Raintree Ct |
$6.66 | 1,153 | 1,151 |
|
Kaitlyn Edgington
7611 Saint Andrews Rd |
$59.62 | 1,298 | 1,166 |
|
Michael L Nunnery
1846 Dutch Fork Rd |
$55.18 | 1,313 | 1,111 |
|
Brooke Scupp
473 Woodhouse Loop |
$46.18 | 1,563 | 1,193 |
|
Rachel L. Callis-Wolfe
1846 Dutch Fork Road |
$67.23 | 1,744 | 1,500 |
|
Daniel P Bouknight
1 Wellness Blvd Ste 106 |
$37.35 | 1,871 | 1,568 |
|
Gretchen Rochester Kaune
1079 Dutch Fork Rd |
$45.80 | 2,146 | 2,034 |
|
Tasha Matthews Boone
7430 College St |
$56.11 | 2,640 | 2,463 |
|
Haley M Griggs
7182 Woodrow St Ste 200 |
$50.32 | 2,826 | 2,775 |
|
Alicia Pendergrass
1 Wellness Blvd Ste 203 |
$50.91 | 3,051 | 2,314 |
|
Mary Elizabeth Ward Lambert
7941 Broad River Rd |
$79.36 | 3,633 | 3,387 |
|
Kristen Marie Hanko
1033 Kinley Rd |
$81.25 | 4,499 | 4,187 |
|
Robert T. Whitaker
7941 Broad River Rd |
$71.89 | 9,788 | 8,901 |
|
Kristen H. Rollins
7448 Broad River Road |
$77.22 | 11,006 | 10,266 |
|
Catherine Cannady Miller
7448 Broad River Road |
$71.08 | 12,280 | 11,472 |
|
Melissa L Mills
7448 Broad River Road |
$76.52 | 13,094 | 12,228 |
|
Marc S Todd
7941 Broad River Rd |
$74.02 | 15,000 | 13,840 |
|
Karen P Pollock
11134 Broad River Rd |
$80.22 | 17,652 | 15,597 |
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 Irmo, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Irmo, SC is $69.83 per claim, based on 114,034 claims from 48 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 Irmo, SC?
There are 48 Medicaid providers offering Office Visit related services in Irmo, SC according to public payment data.
What is the price range for Office Visit in Irmo, SC?
Medicaid reimbursement for Office Visit in Irmo, SC ranges from $6.66 to $83.85 per claim, with an average of $69.83. 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
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Irmo, SC
Vaccines & Immunizations
Avg $19.84
67,844 claims
Dental Cleaning & Exam
Avg $32.67
67,798 claims
Speech Therapy
Avg $88.27
58,833 claims
Physical Therapy
Avg $80.43
43,441 claims
Blood Work & Lab Tests
Avg $4.44
13,938 claims
Home Health Visit
Avg $82.46
13,932 claims
Dental Filling
Avg $93.27
9,543 claims
Ambulance Transport
Avg $61.60
6,620 claims