Average Medicaid Office Visit Payments in Kingstree, SC: $98.72
Avg. Paid
$98.72
Range
$25.40 – $152.61
Total Claims
21,855
Providers
15
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 Kingstree, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wright S Skinner
402 Nelson Blvd Ste 400 |
$59.65 | 158 | 148 |
|
Raymond Henry Dominici
520 Thurgood Marshall Hwy |
$137.32 | 190 | 175 |
|
Raymond K Allen
512 Nelson Blvd |
$53.15 | 288 | 264 |
|
Angela Allen Morris
500 Thurgood Marshall Hwy |
$44.60 | 305 | 280 |
|
Michelle L. Butterworth
500 Thurgood Marshall Hwy Ste B |
$25.40 | 333 | 306 |
|
Hopehealth, Inc
520 Thurgood Marshall Hwy |
$136.30 | 470 | 444 |
|
Raina Mckenzie Philhower
512 Nelson Blvd Ste 200 |
$45.58 | 632 | 566 |
|
Shelia Renee Scott
500 Thurgood Marshall Hwy |
$76.41 | 791 | 760 |
|
Carole Ann Finch
512 Nelson Blvd |
$50.13 | 1,004 | 898 |
|
Samuel James Tomlinson
520 Thurgood Marshall Hwy Ste B |
$144.44 | 1,031 | 987 |
|
State Of South Carolina
520 Thurgood Marshall Hwy |
$47.09 | 1,518 | 1,457 |
|
Matthew Amos Wise
520 Thurgood Marshall Hwy Ste B |
$152.61 | 1,958 | 1,841 |
|
Steven Bradley Tollison
520 Thurgood Marshall Hwy Ste B |
$51.85 | 2,450 | 1,998 |
|
Paul Andrew Gulledge
512 Nelson Blvd Ste 200 |
$57.63 | 3,416 | 3,198 |
|
James Alton Elvis
520 Thurgood Marshall Hwy |
$141.96 | 7,311 | 6,766 |
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 Kingstree, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kingstree, SC is $98.72 per claim, based on 21,855 claims from 15 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 Kingstree, SC?
There are 15 Medicaid providers offering Office Visit related services in Kingstree, SC according to public payment data.
What is the price range for Office Visit in Kingstree, SC?
Medicaid reimbursement for Office Visit in Kingstree, SC ranges from $25.40 to $152.61 per claim, with an average of $98.72. 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 Kingstree, SC
Blood Work & Lab Tests
Avg $18.03
46,871 claims
Dental Cleaning & Exam
Avg $36.00
31,310 claims
Speech Therapy
Avg $60.16
24,970 claims
Emergency Room Visit
Avg $28.27
21,627 claims
Physical Therapy
Avg $61.18
14,424 claims
Home Health Visit
Avg $86.34
10,582 claims
EKG / ECG (Electrocardiogram)
Avg $0.80
10,202 claims
Urinalysis & Urine Tests
Avg $16.65
9,627 claims