Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lexington, SC: $71.88

Avg. Paid

$71.88

Range

$4.06 – $338.01

Total Claims

565,550

Providers

184

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 Lexington, SC

Provider	Avg. Paid	Claims	Patients
Gabrielle Alexandra Fowler 1316 N Lake Dr	$64.08	12	12
Beth-Ann Knox Bowers 2006 Augusta Hwy	$42.47	13	12
Southern Medical Management, Llc 424 Old Cherokee Rd	$71.30	13	13
Michael Patrick Fox 5336 Sunset Blvd Ste A	$40.38	13	12
Donald Lewis Bloodworth 811 W Main St	$21.69	17	16
Comeshia Anna Deshay Lemon 5608 Sunset Blvd	$13.54	22	20
Robin Theo Mitchell 154 Saluda Pointe Dr	$43.79	23	22
Ryan Wayne Seidl 468 Old Cherokee Rd	$32.63	29	27
Kelly Redlinger Garvin 122 Powell Dr	$81.66	30	26
Tracey Ann Epp 815 Highway 378 West	$42.50	34	33
La'Kia Singleton 5608 Sunset Blvd	$176.05	40	40
John E Golay 811 West Main Street	$41.77	50	39
Denise I Cubero-Walker 103 Thompson St Ste 200	$50.41	51	37
Jayne Alyssa Koehler 122 Powell Dr	$35.85	57	50
Rodney Charles Wadley 811 W Main St	$67.07	69	62
Katherine Brown 1070 S Lake Dr	$53.96	71	68
Melissa Greenhalgh 2480 Two Notch Rd	$28.08	72	70
Eva Varoqua 105 Brevard Pkwy	$74.68	76	61
Leslie K West 2006 Augusta Hwy	$54.17	78	66
Sally L Herpst 811 West Main Street	$47.81	82	78
Tenisha Smith 1071 S Lake Dr	$53.74	86	84
Allyson Taylor Von Kannel 424 Old Cherokee Rd	$58.24	111	110
Binyue Chang 200 Wellmore Dr	$54.78	116	114
David B Pratt 1780 S Lake Dr	$39.62	118	101
Misti Dawn Booher 321 S Lake Dr	$51.53	119	115
Anne Griffin P Tafel 2006 Augusta Hwy	$46.91	144	132
Anne Morrison Harper 104 Saluda Pointe Dr	$34.09	145	132
Elizabeth Hull Dennison 103 Thompson St, Ste 100	$91.87	146	135
Courtney Rene Brown 5608 Sunset Blvd	$24.44	148	146
Christopher A Cooper 214 Old Chapin Rd	$24.24	152	151
Angela Amick Thomas 171 Monroe Ln	$35.26	153	137
Ivery Bonita Reed 815 Highway 378	$44.90	153	146
Adam Hotz 424 Old Cherokee Rd	$76.75	157	153
John Cameron Kirchner 157 Corley Mill Rd	$63.18	158	155
Alexandra Lee Seale 104 Saluda Pointe Dr	$32.47	167	158
Veronica Stevenson 815 Highway 378	$45.14	173	165
Alvin Day 5336 Sunset Blvd Ste A	$62.02	177	174
Kathryn Freeman 105 Brevard Parkway	$49.26	197	180
Diondra Johnson 1071 S Lake Dr	$42.09	202	182
Cynthia Youmans 815 Highway 378	$67.71	203	190
Kelley S Womack 2006 Augusta Hwy	$42.36	203	180
Anoma S Gamage 811 W Main St	$76.56	206	195
Tjuana Faith Durden Seidl 468 Old Cherokee Rd	$58.74	215	200
Ryan Charles Berlinrut 104 Saluda Pointe Dr	$33.59	230	223
Paul Richard Bearden 121 Park Place Ct	$33.59	240	217
Joel G Bailey 119 Library Hill Ln	$42.40	245	228
Scarlet R Taylor 1316 N Lake Dr	$66.78	251	225
Morgan D Flowers 4568 Sunset Blvd	$229.49	266	259
Matthew W. Cusano Po Box 487	$31.29	271	202
Tiffany Phillips Myer 103 Thompson St Ste 300	$59.36	278	255

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 Lexington, SC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lexington, SC is $71.88 per claim, based on 565,550 claims from 184 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 Lexington, SC?

There are 184 Medicaid providers offering Office Visit related services in Lexington, SC according to public payment data.

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

Medicaid reimbursement for Office Visit in Lexington, SC ranges from $4.06 to $338.01 per claim, with an average of $71.88. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Lexington, SC: $71.88

Providers Offering Office Visit in Lexington, SC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Lexington, SC

Home Health Visit

Personal Care Services

Vaccines & Immunizations

Speech Therapy

Dental Cleaning & Exam

Psychiatric Evaluation

Ambulance Transport

Physical Therapy