Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Loris, SC: $78.86

Avg. Paid

$78.86

Range

$14.54 – $174.43

Total Claims

36,451

Providers

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 Loris, SC

Provider	Avg. Paid	Claims	Patients
Heather Richardson 3817 Main St	$126.87	6,002	5,498
Bernice Francesca Lim 3817 Main St	$162.75	4,460	4,204
Summer Watts 4520 Broad St	$69.28	4,115	3,597
Donna C Sellers 3109 Casey St	$58.27	2,895	2,677
Wanda W Grainger 3109 Casey St	$38.85	2,217	1,903
Sarah J. Norris 3418 Casey St	$37.36	2,164	1,873
Timothy C Mills 3418 Casey St	$35.02	1,912	1,660
Gary Joseph Barrett 3109 Casey St	$37.40	1,699	1,281
Regina F. Holmes Agape Senior Primary Care Inc Dba Main Street Physician	$14.54	1,535	567
Ashley Nicole Tiller 3109 Casey St	$31.93	1,277	1,101
Beverly Cecile Wilson 3817 Main St	$174.43	1,254	1,228
Brian James Thacker 3418 Casey St	$50.47	1,162	958
Julia Batten Hucks 3418 Casey St	$57.76	955	823
Shannon Smith Tiebout 3418 Casey St	$63.04	862	779
Madison Blaire Kent 4520 Broad St	$56.65	690	640
Edward Francis Terrien 3485 Mitchell St	$17.06	669	617
Lillian Fong 3617 Casey St Ste B	$80.94	417	397
Melissa Ann Miara 3617 Casey St Ste C	$44.58	352	331
Christopher L Po 3617 Casey St	$29.15	304	271
Karina Nicolle Pemberton 4520 Broad St	$52.89	252	221
Tracy P. Ray 3911 Main St	$24.46	251	207
Michael J Mitchell 3112 Casey St	$42.31	216	196
Keith G Harkins 3418 Casey St	$52.80	145	103
Jennifer Roberts 2828 Bayboro St	$56.57	138	120
Andrew J.R. Sejan 3418 Casey St	$53.30	96	78
Karen L. Staples 3418 Casey St	$35.45	95	82
Twyla Cummings 3817 Main St	$147.72	89	78
Carla Cox Norris 2828 Bayboro St	$70.42	81	74
Leigh M Kressler 4520 Broad St	$54.40	76	71
Doli Elizabeth Biondillo 3617 Casey St	$23.36	53	41
John C Lohlun 3112 Casey St	$21.93	18	16

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 Loris, SC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Loris, SC is $78.86 per claim, based on 36,451 claims from 31 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 Loris, SC?

There are 31 Medicaid providers offering Office Visit related services in Loris, SC according to public payment data.

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

Medicaid reimbursement for Office Visit in Loris, SC ranges from $14.54 to $174.43 per claim, with an average of $78.86. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Loris, SC: $78.86

Providers Offering Office Visit in Loris, SC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Loris, SC

Blood Work & Lab Tests

Emergency Room Visit

Physical Therapy

Urinalysis & Urine Tests

X-Ray

Prescription Medications

EKG / ECG (Electrocardiogram)

CT Scan (Computed Tomography)