Average Medicaid Office Visit Payments in Lugoff, SC: $82.44
Avg. Paid
$82.44
Range
$25.90 – $300.00
Total Claims
101,852
Providers
30
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 Lugoff, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brian Boone
15 Exchange Dr |
$83.47 | 22,136 | 20,638 |
|
David Macy Vidrine
15 Exchange Dr |
$95.72 | 16,485 | 15,702 |
|
Robert Puchalski
15 Exchange Dr |
$81.69 | 13,034 | 12,340 |
|
Janaki Lakshmi Emani
15 Exchange Dr |
$84.87 | 11,986 | 11,289 |
|
Olajide A. Balogun
1165 Highway 1 S |
$60.64 | 9,406 | 6,856 |
|
Linda C Mcleod
1165 Highway 1 S Ste 500 |
$66.04 | 7,279 | 5,681 |
|
Min Kang
710 Dewitt Dr |
$56.83 | 3,340 | 3,050 |
|
Ashley Tolbert
40 Baldwin Ave |
$200.23 | 2,963 | 2,675 |
|
Jacob Patrick Ossoff
15 Exchange Dr |
$83.41 | 2,593 | 2,508 |
|
Tyler Roberts
15 Exchange Dr |
$42.26 | 2,032 | 1,765 |
|
Ayzia Taylor
40 Baldwin Ave |
$192.75 | 1,859 | 1,697 |
|
Julie Ann Mullins
1165 Highway 1 S Ste 500 |
$57.84 | 1,697 | 1,203 |
|
James C Kearse
710 Dewitt Dr |
$39.69 | 1,696 | 1,442 |
|
James C Mcalpine
710 Dewitt Dr |
$33.69 | 1,278 | 1,081 |
|
Kelly Lynn Warnock
1165 Highway 1 S |
$39.86 | 1,188 | 1,147 |
|
Justin M Crawford
710 Dewitt Dr |
$40.82 | 1,052 | 994 |
|
Megan Smith Oxford
710 Dewitt Dr |
$37.36 | 789 | 735 |
|
Tallulah Holmstrom
710 Dewitt Dr |
$35.33 | 250 | 215 |
|
Anne B Blake
710 Dewitt Dr |
$25.90 | 210 | 198 |
|
Julie A Taylor
710 Dewitt Dr |
$36.69 | 143 | 123 |
|
Cathy Porter
1165 Highway 1 S |
$69.23 | 129 | 109 |
|
David E Thompson
40 Baldwin Ave |
$152.25 | 124 | 116 |
|
Milford Berten Hutchinson
1165 Highway 1 S Ste 500 |
$62.29 | 31 | 28 |
|
Patrice L High
40 Baldwin Ave |
$53.07 | 30 | 25 |
|
Sandhills Medical Foundation, Inc.
40 Baldwin Ave. |
$188.47 | 28 | 27 |
|
Therin Scott Hill
15 Exchange Dr |
$50.36 | 27 | 27 |
|
Robert Kabakjian
15 Exchange Dr |
$51.97 | 22 | 20 |
|
Gayla R Ramey
16 Duke Dr |
$300.00 | 19 | 19 |
|
Timothy M Wilson
710 Dewitt Dr |
$64.60 | 14 | 14 |
|
Valerie Alison Fritsch
15 Exchange Dr |
$78.16 | 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 Lugoff, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lugoff, SC is $82.44 per claim, based on 101,852 claims from 30 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 Lugoff, SC?
There are 30 Medicaid providers offering Office Visit related services in Lugoff, SC according to public payment data.
What is the price range for Office Visit in Lugoff, SC?
Medicaid reimbursement for Office Visit in Lugoff, SC ranges from $25.90 to $300.00 per claim, with an average of $82.44. 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 Lugoff, SC
Hearing Test (Audiometry)
Avg $16.73
18,931 claims
Emergency Room Visit
Avg $44.95
8,507 claims
Urinalysis & Urine Tests
Avg $3.30
7,779 claims
Psychiatric Evaluation
Avg $35.20
7,367 claims
Allergy Testing
Avg $168.69
5,328 claims
Nursing Facility Care
Avg $6.66
5,214 claims
Blood Work & Lab Tests
Avg $1.47
3,583 claims
Physical Therapy
Avg $60.93
3,571 claims