Average Medicaid Office Visit Payments in Mauldin, SC: $50.95
Avg. Paid
$50.95
Range
$32.90 – $73.93
Total Claims
34,609
Providers
17
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 Mauldin, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alicia M Ruhland
300 W Butler Rd |
$73.93 | 23 | 22 |
|
Judith Ann Dawson-Weiss
224 E Butler Rd |
$53.69 | 33 | 31 |
|
Sara Borkosky
5 Winchester Ct |
$42.85 | 126 | 56 |
|
Allison Kingsland
224 E Butler Rd |
$34.97 | 162 | 157 |
|
Bijal Desai
309 W Butler Rd |
$71.95 | 174 | 142 |
|
Kimberly Gaston Parker
140 Bridges Rd Ste F |
$48.07 | 223 | 195 |
|
Sheila Howell Woods
211 E. Butler Rd. |
$68.67 | 341 | 329 |
|
Anne S Tuggle
11 Jenkins St |
$43.87 | 873 | 637 |
|
Jamelah Patrice Lemon
211 E Butler Rd Ste A2 |
$32.90 | 988 | 863 |
|
Dylan Michael Carlisle
211 E Butler Rd |
$34.03 | 1,101 | 1,028 |
|
Sandra Ann Olson
309 West Butler Road |
$44.60 | 1,173 | 1,019 |
|
Terry Lynn Verdin
793 E Butler Rd |
$42.00 | 2,054 | 1,813 |
|
Dean Albert Muscarella
793 E Butler Rd |
$64.92 | 2,650 | 2,050 |
|
Brad A. Lindstrom
211 E Butler Rd |
$50.75 | 3,135 | 3,033 |
|
Navneet Gupta
213 E Butler Road |
$55.24 | 4,176 | 3,772 |
|
Nomita Joshi
213 E Butler Road |
$44.61 | 6,881 | 6,021 |
|
Balasubramanyam Krishniah
300 W Butler Rd |
$55.88 | 10,496 | 8,771 |
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 Mauldin, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mauldin, SC is $50.95 per claim, based on 34,609 claims from 17 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 Mauldin, SC?
There are 17 Medicaid providers offering Office Visit related services in Mauldin, SC according to public payment data.
What is the price range for Office Visit in Mauldin, SC?
Medicaid reimbursement for Office Visit in Mauldin, SC ranges from $32.90 to $73.93 per claim, with an average of $50.95. 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 Mauldin, SC
Case Management Services
Avg $52.13
54,740 claims
Speech Therapy
Avg $61.86
41,199 claims
Home Health Visit
Avg $63.00
15,970 claims
Psychiatric Evaluation
Avg $87.57
7,420 claims
Physical Therapy
Avg $64.25
7,015 claims
Personal Care Services
Avg $22.12
6,282 claims
Dental Cleaning & Exam
Avg $38.41
5,367 claims
Podiatry (Foot Care)
Avg $12.26
3,797 claims