Average Medicaid Office Visit Payments in Mount Pleasant, SC: $59.42
Avg. Paid
$59.42
Range
$8.72 – $160.99
Total Claims
68,334
Providers
64
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 Mount Pleasant, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas Hilliard
1101 Bowman Rd |
$71.66 | 16,896 | 15,455 |
|
Jeffrey John Farricielli
1131 Queensborough Blvd Ste 102 |
$29.35 | 10,197 | 9,835 |
|
David K. Wright
1000 Johnnie Dodds Blvd |
$71.71 | 5,829 | 5,510 |
|
Kelsie Chandler Requa
2863 N Highway 17 |
$59.43 | 5,331 | 5,056 |
|
Sheri Scott Zieminick
1156 Bowman Rd |
$57.13 | 2,977 | 2,674 |
|
Ana Isabel Arias-Pandey
1952 Long Grove Dr Ste 202 |
$85.62 | 2,948 | 2,845 |
|
Laurie Brock Weatherbee
631 Johnnie Dodds Blvd |
$62.10 | 2,377 | 2,221 |
|
Daniel Venancio
1101 Bowman Rd |
$57.48 | 2,149 | 2,030 |
|
Jessica Keller
851 Leonard Fulghum Dr |
$61.23 | 1,141 | 838 |
|
Keaton Leigh Mims
1952 Long Grove Dr |
$61.21 | 1,108 | 1,074 |
|
William Robert Bigelow
1113 Parkwest Blvd |
$59.01 | 1,097 | 1,055 |
|
Melanie Blohm
851 Leonard Fulghum Dr Ste 201 |
$62.36 | 877 | 679 |
|
Jordan Connelly
631 Johnnie Dodds Blvd |
$57.50 | 845 | 762 |
|
Edgar Benton Barnard
900 Bowman Rd Ste 103 |
$50.08 | 757 | 673 |
|
Cara Kendrick
1952 Long Grove Dr Ste 202 |
$81.71 | 742 | 722 |
|
Alyssa Willard
631 Johnnie Dodds Blvd |
$43.91 | 735 | 647 |
|
Sarah E Relyea-Logan
710 Johnnie Dodds Blvd Ste 200 |
$43.22 | 726 | 672 |
|
Lynden Maureen Pelbath
2114 Highway 41 Ste 105 |
$53.19 | 718 | 647 |
|
Christine Noel Lyles
631 Johnnie Dodds Blvd |
$51.33 | 701 | 683 |
|
Thomas A Upshaw
728 S Shelmore Blvd Ste 103 |
$43.68 | 690 | 614 |
|
David L Smith
1435 Stuart Engals Blvd Ste 101 |
$96.53 | 660 | 548 |
|
Becki Lin Bevier
570 Long Point Rd |
$72.92 | 637 | 584 |
|
Kristi Mccauley Lentsch
1113 Park West Blvd |
$8.72 | 620 | 584 |
|
Francis Xavier Tunney
3074 N Highway 17 |
$70.80 | 565 | 537 |
|
Andrew J. Mcmarlin
966 Houston Northcutt Blvd Ste E |
$25.20 | 545 | 448 |
|
Samantha Brogan
250 Mathis Ferry Rd Ste 101 |
$105.94 | 533 | 485 |
|
Christopher J. Robinson
1716 W Canning Dr |
$52.06 | 511 | 292 |
|
Carrie D Funkhauser
851 Leonard Fulghum Dr |
$62.84 | 440 | 338 |
|
Justin Michael Garzone
1200 Hospital Dr |
$69.30 | 430 | 357 |
|
Jonathan Kittredge
1280 Hospital Dr Unit 302 |
$31.58 | 392 | 369 |
|
Michelle Elaine Brong
1300 Hospital Dr Ste 270 |
$48.52 | 387 | 337 |
|
Michael Benjamin Mefford
159 Civitas St Ste 203 |
$68.44 | 375 | 314 |
|
Erin Marie Stein
1300 Hospital Dr Ste 270 |
$43.83 | 348 | 290 |
|
Caroline Elizabeth Savoie
570 Long Point Rd Ste 200 |
$34.32 | 335 | 317 |
|
Carolyn Raquel Rines
200 Ports Authority Dr |
$23.42 | 314 | 287 |
|
Olivia Louise Jandl
2863 N Highway 17 |
$60.18 | 302 | 292 |
|
Brittney Cook
1671 Belle Isle Ave Ste 110J |
$160.99 | 252 | 247 |
|
Lauren Williams
2114 Highway 41 Ste 105 |
$67.17 | 209 | 191 |
|
Sareena Coleman Hafey
2114 Highway 41 Ste 105 |
$53.29 | 196 | 188 |
|
Alexandra Mary Fitzpatrick
950 Houston Northcutt Blvd Ste 205 |
$41.52 | 162 | 154 |
|
Alison E Dillon
851 Leonard Fulghum Dr Ste 201 |
$45.66 | 156 | 118 |
|
Natalie Annette Hammond
851 Leonard Fulghum Dr |
$68.98 | 151 | 109 |
|
Gregory Santamaria
1112 Johnnie Dodds Blvd |
$26.29 | 143 | 130 |
|
Elizabeth Irene Majeski
180 Wingo Way Ste 102 |
$47.08 | 111 | 110 |
|
Tara M Johnson Hughes
851 Leonard Fulghum Dr Ste 100 |
$46.40 | 93 | 76 |
|
Maria Malatanos Kennickell
1300 Hospital Dr Ste 300 |
$11.28 | 74 | 66 |
|
Michael L Edwards
1230 Hospital Dr |
$21.96 | 70 | 53 |
|
Rya Kaplan
874 Whipple Rd Ste 100 |
$47.46 | 68 | 65 |
|
Katelyn Watson Zerbst
710 Johnnie Dodds Blvd Ste 200 |
$68.74 | 65 | 59 |
|
Jana Upshaw
966 Houston Northcutt Blvd Ste E |
$55.80 | 45 | 44 |
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 Mount Pleasant, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Pleasant, SC is $59.42 per claim, based on 68,334 claims from 64 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 Mount Pleasant, SC?
There are 64 Medicaid providers offering Office Visit related services in Mount Pleasant, SC according to public payment data.
What is the price range for Office Visit in Mount Pleasant, SC?
Medicaid reimbursement for Office Visit in Mount Pleasant, SC ranges from $8.72 to $160.99 per claim, with an average of $59.42. 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 Mount Pleasant, SC
X-Ray
Avg $6.10
67,177 claims
Physical Therapy
Avg $73.16
50,803 claims
Dental Cleaning & Exam
Avg $37.38
30,029 claims
Case Management Services
Avg $46.16
28,191 claims
Speech Therapy
Avg $80.53
26,583 claims
Tooth Extraction
Avg $147.18
19,111 claims
CT Scan (Computed Tomography)
Avg $36.72
18,533 claims
Emergency Room Visit
Avg $70.62
18,483 claims