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Based on public Medicaid payment data.

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

Other Procedures in Mount Pleasant, SC