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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Mt Pleasant, SC: $56.43

Avg. Paid

$56.43

Range

$7.89 – $312.93

Total Claims

31,074

Providers

70

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 Mt Pleasant, SC

Provider Avg. Paid Claims Patients
Emily Signe Mika Nemeth

1101 Bowman Rd

$67.62 12 12
Janet O White

309 Wingo Way

$46.47 12 12
Marjorie Caroline Spitznagel

180 Wingo Way Ste 207

$7.89 13 13
Courtney Josephine Walsh

631 Johnnie Dodds Blvd

$55.35 13 12
Mark Bently Hartman

1625 Hospital Dr

$27.95 14 13
Nichole Mccullough Watson

3510 N Highway 17

$74.18 15 13
John J Vollmer

3510 Highway 17 Byp N Ste 105

$34.61 15 12
William B Richardson

3520 Park Avenue Blvd.

$33.42 15 12
Mary Henderson James

180 Wingo Way

$34.88 17 16
East Cooper Community Hospital, Inc.

2000 Hospital Drive

$45.77 19 17
Cori Elizabeth Sondervan

1671 Belle Isle Ave Ste 110J

$43.33 20 18
Elizabeth Lauren Powell

3400 Salterbeck Ct

$47.99 25 25
John Stewart

180 Wingo Way Ste 207

$83.46 28 26
Brodie Eden Mckoy

851 Leonard Fulghum Blvd

$51.58 29 25
Shannon M Noble

309 Wingo Way

$63.40 30 26
John Robert Alexander

526 Johnnie Dodds Blvd Ste 301

$17.25 30 25
Kimberly S Zimlich

309 Wingo Way

$49.80 30 28
Blake L Ohlson

594 Lone Tree Dr Bldg 6

$40.79 41 40
Danielle Peplinski O'Shea

631 Johnnie Dodds Blvd

$42.65 47 47
Marc Scott Haro

1106 Chuck Dawley Blvd Ste 200

$50.83 48 38
Olivia M Covert

897 Von Kolnitz Rd Ste 101

$11.45 50 30
Adele R Comite

180 Wingo Way Ste 304

$59.42 53 44
Kimberly R Wright

1400 Hospital Dr

$167.80 54 52
Lee Lovett Allison

1200 Two Island Ct

$51.88 54 48
John D Gross

613 Long Point Rd

$29.07 65 57
Gregory Ashley Perron

1440 Ben Sawyer Blvd

$45.69 75 71
Laura Stickler

851 Leonard Fulghum Dr

$60.46 76 62
Toya Pound

851 Leonard Fulghum Dr

$57.51 83 65
David Kevin Smith

1300 Hospital Dr

$54.05 84 80
Lara Corbett Wilson

851 Leonard Fulghum Blvd

$60.59 86 66
Phyllis W. Rogerson

3510 N Highway 17 Ste 225

$76.29 90 78
Jonathan Edward Parrack

1300 Hospital Dr Ste 300

$36.47 90 89
John R Marino

3510 Highway 17 Byp N Ste 220

$49.19 94 80
Andrew Clarke Flandry

180 Wingo Way

$69.97 98 87
Courtney Louise Dubose

1952 Long Grove Dr

$50.07 103 100
Susan Cao

180 Wingo Way Ste 205

$78.13 131 129
Hayley Plant Bryan

1200 Two Island Ct Unit E

$9.59 136 127
Nicole Ann Legare

874 Whipple Rd Ste 200

$25.10 161 139
Catherine Stephanie Martin

180 Wingo Way Ste 202

$41.36 165 109
Sherif Zaghloul Yacoub

3510 N Highway 17 Ste 220

$51.79 165 154
Emily Marshall Young

180 Wingo Way Ste 207

$77.59 188 159
Bridget Talbot Williamson

851 Leonard Fulghum Dr

$61.95 196 141
Lesly S Davidson

901 Von Kolnitz Rd

$40.96 198 190
Susanne M. Bradford

3510 N Highway 17 Ste 225

$59.98 235 156
Sylvia Lee Clarkson

1440 Ben Sawyer Blvd Ste 1109

$59.13 281 259
Granger Christian Osborne

851 Leonard Fulghum Blvd

$53.33 370 277
Valerie Ann Scott

1400 Hospital Drive

$58.58 375 332
Meghan E.R. Lynch

3510 Highway 17 N

$65.93 398 287
Jaclyn Bryan Wozniuk

1400 Hospital Dr

$312.93 403 220
Theodore M Pappas

1400 Hospital Dr

$74.15 445 414

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 Mt Pleasant, SC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mt Pleasant, SC is $56.43 per claim, based on 31,074 claims from 70 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 Mt Pleasant, SC?

There are 70 Medicaid providers offering Office Visit related services in Mt Pleasant, SC according to public payment data.

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

Medicaid reimbursement for Office Visit in Mt Pleasant, SC ranges from $7.89 to $312.93 per claim, with an average of $56.43. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Mt Pleasant, SC