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
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 Mt Pleasant, SC
Blood Work & Lab Tests
Avg $14.16
158,016 claims
Physical Therapy
Avg $74.54
83,407 claims
Speech Therapy
Avg $80.12
73,117 claims
Emergency Room Visit
Avg $57.74
50,384 claims
Dental Cleaning & Exam
Avg $31.35
22,877 claims
Urinalysis & Urine Tests
Avg $39.44
20,521 claims
X-Ray
Avg $7.17
17,509 claims
Nursing Facility Care
Avg $15.79
10,410 claims