Average Medicaid Office Visit Payments in Newberry, SC: $114.57
Avg. Paid
$114.57
Range
$0.09 – $239.60
Total Claims
82,466
Providers
31
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 Newberry, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen Federick Dyke
2520 Evans St |
$60.60 | 14,317 | 10,071 |
|
Danielle Renae Davis
145 Executive Dr |
$184.23 | 12,380 | 11,266 |
|
Linda J Crout Wingard
2525 Kinard Street |
$183.12 | 10,696 | 9,435 |
|
Jorge O Garcia
2531 Evans St |
$56.51 | 8,912 | 7,610 |
|
Rebecca L White
2525 Kinard St |
$170.86 | 7,485 | 7,102 |
|
Rebecca Susan Biscoglia
2525 Kinard St |
$183.47 | 6,831 | 6,385 |
|
Corey D Hunt
2605 Kinard Street |
$55.35 | 2,587 | 2,172 |
|
Rajendra Shrestha
1410 Wilson Rd |
$51.10 | 2,455 | 2,303 |
|
Marnie Vanstrum
1410 Wilson Rd |
$74.23 | 2,285 | 2,113 |
|
Johnny Buzhardt
2669 Kinard St |
$71.00 | 2,162 | 2,018 |
|
Joshua Formaneck
1410 Wilson Rd |
$50.38 | 1,730 | 1,662 |
|
State Of South Carolina
2111 Wilson Road |
$61.70 | 1,722 | 1,627 |
|
Wayne Joseph Harsha
2562 Kinard St |
$57.87 | 1,509 | 1,394 |
|
Newberry County Memorial Hospital
2669 Kinard St |
$4.16 | 1,481 | 1,116 |
|
Ravikumar K Patel
2669 Kinard St |
$46.14 | 1,089 | 623 |
|
John W. Green
2562 Kinard St |
$76.61 | 1,029 | 994 |
|
Barbie K. Johnson
2605 Kinard St Ste 200 |
$76.50 | 1,008 | 986 |
|
Emilee Robin Bartley
1425 Wilson Rd |
$19.44 | 724 | 674 |
|
Sarah Burnside Riggins
2525 Kinard St |
$239.60 | 548 | 503 |
|
Casey Hendrix Purcell
1910A College St |
$35.72 | 415 | 339 |
|
Thomas F Bradberry
2033 Medical Park Dr |
$45.51 | 343 | 290 |
|
Kelly Anne Young
1410 Wilson Rd |
$52.80 | 212 | 198 |
|
Cody Robertson
2605 Kinard St |
$92.04 | 188 | 182 |
|
Jessica Carole Blake
1410 Wilson Rd |
$50.16 | 131 | 128 |
|
Alan Johnstone Paysinger
2033 Medical Park Dr |
$23.11 | 75 | 50 |
|
Mark Little
2605 Kinard St Ste 200 |
$81.87 | 54 | 54 |
|
Mark A Davis
2033 Medical Park Drive |
$54.78 | 28 | 25 |
|
Newberry County Memorial Hospital
2669 Kinard St |
$0.09 | 21 | 12 |
|
Chelsea Anthony Mccoy
2033 Medical Park Drive |
$22.34 | 20 | 12 |
|
Diviyesh Bhagvanji Patel
2735 Winnsboro Rd |
$21.42 | 15 | 14 |
|
William H Cantey
2660 Kinard St |
$70.27 | 14 | 12 |
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 Newberry, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newberry, SC is $114.57 per claim, based on 82,466 claims from 31 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 Newberry, SC?
There are 31 Medicaid providers offering Office Visit related services in Newberry, SC according to public payment data.
What is the price range for Office Visit in Newberry, SC?
Medicaid reimbursement for Office Visit in Newberry, SC ranges from $0.09 to $239.60 per claim, with an average of $114.57. 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 Newberry, SC
Speech Therapy
Avg $30.37
74,959 claims
Emergency Room Visit
Avg $46.70
64,780 claims
Blood Work & Lab Tests
Avg $15.35
53,054 claims
Urinalysis & Urine Tests
Avg $27.43
38,839 claims
Vaccines & Immunizations
Avg $8.70
37,719 claims
Physical Therapy
Avg $55.83
36,968 claims
Dental Cleaning & Exam
Avg $34.11
27,747 claims
Ambulance Transport
Avg $46.09
16,419 claims