Average Medicaid Office Visit Payments in North Charleston, SC: $66.87
Avg. Paid
$66.87
Range
$0.00 – $345.00
Total Claims
352,747
Providers
184
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 North Charleston, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eni Clement Okonofua
5390 Dorchester Rd |
$46.06 | 27,782 | 24,834 |
|
Kenneth Phylex Jones
3870 Leeds Avenue |
$159.64 | 17,232 | 16,410 |
|
Constantine Peter Copses
2713 Dantzler Dr |
$72.54 | 14,665 | 14,196 |
|
Casey Harvey King
2713 Dantzler Dr |
$75.21 | 14,187 | 13,697 |
|
Lisa Bryce Lopez
2713 Dantzler Dr |
$73.81 | 13,573 | 13,176 |
|
Kathryn Elizabeth Herwig
2713 Dantzler Dr |
$75.22 | 13,154 | 12,758 |
|
Anna C Pruitt
3800 Faber Place Dr |
$70.99 | 12,728 | 11,699 |
|
Christina M Tripp
2713 Dantzler Dr |
$73.06 | 9,853 | 9,468 |
|
Francis Akom
1370 Remount Rd |
$71.21 | 8,594 | 5,731 |
|
Shilpa Narendra Shah
2713 Dantzler Drive |
$73.52 | 8,582 | 8,381 |
|
State Of South Carolina
3685 Rivers Ave Ste 201 |
$58.45 | 8,303 | 7,980 |
|
Sumita Kumari Debroy
2713 Dantzler Dr |
$73.68 | 8,104 | 7,893 |
|
Jennifer Ann Nordby
2781 Tricom St |
$84.97 | 8,028 | 7,599 |
|
Amy Rebman Dietrich
2713 Dantzler Dr |
$72.52 | 8,028 | 7,704 |
|
Heather Nicole Blanton
2713 Dantzler Dr |
$66.22 | 7,366 | 7,092 |
|
Theodore Edward Brisson
2890 Tricom Street |
$40.18 | 7,215 | 5,702 |
|
Morgan Murphy Glass
2713 Dantzler Dr |
$70.85 | 6,216 | 5,949 |
|
Elizabeth Norene Dacus
9279 Medical Plaza Dr Ste A |
$64.05 | 6,160 | 4,518 |
|
Charleston County Government
3685 Rivers Avenue |
$38.28 | 5,965 | 3,349 |
|
Jon Carter
8901 University Blvd |
$61.17 | 5,902 | 4,988 |
|
Nancy B Stroud
9279 Medical Plaza Dr Ste A |
$60.86 | 5,888 | 4,205 |
|
George L Clark
8740 Rivers Ave |
$81.60 | 5,144 | 4,770 |
|
Nelson Randolph Ploch
2890 Tricom Street |
$35.71 | 4,657 | 3,316 |
|
Samuel Walker Nickles
2890 Tricom St |
$42.92 | 4,627 | 3,693 |
|
Alice June Savage
8091 Rivers Ave |
$80.65 | 4,141 | 3,927 |
|
Jordan Stuart Whatley
2250 Mall Dr |
$100.01 | 4,013 | 3,866 |
|
Robert J Blackwell
9263 Medical Plaza Dr |
$23.74 | 3,729 | 3,436 |
|
Allyson J Thatcher
9267 Medical Plaza Dr |
$35.03 | 3,302 | 2,946 |
|
Carey Lennon
2880 Tricom St |
$46.90 | 3,294 | 2,670 |
|
Patricia S Gerber
7555 Northside Dr |
$52.15 | 3,227 | 3,010 |
|
Robin L. Infinger
2550 Elms Center Rd |
$60.22 | 3,210 | 3,023 |
|
Mary K Decker
8091 Rivers Ave |
$54.76 | 3,144 | 2,933 |
|
Carol Gainey Bledsoe Jones
2070 Northbrook Blvd |
$77.21 | 3,097 | 3,012 |
|
Ashley Nix Allen
5070 International Blvd |
$69.24 | 2,994 | 2,535 |
|
Angela Kelly Peterson
8740 Rivers Avenue |
$58.16 | 2,848 | 2,648 |
|
Wakesha T Evans
5880 Rivers Ave |
$56.03 | 2,584 | 2,433 |
|
Karey L Breen
5880 Rivers Ave |
$85.84 | 2,518 | 2,286 |
|
Farrow Counts Durant
2713 Dantzler Dr |
$71.85 | 2,481 | 2,399 |
|
James Thomas Martin
9213 A. University Blvd. |
$67.57 | 2,408 | 1,577 |
|
Robert J Robinson
2175 Ashley Phosphate Rd |
$78.73 | 2,348 | 1,959 |
|
Steven F Bull
8780 Rivers Ave |
$84.76 | 2,174 | 2,083 |
|
Paula K Siefken
8091 Rivers Ave |
$64.29 | 2,015 | 1,896 |
|
Ned T Rupp
7555 Northside Dr |
$59.33 | 1,989 | 1,848 |
|
Heather Rose Dawson
8761 Dorchester Rd Ste 100 |
$38.72 | 1,945 | 1,407 |
|
Stefanie Ann Mauney
8740 Rivers Ave |
$52.35 | 1,913 | 1,809 |
|
John Ramey
7555 Northside Dr |
$58.76 | 1,874 | 1,708 |
|
Pain Specialists Of Charleston Pa
2695 Elms Plantation Blvd Ste A |
$3.95 | 1,859 | 1,799 |
|
Scott Steven Lloyd
8992 University Blvd Ste 300 |
$54.36 | 1,842 | 1,731 |
|
Shailesh Maneklal Patel
2880 Tricom St |
$23.05 | 1,690 | 1,588 |
|
Keith John Santiago
2880 Tricom St |
$50.26 | 1,634 | 1,559 |
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 North Charleston, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Charleston, SC is $66.87 per claim, based on 352,747 claims from 184 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 North Charleston, SC?
There are 184 Medicaid providers offering Office Visit related services in North Charleston, SC according to public payment data.
What is the price range for Office Visit in North Charleston, SC?
Medicaid reimbursement for Office Visit in North Charleston, SC ranges from $0.00 to $345.00 per claim, with an average of $66.87. 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 North Charleston, SC
Dental Cleaning & Exam
Avg $33.76
211,134 claims
Vaccines & Immunizations
Avg $18.75
205,095 claims
Blood Work & Lab Tests
Avg $12.65
161,066 claims
Ambulance Transport
Avg $101.19
118,832 claims
Home Health Visit
Avg $75.06
117,558 claims
Case Management Services
Avg $63.29
114,164 claims
Physical Therapy
Avg $62.59
110,738 claims
Dialysis
Avg $22.80
46,675 claims