Average Medicaid Office Visit Payments in Pawleys Island, SC: $66.08
Avg. Paid
$66.08
Range
$5.27 – $106.88
Total Claims
55,227
Providers
36
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 Pawleys Island, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gerald Francis Congdon
201 Business Center Dr |
$73.87 | 17,125 | 9,915 |
|
Danielle Olivia Woodley
201 Business Center Dr. |
$56.80 | 7,734 | 4,286 |
|
Scott A Nicol
64 Business Center Dr |
$76.21 | 4,424 | 4,158 |
|
Crystal L Franklin
8247 Ocean Hwy |
$69.04 | 3,838 | 3,723 |
|
Larry W Kelly
64 Business Center Dr |
$75.60 | 3,312 | 3,090 |
|
Edgar Victor Archambeau
12117 Ocean Hwy |
$62.85 | 3,208 | 2,899 |
|
Mary Elizabeth Ross
64 Business Center Dr |
$70.60 | 2,818 | 2,600 |
|
Rebecca Ann Turner
10993 Ocean Hwy Unit 132 |
$58.74 | 2,131 | 1,578 |
|
Kimberley Anastasia Drayton
9699 Ocean Hwy |
$38.55 | 1,428 | 1,281 |
|
Lena Anne Sandifer
64 Business Center Dr |
$69.96 | 1,377 | 1,301 |
|
Catherine Smith Gallier
14866 Ocean Hwy |
$53.56 | 1,269 | 1,160 |
|
John K Ijem
9653 Ocean Hwy |
$39.20 | 919 | 821 |
|
David K Haseltine
9699 Ocean Hwy |
$50.60 | 817 | 774 |
|
Gayle L Brook
113 Willbrook Blvd Unit F |
$69.46 | 770 | 669 |
|
Allison Stanford Ferdon
64 Business Center Dr |
$61.42 | 565 | 523 |
|
Ryan Wilson
201 Business Center Dr |
$53.95 | 556 | 520 |
|
George C Keough
14490 Ocean Hwy |
$39.21 | 547 | 495 |
|
Richard Andrew Philipp
9699 Ocean Hwy |
$76.12 | 459 | 426 |
|
Deidre J Hudson
201 Business Center Dr |
$78.94 | 403 | 363 |
|
Patricia R Grant
313B Commerce Dr |
$13.17 | 372 | 331 |
|
Maureen Lisa Thomas
10317 Ocean Hwy # 17S |
$46.26 | 277 | 271 |
|
Ruta Rimkiene
14866 Ocean Hwy |
$74.10 | 255 | 240 |
|
Christine Elena Julien
10317 Ocean Hwy |
$41.70 | 180 | 178 |
|
Melissa Renee Bliss
9653 Ocean Hwy |
$28.31 | 112 | 104 |
|
Douglas Charles Swartz
9699 Ocean Hwy |
$58.13 | 81 | 81 |
|
Jacqueline Marie Sennott
9653 Ocean Hwy |
$27.64 | 79 | 68 |
|
John Dewey Hynes
201 Business Center Dr |
$63.88 | 32 | 29 |
|
Carla Stahl Graham
10317 Ocean Highway |
$56.14 | 28 | 28 |
|
Cynthia Riley
9699 Ocean Hwy |
$52.78 | 17 | 15 |
|
Sierra Fisher Ard
9653 Ocean Hwy |
$5.27 | 15 | 13 |
|
Jack Sutcliffe
9699 Ocean Hwy |
$106.47 | 15 | 13 |
|
Kathleen A Boone
9699 Ocean Hwy |
$54.73 | 14 | 12 |
|
Lawrence Casey Mann
9699 Ocean Hwy |
$55.56 | 13 | 12 |
|
Anthony Huub De Haas
14490 Ocean Hwy |
$106.88 | 13 | 13 |
|
Courtney Sturgill
9699 Ocean Hwy |
$24.78 | 12 | 12 |
|
Nitesh J. Ainani
9653 Ocean Hwy |
$28.79 | 12 | 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 Pawleys Island, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pawleys Island, SC is $66.08 per claim, based on 55,227 claims from 36 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 Pawleys Island, SC?
There are 36 Medicaid providers offering Office Visit related services in Pawleys Island, SC according to public payment data.
What is the price range for Office Visit in Pawleys Island, SC?
Medicaid reimbursement for Office Visit in Pawleys Island, SC ranges from $5.27 to $106.88 per claim, with an average of $66.08. 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 Pawleys Island, SC
Dental Cleaning & Exam
Avg $32.20
33,077 claims
EKG / ECG (Electrocardiogram)
Avg $4.30
17,969 claims
Blood Work & Lab Tests
Avg $11.10
14,392 claims
Durable Medical Equipment (DME)
Avg $33.24
11,038 claims
Psychiatric Evaluation
Avg $92.25
10,294 claims
Speech Therapy
Avg $65.52
9,785 claims
Eye Exam
Avg $23.36
5,653 claims
Vaccines & Immunizations
Avg $22.84
4,839 claims