Average Medicaid Office Visit Payments in Piedmont, SC: $63.15
Avg. Paid
$63.15
Range
$27.59 – $318.75
Total Claims
78,141
Providers
25
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 Piedmont, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michelle S Giroux
3455 Highway 153 |
$75.79 | 12,964 | 11,726 |
|
John Andrew Goldsmith
1115 Wren School Rd |
$75.16 | 6,971 | 6,498 |
|
Timothy Lee Jones
115 Beattie Park Rd |
$31.26 | 6,929 | 6,669 |
|
Robert Stephen Briggs
1115 Wren School Rd |
$71.48 | 6,284 | 5,884 |
|
Robert Bryant
6650 Highway 81 N |
$67.07 | 6,251 | 5,728 |
|
Timothy Allen Naumann
251 Wall St |
$49.83 | 5,469 | 4,933 |
|
John L Sloan
115 Beattie Park Rd |
$66.23 | 5,466 | 4,912 |
|
Janie Mckinnon Thomas
1115 Wren School Rd |
$55.21 | 4,997 | 4,804 |
|
Gregory Allen Johnson
1115 Wren School Rd |
$72.09 | 4,937 | 4,620 |
|
Arthur L Smith
103 Clair Dr |
$37.85 | 2,813 | 2,602 |
|
Clay Martin Crosby
1115 Wren School Rd |
$67.05 | 2,642 | 2,476 |
|
Jackson B Bruce
115 Beattie Park Rd |
$55.73 | 2,535 | 2,277 |
|
William M Scott
206 Wall St |
$73.31 | 2,157 | 1,730 |
|
Meridith Nicole Odom
6650 Highway 81 N |
$78.48 | 1,677 | 1,564 |
|
Quinn Douglas Hunt
1115 Wren School Rd |
$70.90 | 1,468 | 1,362 |
|
Sonya Lee Cothran-Pate
11S Beattie Park Rd |
$39.82 | 1,429 | 1,350 |
|
Michael D Seemuller
6650 Highway 81 North |
$61.97 | 955 | 895 |
|
Joseph T Garand
115 Beattie Park Rd |
$68.31 | 950 | 886 |
|
Kendall Dorie
206 Wall St |
$70.87 | 391 | 346 |
|
Taylor H Fitch-Smith
3455 Highway 153 |
$51.22 | 267 | 244 |
|
Mark Anthony Hendricks
3150 Highway 153 |
$28.21 | 261 | 214 |
|
Daniel Eaton Lee
3150 Highway 153 |
$27.59 | 241 | 180 |
|
Maurian Jenkins
202 Wall St |
$318.75 | 62 | 62 |
|
Abigail Christine Stoker
1115 Wren School Rd |
$108.72 | 13 | 13 |
|
Sharon Jane Barthelmes
115 Beattie Park Rd |
$44.93 | 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 Piedmont, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Piedmont, SC is $63.15 per claim, based on 78,141 claims from 25 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 Piedmont, SC?
There are 25 Medicaid providers offering Office Visit related services in Piedmont, SC according to public payment data.
What is the price range for Office Visit in Piedmont, SC?
Medicaid reimbursement for Office Visit in Piedmont, SC ranges from $27.59 to $318.75 per claim, with an average of $63.15. 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 Piedmont, SC
Psychiatric Evaluation
Avg $107.62
22,618 claims
Vaccines & Immunizations
Avg $21.77
19,629 claims
Ambulance Transport
Avg $0.35
18,976 claims
Blood Work & Lab Tests
Avg $4.70
8,339 claims
Nursing Facility Care
Avg $17.30
3,852 claims
Dental Cleaning & Exam
Avg $34.64
2,906 claims
Physical Therapy
Avg $79.49
2,850 claims
Urinalysis & Urine Tests
Avg $1.95
1,562 claims