Average Medicaid Office Visit Payments in Port Royal, SC: $84.85
Avg. Paid
$84.85
Range
$31.21 – $235.10
Total Claims
43,918
Providers
20
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 Port Royal, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Earl Simmons
1875 N Paris Ave |
$77.62 | 20,458 | 18,303 |
|
William Esdorn Oquinn
1510 Ribaut Rd |
$70.10 | 7,479 | 6,895 |
|
Mark Allen Bechtel
1680 Ribaut Rd |
$64.58 | 2,509 | 2,436 |
|
Marlo Monique Smith
1320 Ribaut Rd |
$209.19 | 1,759 | 1,699 |
|
Lika J Schrock
1510 Ribaut Rd |
$49.42 | 1,673 | 1,526 |
|
Vandit Sardana
1680 Ribaut Rd |
$40.21 | 1,628 | 1,556 |
|
Cheryl Lynne Deets
1510 Ribaut Rd |
$73.46 | 1,623 | 1,467 |
|
Ugochi Cantave
1875 N Paris Ave |
$190.29 | 1,477 | 1,418 |
|
Monica Walker
1510 Ribaut Rd |
$49.31 | 1,373 | 1,256 |
|
Alisha N. Orage Freeman
1510 Ribaut Rd |
$49.49 | 1,016 | 927 |
|
Jessie Pernell Goethie
1680 Ribaut Rd |
$199.01 | 642 | 620 |
|
Niles Edemeka Carter
1320 S. Ribaut Rd |
$63.01 | 631 | 538 |
|
Karmen Turner
1320 Ribaut Rd |
$235.10 | 501 | 457 |
|
Gregory P Lonscak
1718 Ribaut Rd |
$193.38 | 427 | 396 |
|
Paul Mazzeo
1833 N. Paris Avenue |
$89.64 | 248 | 226 |
|
Susanne T Baisch
1680B Ribaut Rd |
$33.87 | 175 | 151 |
|
Kalysta T Pioggia
1510 South Ribaut Rd |
$64.62 | 107 | 104 |
|
Kathryn Mitchell Jones
1680B Ribaut Road |
$31.21 | 77 | 72 |
|
Ava Hudson
1320 Ribaut Rd |
$63.88 | 74 | 72 |
|
Rosalind Dawson
1320 Ribaut Rd |
$192.40 | 41 | 40 |
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 Port Royal, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Port Royal, SC is $84.85 per claim, based on 43,918 claims from 20 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 Port Royal, SC?
There are 20 Medicaid providers offering Office Visit related services in Port Royal, SC according to public payment data.
What is the price range for Office Visit in Port Royal, SC?
Medicaid reimbursement for Office Visit in Port Royal, SC ranges from $31.21 to $235.10 per claim, with an average of $84.85. 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 Port Royal, SC
Vaccines & Immunizations
Avg $11.51
21,694 claims
Dental Cleaning & Exam
Avg $32.07
9,994 claims
Nursing Facility Care
Avg $11.23
8,204 claims
Blood Work & Lab Tests
Avg $0.44
5,406 claims
Physical Therapy
Avg $45.03
5,298 claims
Dialysis
Avg $55.94
4,935 claims
Speech Therapy
Avg $83.94
3,628 claims
Dental Filling
Avg $85.47
3,099 claims