Average Medicaid Office Visit Payments in Rock Hill, SC: $74.20
Avg. Paid
$74.20
Range
$0.00 – $346.42
Total Claims
545,668
Providers
240
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 Rock Hill, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gaurang C Shah
165 Amendment Ave |
$68.63 | 63,079 | 56,153 |
|
South Carolina Dept Of Mental Health Accounting Office
448 Lakeshore Pkwy |
$185.47 | 30,509 | 25,990 |
|
Jason Tyler Given
2450 India Hook Rd |
$72.77 | 18,909 | 16,587 |
|
Glenn Allin Raymond
360 S Herlong Ave |
$73.42 | 15,066 | 12,961 |
|
James Leonard Hubbard
360 S Herlong Ave |
$84.18 | 12,441 | 11,138 |
|
Stacy Baker
735 Cherry Rd |
$92.53 | 12,057 | 11,194 |
|
Tarunendu Shekhar Dwivedi
1721 Ebenezer Rd |
$70.15 | 11,623 | 11,459 |
|
Rajeshkumar M. Patel
724 Arden Ln |
$69.71 | 11,432 | 10,604 |
|
Adam Cutler
165 Amendment Ave Ste 102 |
$38.41 | 11,120 | 10,543 |
|
Angela Morrison
360 S Herlong Ave |
$73.98 | 9,596 | 8,732 |
|
Pallavi Kamra
1656 Riverchase Blvd |
$19.55 | 9,088 | 6,378 |
|
Raymond A. Reiser
455 Lakeshore Pkwy |
$162.97 | 8,924 | 8,328 |
|
Dhanalakshmi Senniappan
165 Amendment Ave |
$78.20 | 8,091 | 7,373 |
|
Salvatore Franco Bianco
1393 Celanese Rd |
$72.05 | 7,936 | 7,719 |
|
Gashaw Tedla Tafari
225 S Herlong Ave Ste 250 |
$160.35 | 7,763 | 7,124 |
|
Carlos G Paxtor
225 Herlong Ave S Ste 201 |
$69.24 | 7,688 | 6,851 |
|
Hong T. Bui
1656 Riverchase Blvd |
$75.30 | 7,282 | 7,077 |
|
Hattina Denise Osterberg
1656 Riverchase Blvd |
$76.34 | 7,263 | 6,969 |
|
Gregory Stokes Parsons
200 S Herlong Ave Ste A |
$80.49 | 6,891 | 6,453 |
|
State Of South Carolina
1070 Heckle Boulevard |
$54.75 | 6,725 | 6,542 |
|
Ahmad Ashfaq
1656 Riverchase Blvd |
$77.32 | 6,699 | 6,405 |
|
Ali Haider
1656 Riverchase Blvd |
$74.75 | 6,220 | 5,970 |
|
Stephen H Shepard
222 S Herlong Ave |
$55.70 | 5,957 | 5,544 |
|
Wendy K Baker
1656 Riverchase Blvd |
$55.28 | 5,364 | 5,182 |
|
Lesley Ann Wallace-Berman
1656 Riverchase Blvd |
$71.42 | 5,212 | 5,016 |
|
Sushil Kumar Das
1787 Ebenezer Rd |
$27.33 | 5,001 | 3,780 |
|
Jack Frank Johnson
724 Arden Ln |
$63.04 | 4,956 | 4,471 |
|
Sashi Naidu
1583 Health Care Dr |
$22.70 | 4,794 | 2,964 |
|
Larry N Byrd
724 Arden Ln Ste 100 |
$70.38 | 4,710 | 4,380 |
|
Deovyaas S Sharma
Suite F |
$65.77 | 4,710 | 4,317 |
|
Dorenda Gregg Truesdale
2633 Celanese Rd |
$68.78 | 4,696 | 4,306 |
|
Robert Craig Mcclelland
1721 Ebenezer Rd |
$70.72 | 4,444 | 4,002 |
|
Melchor Hernan Munoz
1656 Riverchase Blvd |
$70.20 | 4,430 | 4,281 |
|
Erin Booher Goshorn
1674 Cranium Dr Ste 104 |
$71.65 | 4,379 | 4,220 |
|
Hannah Faile Faulkenberry
1656 Riverchase Blvd |
$35.29 | 4,336 | 3,489 |
|
Amisub Of South Carolina, Inc.
222 S Herlong Ave |
$39.62 | 4,306 | 3,611 |
|
Ulyesse C Everall
1317 Ebenezer Rd |
$52.36 | 4,261 | 3,987 |
|
Frances Poe Bailey
1721 Ebenezer Rd Ste 145 |
$69.25 | 4,154 | 3,726 |
|
Myo M Nwe
744 Arden Ln |
$35.35 | 4,054 | 3,078 |
|
Gerald Ray Comer
1656 Riverchase Blvd |
$65.68 | 3,952 | 3,609 |
|
Barbara L Rowland
1721 Ebenezer Rd |
$70.46 | 3,841 | 3,458 |
|
Ranya Patricia Chakra
1656 Riverchase Blvd |
$69.20 | 3,745 | 3,526 |
|
Susan Mcbrayer Demchak
1656 Riverchase Blvd |
$50.19 | 3,670 | 3,148 |
|
Kathryn E. Webb
1721 Ebenezer Rd Ste 145 |
$69.66 | 3,335 | 3,032 |
|
James C Charles
455 Lakeshore Pkwy |
$194.16 | 3,244 | 3,017 |
|
Christy Dawn Holshouser
1656 Riverchase Blvd |
$56.99 | 3,236 | 2,782 |
|
Mark Jeffrey Abrams
200 S Herlong Ave |
$66.43 | 3,214 | 3,048 |
|
Monica Pazdera Evans
1656 Riverchase Blvd |
$59.78 | 3,206 | 3,110 |
|
Brandon Thomas Gregory
200 Herlong Ave S Ste A |
$18.74 | 3,196 | 2,480 |
|
Chad S Kessler
200 S Herlong Ave |
$72.05 | 3,187 | 3,058 |
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 Rock Hill, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rock Hill, SC is $74.20 per claim, based on 545,668 claims from 240 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 Rock Hill, SC?
There are 240 Medicaid providers offering Office Visit related services in Rock Hill, SC according to public payment data.
What is the price range for Office Visit in Rock Hill, SC?
Medicaid reimbursement for Office Visit in Rock Hill, SC ranges from $0.00 to $346.42 per claim, with an average of $74.20. 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 Rock Hill, SC
Home Health Visit
Avg $62.67
407,517 claims
Blood Work & Lab Tests
Avg $30.08
273,667 claims
Personal Care Services
Avg $20.37
186,716 claims
Emergency Room Visit
Avg $43.04
185,783 claims
Psychiatric Evaluation
Avg $139.59
171,950 claims
Vaccines & Immunizations
Avg $13.68
150,867 claims
Dental Cleaning & Exam
Avg $32.43
146,991 claims
Speech Therapy
Avg $58.98
125,798 claims