Based on public Medicaid payment data.

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
Julie H Blackman 455 Lakeshore Pkwy Ste 500	$157.67	12	12
Evthokia Spears Thompson 455 Lakeshore Pkwy	$51.99	12	12
Anju Choudhury 1393 Celanese Rd	$70.09	12	12
Cara Lynne Constantino 134 Professional Park Dr	$114.03	13	13
Nicole Loman 2707 Celanese Rd	$318.75	13	13
Sherena Denise Samuel 2707 Celanese Rd	$65.22	13	12
Iris Boyd 2707 Celanese Rd	$51.82	13	12
Eugene Neal Powell 134 Professional Park Dr	$15.53	13	12
Eugene M Lepine 1533 Ebenezer Rd	$57.35	14	13
Nathaniel C. Edwards 1656 Riverchase Blvd	$21.54	14	14
Patrick Duffy 222 Herlong Ave S	$38.73	14	14
Sharon Marie Hooper 1665 Herlong Ct Ste C	$73.56	14	14
Tamara Doran 223 Hillcrest Ave	$51.16	14	14
Christine Franzese 410 Herlong Ave S Ste 106	$94.86	14	12
Shamly Venus Dhiman 1721 Ebenezer Rd Ste 175	$23.71	15	13
Derek Michael Parshall 134 Professional Park Dr	$115.38	15	13
Priscilla J Ramsay 2450 India Hook Rd	$49.22	15	12
Malcolm L. Marion 1435 Ebenezer Rd	$66.52	16	14
Catherine Ann Paukovitz 430 S Herlong Ave	$33.06	17	16
Digestive Disease Associates Of York Coutny Pa 170 Amendment Ave	$0.00	17	12
Sharon Watts Brown 1477 Ebenezer Rd Ste G	$0.00	21	19
George Huggin White 1435 Ebenezer Rd	$51.77	26	25
Katie Newman Chambers 222 S Herlong Ave	$97.12	27	12
Walter James 134 Professional Park Dr	$42.71	27	26
Michelle Angel Hernandez Roman 2707 Celanese Rd	$49.25	28	27
Chiemeziem Good Eke 170 Amendment Ave	$84.83	35	31
Robert V. Fulmer 1656 Riverchase Blvd	$42.01	38	38
Christopher H Crabtree 430 S Herlong Ave	$1.98	42	12
Christian E Magura 1780 Medical Park Dr	$18.95	43	38
Tri-County Pediatrics Llc 165 Amendment Ave	$71.30	44	44
Jill Eileen Simpson Winthrop University Health	$26.95	47	47
Christian Mckenzie Martin 500 Lakeshore Pkwy Ste 200	$11.60	50	28
Ear Nose Throat & Audiology Associates 744 Arden Ln	$15.57	51	42
Ashley Williams 2707 Celanese Rd	$51.22	51	49
Dianne Martin Boik 1656 Riverchase Blvd	$30.74	55	49
Darin Gray 1533 Ebenezer Rd	$39.44	60	54
Lori Heffner Gibson 4694 Westwind Dr	$87.05	64	39
Stephen J Bott 170 Amendment Ave	$56.12	64	61
Elizabeth Jean Woolridge 2707 Celanese Rd	$62.49	66	66
Amy Cabaniss Clinton 1393 Celanese Rd	$55.04	67	57
Marie Fenelon 1926 India Hook Rd	$57.40	68	60
Bret M Garretson 170 Amendment Ave	$63.07	69	63
Andrew Joseph Ohar 222 Herlong Ave S	$68.10	73	73
Jennifer E Peelman 370 S Herlong Ave	$346.42	73	72
Tarunendu S Dwivedi Md Pc 1721 Ebenezer Rd	$80.88	74	72
Community Medicine Foundation 1131 Saluda St	$149.76	81	75
Lawrence Robert Wood 1393 Celanese Rd	$34.27	84	83
Ansley L Hilton 1721 Ebenezer Rd # 05	$78.12	84	75
Catherine Connolly 170 Amendment Ave	$34.06	89	74
Parag Shashikant Anandpura 1656 Riverchase Blvd	$57.21	89	80

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.

Average Medicaid Office Visit Payments in Rock Hill, SC: $74.20

Providers Offering Office Visit in Rock Hill, SC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Rock Hill, SC

Home Health Visit

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Personal Care Services

Emergency Room Visit

Psychiatric Evaluation

Vaccines & Immunizations

Dental Cleaning & Exam

Speech Therapy