Average Medicaid Office Visit Payments in Saluda, SC: $61.80
Avg. Paid
$61.80
Range
$48.11 – $170.17
Total Claims
31,309
Providers
13
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 Saluda, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ralph N Riley
595 Newberry Hwy |
$59.77 | 256 | 241 |
|
Summer Mayson Cantrell
102 R L Sawyer Md Dr |
$50.89 | 357 | 341 |
|
Deborah J Grate
219 Greenwood Hwy |
$157.66 | 393 | 356 |
|
Elizabeth Morris
219 Greenwood Hwy |
$170.17 | 458 | 443 |
|
Juliana Atkins
102 R L Sawyer Md Dr |
$63.02 | 469 | 442 |
|
William C Sawyer
102 R L Sawyer Md Dr |
$48.11 | 508 | 472 |
|
State Of South Carlina
3193 Newberry Hwy |
$53.34 | 2,188 | 2,108 |
|
Franco B Godoy
501 W Butler Ave |
$64.09 | 2,514 | 2,153 |
|
David I Stevens
595 Newberry Hwy |
$51.84 | 3,425 | 3,168 |
|
Keyonia Young Johnson
595 Newberry Hwy |
$61.08 | 3,554 | 3,263 |
|
Nicole M Clark
595 Newberry Hwy |
$58.73 | 3,615 | 3,359 |
|
Candace Victoria Lawer-Johnson
501 W Butler Ave |
$49.85 | 4,281 | 3,480 |
|
Gisella E Godoy
501 W Butler Ave |
$65.57 | 9,291 | 7,244 |
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 Saluda, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Saluda, SC is $61.80 per claim, based on 31,309 claims from 13 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 Saluda, SC?
There are 13 Medicaid providers offering Office Visit related services in Saluda, SC according to public payment data.
What is the price range for Office Visit in Saluda, SC?
Medicaid reimbursement for Office Visit in Saluda, SC ranges from $48.11 to $170.17 per claim, with an average of $61.80. 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 Saluda, SC
Dental Cleaning & Exam
Avg $33.01
68,458 claims
Speech Therapy
Avg $38.18
18,299 claims
Dental Filling
Avg $92.54
17,813 claims
Nursing Facility Care
Avg $18.46
12,351 claims
Ambulance Transport
Avg $52.21
11,970 claims
Vaccines & Immunizations
Avg $17.92
10,336 claims
Root Canal
Avg $81.58
9,108 claims
Physical Therapy
Avg $41.77
6,366 claims