Average Medicaid Office Visit Payments in Seneca, SC: $62.95
Avg. Paid
$62.95
Range
$5.16 – $162.05
Total Claims
222,843
Providers
131
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 Seneca, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey Kent Giguere
131 Lila Doyle Dr |
$27.18 | 12 | 12 |
|
Michael Ryan Busch
103 Omni Dr Ste B |
$54.46 | 13 | 13 |
|
Kim Gosnell
107 Omni Dr Ste A |
$24.86 | 14 | 14 |
|
Shefali D. Majmudar
107 Omni Dr Ste A |
$40.86 | 14 | 13 |
|
Carol Meltzer Beckenhauer
12016 N Radio Station Rd |
$55.05 | 14 | 14 |
|
Brian K Mccormick
298 Memorial Dr |
$61.63 | 15 | 15 |
|
Paul E. Thompson
12 Boardwalk Pl |
$148.25 | 17 | 17 |
|
Crossroads Treatment Center Of Seneca, Pc
209 Oconee Square Dr |
$45.37 | 17 | 12 |
|
Jessica Taylor Glymph
12016 N Radio Station Rd |
$51.98 | 17 | 17 |
|
Kaylee Hannah Adams
107 Omni Dr Ste A |
$72.30 | 18 | 18 |
|
Nickolas Grant Smith
390 Keowee School Rd |
$18.79 | 24 | 24 |
|
Conrad Kemmerlin Shuler
11082 N Radio Station Rd |
$51.92 | 25 | 25 |
|
Christa Rigel Mccann
366 Market St |
$162.05 | 27 | 27 |
|
Lisa B Purcell
100 Omni Dr Ste B |
$27.78 | 27 | 25 |
|
Carolyn Schmutz Leonard
301 Memorial Dr |
$29.13 | 29 | 25 |
|
James Charles Mcgeorge
10630 Clemson Blvd |
$22.19 | 32 | 27 |
|
Douglas Allen Reeves
10630 Clemson Blvd |
$25.52 | 53 | 50 |
|
Greenville Health System
131 Lila Doyle Dr |
$5.16 | 54 | 35 |
|
Zara Colon
10110 Clemson Blvd |
$45.71 | 57 | 53 |
|
Jeffrey Kirk Hensarling
10630 Clemson Blvd |
$28.89 | 62 | 55 |
|
Samuel Thomas Drake
103 Omni Dr Ste A |
$40.82 | 62 | 52 |
|
Shana M Collins-Smith
12016 N Radio Station Rd |
$39.93 | 67 | 62 |
|
Antigone Childs
11082 N Radio Station Rd |
$60.07 | 70 | 65 |
|
Amy Safrit
109 Carter Park Dr |
$37.46 | 72 | 69 |
|
Meredith Taylor Waldrop
11082 N Radio Station Rd |
$60.12 | 73 | 68 |
|
Daniel James Holden
103 Omni Dr |
$57.43 | 83 | 79 |
|
Greenville Health System
298 Memorial Dr |
$21.74 | 92 | 57 |
|
Patrick Sean Mccallum
10630 Clemson Blvd |
$31.90 | 103 | 95 |
|
James Casper Mills
10630 Clemson Blvd |
$37.12 | 121 | 117 |
|
Jessica Ferguson Baxter
109 Carter Park Dr |
$34.87 | 122 | 102 |
|
Whitnie Leigh Meller
105 Carter Park Dr Ste B |
$33.53 | 131 | 125 |
|
Jaime Dyer Fink
298 Memorial Dr |
$9.84 | 135 | 110 |
|
Hampton Leroy Snead
109 Carter Park Dr |
$40.08 | 136 | 126 |
|
Todd Cameron Swathwood
10630 Clemson Blvd |
$27.76 | 139 | 136 |
|
Weldon Elizabeth Deas
139 Lila Doyle Dr |
$48.78 | 141 | 138 |
|
Tenley E Murphy
10630 Clemson Blvd Ste 100 |
$51.20 | 144 | 134 |
|
Corrine Smith
131 Lila Doyle Dr |
$41.12 | 148 | 136 |
|
Elizabeth Todd Harpster
139 Lila Doyle Dr |
$39.09 | 163 | 153 |
|
Unyime Okposong Nseyo
135 Professional Park Dr |
$50.82 | 164 | 159 |
|
Raza Hassan
704 N Pine St |
$32.54 | 171 | 153 |
|
Carolyn Joy Green
125 Professional Park Dr |
$35.11 | 175 | 169 |
|
Natallia Abramovich
12016 N Radio Station Rd |
$55.08 | 187 | 184 |
|
Earl Clinton Wood
106 Ram Cat Aly |
$57.29 | 204 | 189 |
|
John Franklin Miller
11082 N Radio Station Rd |
$41.66 | 209 | 192 |
|
Allison Smith Riley
107 Omni Dr Ste A |
$48.47 | 212 | 204 |
|
Nicholas Pikarsky
109 Carter Park Dr Ste 3A |
$17.36 | 223 | 144 |
|
Andrew Hagenauer
10110 Clemson Blvd |
$52.98 | 244 | 230 |
|
Julie M Perry
135 Professional Park Dr |
$21.73 | 258 | 244 |
|
Thomas Edwin Evans
11082 N Radio Station Rd |
$46.75 | 266 | 236 |
|
Carol N Pryby
139 Lila Doyle Dr |
$49.93 | 283 | 273 |
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 Seneca, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Seneca, SC is $62.95 per claim, based on 222,843 claims from 131 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 Seneca, SC?
There are 131 Medicaid providers offering Office Visit related services in Seneca, SC according to public payment data.
What is the price range for Office Visit in Seneca, SC?
Medicaid reimbursement for Office Visit in Seneca, SC ranges from $5.16 to $162.05 per claim, with an average of $62.95. 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 Seneca, SC
Blood Work & Lab Tests
Avg $29.37
213,493 claims
Dental Cleaning & Exam
Avg $33.61
103,725 claims
Emergency Room Visit
Avg $37.18
92,374 claims
Urinalysis & Urine Tests
Avg $13.57
69,575 claims
Vaccines & Immunizations
Avg $12.96
65,155 claims
X-Ray
Avg $19.03
44,746 claims
Durable Medical Equipment (DME)
Avg $21.68
31,632 claims
Physical Therapy
Avg $56.01
29,948 claims