Based on public Medicaid payment data.

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
Frank A Stewart 15579 Wells Highway	$98.34	25,230	21,622
Carey Molin Gully 457- B Hwy 123 Bypass	$94.34	17,364	14,174
Tauqueer S Alam 109 Carter Park Dr	$42.34	17,341	12,624
Prisma Health-Upstate 139 Lila Doyle Drive	$68.53	10,754	9,433
George Steven Suits 13400 Clemson Blvd	$86.55	8,256	7,861
Dawn Renee' Russell 10706 Clemson Blvd	$50.59	7,402	6,686
Monica Elizabeth Silva 109 Omni Dr Ste B	$64.77	7,092	6,412
Atieno Alice R. Ragwar 109 Omni Dr Ste B	$64.81	6,667	6,269
Lisa A Ruohoniemi 10706 Clemson Blvd	$69.14	6,334	5,797
Lorraine Ann Bruce 109 Omni Dr Ste B	$73.01	5,941	5,627
Prisma Health-Upstate 131 Lila Doyle Dr	$12.67	5,731	3,985
Susan L Mcgilvra 15579 Wells Highway	$54.69	5,623	4,994
Safdar Alam 109 Carter Park Dr	$60.21	5,507	4,768
Haley Brooke Cannady 109 Omni Dr Ste B	$44.30	5,282	4,853
Randall Mac Royal 103 Carter Park Dr	$60.58	4,957	3,975
Vance Newton Pirkle 103 Carter Park Dr	$62.10	4,643	3,713
Prisma Health-Upstate 298 Memorial Dr	$33.85	4,260	3,229
Peter Kennedy Kwofie 115 Eagles Nest Dr	$52.62	3,957	3,174
Ross Anthony Leclair 1615 Sandifer Blvd	$50.95	3,348	3,273
State Of South Carolina 609 N. Townville Street	$52.94	3,284	3,185
Jared Charles Richardson 15575 Wells Hwy	$56.51	3,070	2,689
Beatriz Elena Gil-Stewart 15579 Wells Hwy	$91.31	3,000	2,864
Christina Deluca Schwering 103 Carter Park Dr Ste A	$59.01	2,981	2,527
Diane Peele 555 Bypass Highway 123 Ste C	$50.32	2,750	2,655
Cathryn R Mcalpine 15575 Wells Highway	$43.63	2,453	2,048
Timothy Joseph Sanders 100 Omni Dr	$87.14	2,107	1,833
Janessa M. Perez-Motlis 12016 N Radio Station Rd	$72.57	1,871	1,729
Carmine Fiorentino 223 Main St	$28.84	1,546	1,054
Elizabeth Louise Philmon 111 Carter Park Dr # A	$65.24	1,538	1,480
Bryan Wade Hamon 1059 By Pass 123	$63.90	1,529	1,205
Daniel Frederick Boxwell 215 Stork Way	$53.84	1,405	1,300
Sarah L Fulaytar 107 Omni Dr Ste A	$34.57	1,333	1,246
Martin Augustus Allen 10110 Clemson Blvd	$47.10	1,326	1,188
Christina Toutenel 103 Carter Park Dr Ste A	$63.05	1,285	1,094
Kevin Richard Saunders 10110 Clemson Blvd	$58.65	1,136	1,046
Candace M Schutt 298 Memorial Dr	$13.45	1,066	1,036
Joshua Padgett 298 Memorial Dr	$68.60	1,048	749
Nalini Anumula 109 Carter Park Dr	$24.60	1,014	712
Alex James Yu 298 Memorial Dr	$49.26	990	946
Drew V Collins 105 Carter Park Dr	$49.03	978	944
Jennifer Lynne Hanke 139 Lila Doyle Dr	$43.48	948	863
Adam Christopher Campbell 10630 Clemson Blvd Ste 100	$57.44	908	854
Sarah Elizabeth Peterson 11082 N Radio Station Rd	$57.67	891	840
Linda Claire Booth 106 Ram Cat Aly	$61.57	864	829
Megan Lee Wai-Ling Hanna 139 Lila Doyle Dr	$73.73	838	781
William Bruce Richmond 10630 Clemson Blvd	$34.77	812	781
Michael Stephen Odom 12016 N Radio Station Rd	$72.48	792	762
Nathan Michael Moroski 10630 Clemson Blvd	$33.03	790	751
Cynthia D Floyd 109 Omni Dr	$38.14	770	755
Joel Kenneth Kidd 298 Memorial Dr	$21.11	769	447

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.

Average Medicaid Office Visit Payments in Seneca, SC: $62.95

Providers Offering Office Visit in Seneca, SC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Seneca, SC

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Dental Cleaning & Exam

Emergency Room Visit

Urinalysis & Urine Tests

Vaccines & Immunizations

X-Ray

Durable Medical Equipment (DME)

Physical Therapy