Average Medicaid Office Visit Payments in Simpsonville, SC: $69.58
Avg. Paid
$69.58
Range
$1.87 – $173.78
Total Claims
236,533
Providers
130
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 Simpsonville, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kevin Anthony Springle
1409 W Georgia Rd Ste A |
$71.35 | 13,261 | 12,541 |
|
Michael R Rupp
408 Se Main Street |
$75.03 | 12,518 | 11,297 |
|
Todd A Roemmich
312 Harrison Bridge Rd |
$88.35 | 10,568 | 9,810 |
|
Meghann Samantha Glenn
1409 W Georgia Rd Ste A |
$50.54 | 9,044 | 8,659 |
|
Daniel Walter Brake
300 Scuffletown Rd |
$81.75 | 8,415 | 8,107 |
|
South Carolina Dept Of Mental Health Accounting Office
20 Powderhorn Rd |
$173.78 | 7,757 | 7,047 |
|
Travis Charles Sizemore
103 Fairview Pointe Dr |
$57.22 | 6,870 | 5,872 |
|
Lauren Nicole Griffin
1409 W Georgia Rd Ste A |
$51.18 | 6,649 | 6,312 |
|
Carole Irene Mercer
312 Harrison Bridge Rd |
$85.11 | 6,370 | 5,898 |
|
Minuteclinic Diagnostic South Carolina Llc
698 Fairview Rd |
$48.63 | 5,978 | 5,601 |
|
Joni Marie Coker
1409 W Georgia Rd Ste D |
$61.36 | 5,946 | 4,912 |
|
Keri Rexroad
3930 Grandview Dr |
$51.22 | 5,620 | 5,251 |
|
Ashley Lucas Clark
727 Se Main St |
$68.32 | 5,000 | 4,739 |
|
Erika Anderson
211 Batesville Rd |
$87.80 | 4,783 | 4,485 |
|
Stefanie Marie Putnam
727 Se Main St |
$57.69 | 4,732 | 4,471 |
|
Heather Alexis Moreira
727 Se Main St |
$62.80 | 4,615 | 4,315 |
|
Sarah Beth Wells
727 Se Main St Ste 320 |
$67.45 | 4,573 | 4,242 |
|
Ashleigh Brooke Gardner
211 Batesville Rd |
$88.18 | 4,535 | 4,309 |
|
Anthony Paul Dinicola
206 Elstar Loop Rd |
$32.73 | 4,480 | 4,214 |
|
Milena Lombardi
1336 Highway 14 |
$63.04 | 4,469 | 3,891 |
|
Amanda Gayle O'Kelly
727 Se Main St |
$63.44 | 4,070 | 3,741 |
|
Rebecca Woodlief
211 Batesville Rd |
$90.42 | 4,005 | 3,804 |
|
Nicole Wendschlag Gammon
727 Se Main St Ste 320 |
$70.60 | 3,887 | 3,657 |
|
Scott Dobson
211 Batesville Rd |
$93.41 | 3,821 | 3,545 |
|
Lindsey Brianne Mcamis Gouge
312 Harrison Bridge Rd |
$84.66 | 3,817 | 3,572 |
|
Donna K Johnson
35 Ray E Talley Ct |
$50.04 | 3,356 | 3,141 |
|
Doris A. Reid
698 Fairview Rd |
$57.25 | 3,338 | 2,623 |
|
Mary Katherine Gillingham
35 Ray E Talley Ct |
$50.92 | 3,244 | 3,088 |
|
Caroline J Felty
2801 Woodruff Rd Ste 201 |
$65.13 | 2,772 | 2,460 |
|
Jennifer Morrison Heegard
211 Batesville Rd |
$85.29 | 2,714 | 2,552 |
|
Jeffrey Julian Del Real
35 Ray E Talley Ct |
$50.94 | 2,686 | 2,594 |
|
Rachel Annette Robinson
727 Se Main St Ste 320 |
$165.46 | 2,682 | 2,605 |
|
Miriam Faith Criswell
727 Se Main St Ste 120 |
$41.58 | 2,578 | 2,083 |
|
Adrienne Charlene Ellis
2801 Woodruff Rd Ste 201 |
$66.74 | 2,371 | 2,094 |
|
Cheryl Evans
104A W Georgia Rd |
$63.08 | 2,266 | 2,005 |
|
Timothy Caleb Hargrove
300 Scuffletown Rd |
$45.43 | 2,228 | 2,143 |
|
Kellie D Thompson
1338 Highway 14 |
$46.60 | 2,112 | 1,991 |
|
Nivedita S Bijoor
215 Batesville Rd |
$83.15 | 2,102 | 1,808 |
|
Arvin Raheja
210 Ladean Ct |
$56.88 | 1,912 | 1,217 |
|
Vincent Edward Green
300 Scuffletown Rd |
$50.65 | 1,869 | 1,748 |
|
Justin Stano
103 Fairview Pointe Dr |
$111.44 | 1,845 | 1,482 |
|
Laura Anne Johnson
727 Se Main St Ste 320 |
$65.51 | 1,764 | 1,667 |
|
Marcus E Blackstone
404 Se Main St |
$15.55 | 1,743 | 1,657 |
|
Emily Elizabeth Phillips
211 Batesville Rd |
$62.51 | 1,642 | 1,364 |
|
James Loran Shrouder
404 Se Main St |
$55.92 | 1,550 | 1,346 |
|
Leon Buffaloe
114B Hospital Dr |
$45.81 | 1,499 | 1,243 |
|
Maryann Jose Terzella
211 Batesville Rd |
$92.35 | 1,487 | 1,384 |
|
Henry Clarke Bynum
1409 W Georgia Rd Ste B |
$63.16 | 1,316 | 1,197 |
|
Christina Dicarlo Smith
35 Ray E Talley Ct |
$49.62 | 1,196 | 1,172 |
|
Terence O Lillis
1338 Highway 14 |
$51.06 | 1,116 | 1,071 |
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 Simpsonville, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Simpsonville, SC is $69.58 per claim, based on 236,533 claims from 130 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 Simpsonville, SC?
There are 130 Medicaid providers offering Office Visit related services in Simpsonville, SC according to public payment data.
What is the price range for Office Visit in Simpsonville, SC?
Medicaid reimbursement for Office Visit in Simpsonville, SC ranges from $1.87 to $173.78 per claim, with an average of $69.58. 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 Simpsonville, SC
Dental Cleaning & Exam
Avg $33.92
94,079 claims
Blood Work & Lab Tests
Avg $26.25
91,016 claims
Vaccines & Immunizations
Avg $22.23
54,059 claims
Emergency Room Visit
Avg $30.24
48,944 claims
Physical Therapy
Avg $68.40
45,573 claims
Urinalysis & Urine Tests
Avg $13.73
44,936 claims
Speech Therapy
Avg $85.77
38,536 claims
Psychiatric Evaluation
Avg $146.64
29,814 claims