Based on public Medicaid payment data.

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
Edna Katherine Gantt Gettys 727 Se Main St	$58.01	12	12
Crystal Dawson 2580 Woodruff Rd	$51.85	13	13
Adam R Easterling 273 Harrison Bridge Rd	$59.59	14	13
Clayton Joel Shamblin 727 Se Main St Ste 120	$35.22	14	14
Abby Elizabeth Meagher 1338 South Carolina Highway 14	$41.02	15	15
Sharon Ross 24 Farm Brook Way	$38.32	21	20
Brian Alexander Weatherby 727 Se Main St Ste 220	$36.76	25	24
Jennifer Elrod Knapp 1409 W Georgia Rd Ste B	$47.21	26	26
Grace Carlisle Huggins 211 Batesville Rd	$84.58	30	27
Judith Marie Zink 103 Fairview Pointe Dr	$39.11	30	27
James H Rousseau 300 Scuffletown Rd	$78.61	30	27
David C. Silkiner 717 Se Main St Bldg A	$59.26	38	36
Sarah Malloy Kuhn 727 Se Main St Ste 300	$60.26	39	38
Raul Luevano 698 Fairview Rd	$32.90	41	41
Gowtham Gannamani 727 Se Main St Ste 340	$57.55	41	38
Robin W Simpkins 1409 W Georgia Rd	$35.09	42	39
Rachel Von Langenfeld 312 Harrison Bridge Rd	$21.01	45	32
Monique Leekam Boyd 698 Fairview Rd	$10.28	45	31
Prisma Health-Upstate 729 Se Main St	$1.87	46	24
James W Robinson 1409 W Georgia Rd Ste B	$47.30	46	39
Glenna G Lattimore 717 Se Main St Bldg A	$35.36	48	44
Sara Stanley 698 Fairview Rd	$48.61	64	64
Alberto Lopez 1336 Highway 14	$75.81	65	56
Francis E Heidt 717 Se Main St	$55.16	80	78
Nelynda Rodriguez Lee 2580 Woodruff Rd	$14.26	95	93
Philip Heyward Wessinger 727 Se Main St	$33.71	99	96
Linda L Redderson Holly Tree Family Practice	$68.76	106	89
Raymond V Romano 219 Batesville Road	$34.79	108	106
Joseph Anthony Decosmo 1409 W Georgia Rd Ste B	$72.69	109	97
Melody Jan Kneeland 219 Batesville Rd	$83.20	123	112
Annie Claude Gersh 1409 W Georgia Rd	$45.29	130	115
Mitchell Linn Chemell 35 Ray E Talley Ct	$54.61	132	129
Daniel Hughes 2 Hatcher Creek St.	$87.89	138	120
Kimber L Hoyler 35 Ray E Talley Ct	$47.72	162	156
Melissa Ellis Dammann 698 Fairview Rd	$28.67	194	189
Guendalina Chesney 719 Se Main St Bldg B	$40.29	198	177
Todd Russell Zusmer 300 Scuffletown Rd	$51.94	225	221
Melinda Galford Heffernan 2580 Woodruff Rd	$17.97	233	223
Julie Lynn Chiappini 727 Se Main St Ste 120	$23.75	242	232
Catherine Lowe Lewis 698 Fairview Rd	$26.63	256	238
Anthony James Baglio 300 Scuffletown Rd	$74.52	264	245
Monica Patricia Salas-Meyers 1336 Highway 14	$66.09	265	239
Kevin Loren Norris 300 Scuffletown Rd	$51.50	269	267
Ralph Lee Baisden 1409 W Georgia Rd Ste B	$54.46	279	270
Amanda Kornegay Marullo 2580 Woodruff Rd	$35.16	301	236
Allison Leach Hutcheson 114B Hospital Dr	$40.17	325	302
Katie Elizabeth Whiten 1409 W Georgia Rd Ste B	$50.78	339	317
Telicia Hughes Allen 1409 W Georgia Rd Ste B	$54.88	363	335
Narciss Johnson Brown 727 Se Main St Ste 300	$45.58	367	353
Morgan Alexandra Orlowsky 35 Ray E Talley Ct	$48.98	402	390

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.

Average Medicaid Office Visit Payments in Simpsonville, SC: $69.58

Providers Offering Office Visit in Simpsonville, SC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Simpsonville, SC

Dental Cleaning & Exam

Blood Work & Lab Tests

Vaccines & Immunizations

Emergency Room Visit

Physical Therapy

Urinalysis & Urine Tests

Speech Therapy

Psychiatric Evaluation