Average Medicaid Office Visit Payments in Spartanburg, SC: $67.79
Avg. Paid
$67.79
Range
$0.00 – $341.29
Total Claims
1,272,684
Providers
525
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 Spartanburg, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Spartanburg Medical Center
101 E Wood St |
$61.98 | 213,777 | 179,879 |
|
South Carolina Dept Of Mental Health Accounting Office
250 Dewey Ave |
$163.08 | 70,256 | 58,668 |
|
Ifekan-Shango Simon
853 N Church St |
$76.42 | 42,625 | 37,572 |
|
Deepak Malhan
2995 Reidville Rd Ste 100 |
$76.53 | 24,134 | 22,871 |
|
Jaime Andres Lagos
98 Willow Ln |
$39.56 | 15,481 | 11,380 |
|
Matthew Ryan Laye
853 N Church St |
$64.01 | 15,083 | 13,026 |
|
Jennifer Dawn Psaltis
151 Peachwood Centre Dr |
$55.74 | 14,585 | 14,167 |
|
Edward L Katemba
151 Peachwood Centre Dr |
$67.25 | 14,288 | 13,824 |
|
State Of South Carolina
120 Dillon Dr |
$55.93 | 13,550 | 13,149 |
|
William Lance Miller
2099 S Pine St Ste F |
$77.74 | 12,922 | 11,419 |
|
Stephen T. Vermillion
853 N Church St |
$61.81 | 12,783 | 11,010 |
|
Ashley Raye Fowler
250 N Grove Medical Park Dr |
$63.43 | 12,593 | 10,024 |
|
Gary D. Rauch
1200 E Main St Ste 12 |
$77.58 | 12,551 | 12,185 |
|
Joshua Andrew Hall
460 Langdon St |
$130.30 | 12,343 | 10,632 |
|
Brandi Shaye Moore
2430 Reidville Rd |
$34.44 | 11,452 | 5,606 |
|
Amy E. Rush
2430 Reidville Rd |
$73.29 | 10,840 | 10,209 |
|
Hannah Ellis
853 N Church St Ste 700 |
$38.13 | 10,454 | 8,965 |
|
Della Greer
853 N Church St |
$36.58 | 10,199 | 8,970 |
|
Adarsh Reddy Kancharla
101 E Wood St |
$51.11 | 10,045 | 9,573 |
|
Scott William Arendt
1200 E Main St |
$65.84 | 9,592 | 9,247 |
|
Edifel N Macatuno
101 E Wood St |
$49.05 | 9,493 | 9,132 |
|
Felicia Tapp
1200 E Main St |
$70.70 | 9,341 | 8,921 |
|
Carol A Kooistra
541 Floyd Rd |
$38.19 | 9,168 | 7,189 |
|
Jessica Marie Hemsoth
853 N Church St Ste 700 |
$57.08 | 8,975 | 7,988 |
|
Jaime Brown
101 E Wood St |
$56.81 | 8,723 | 8,466 |
|
Asif Salah Kidwai
1330 Boiling Springs Rd |
$65.56 | 8,631 | 8,028 |
|
Misty Lee Mcdowell
853 N Church St Ste 610 |
$65.60 | 8,375 | 7,185 |
|
Christopher Todd Henderson
151 Peachwood Centre Dr |
$56.81 | 8,215 | 7,764 |
|
Sterling Washington Thompson
460 Langdon St |
$41.68 | 8,103 | 4,953 |
|
Steven Douglas Egge
3020 Reidville Rd Ste B |
$86.60 | 7,803 | 7,206 |
|
Austin R Mcelhaney
1330 Boiling Springs Rd |
$79.62 | 7,453 | 7,094 |
|
Tonya Knox Frazier
1650 Skylyn Dr Ste 200 |
$47.33 | 7,314 | 4,183 |
|
Jeffrey M Wagner
98 Willow Ln |
$33.37 | 7,237 | 5,112 |
|
Kelly Cole Wood
2995 Reidville Rd Ste 210 |
$48.97 | 7,170 | 6,924 |
|
Robin Ong Go
1330 Boiling Springs Rd |
$88.64 | 7,094 | 6,959 |
|
Donna Payne Smith
8311 Warren H Abernathy Hwy |
$66.19 | 6,778 | 6,183 |
|
Jaime Bright
945 E Main St |
$52.65 | 6,764 | 5,502 |
|
John Christian Haasis
1330 Boiling Springs Road |
$20.44 | 6,066 | 5,264 |
|
Hoang N Giep
853 N Church St |
$58.01 | 5,878 | 5,164 |
|
Rachel J Sine
3020 Reidville Rd Ste B |
$87.35 | 5,864 | 5,524 |
|
Monique Hope Fox
750 South Church Street |
$187.19 | 5,835 | 5,406 |
|
Melissa Lynn Hawver
1200 E Main St Ste 12 |
$51.88 | 5,829 | 5,688 |
|
Paolo Miguel Arce
8311 Warren H Abernathy Hwy |
$69.45 | 5,722 | 5,153 |
|
April L Johnson
1686 Skylyn Drive |
$72.29 | 5,698 | 5,193 |
|
Jack Wilson Cleland
1330 Boiling Springs Rd |
$67.99 | 5,665 | 5,299 |
|
Jeffrey Smith
1075 Boiling Springs Rd |
$27.78 | 5,592 | 5,307 |
|
Jamaeka Nicole Reid
853 N Church St Ste 510 |
$49.24 | 5,584 | 5,359 |
|
Donna Brock Mcgee
101 E Wood St |
$45.68 | 5,471 | 5,290 |
|
Mark Todd Godenick
853 N Church St |
$41.87 | 5,430 | 5,270 |
|
Bethany Mckinney Wilson
301 E Wood St |
$53.05 | 5,424 | 4,799 |
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 Spartanburg, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Spartanburg, SC is $67.79 per claim, based on 1,272,684 claims from 525 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 Spartanburg, SC?
There are 525 Medicaid providers offering Office Visit related services in Spartanburg, SC according to public payment data.
What is the price range for Office Visit in Spartanburg, SC?
Medicaid reimbursement for Office Visit in Spartanburg, SC ranges from $0.00 to $341.29 per claim, with an average of $67.79. 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 Spartanburg, SC
Home Health Visit
Avg $110.96
900,744 claims
Blood Work & Lab Tests
Avg $41.53
739,249 claims
Emergency Room Visit
Avg $59.48
484,153 claims
Physical Therapy
Avg $53.48
466,461 claims
Dental Cleaning & Exam
Avg $33.50
402,164 claims
Speech Therapy
Avg $56.78
349,032 claims
Urinalysis & Urine Tests
Avg $39.70
306,811 claims
Psychiatric Evaluation
Avg $129.73
269,505 claims