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Based on public Medicaid payment data.

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
Jennifer Ferguson Turner

1075 Boiling Springs Rd

$16.71 12 12
Amy Southern Clinton

101 E Wood St

$30.22 12 12
Susan Nehrenz Elliott

101 E Wood St

$21.04 12 12
Skylar K Davis

303 E Wood St

$7.12 12 12
Kimberly Pierce

151 Harold Fleming Ct

$28.32 12 12
Christope Liem Nguyen

101 E Wood St Fl 3

$30.52 12 12
Toshiva Shippy

279 E Kennedy St

$0.00 12 12
Brian Philip Anderson

1095 Iron Ore Rd

$106.18 12 12
Audrey Thomas-Huff

1526C John B White Sr Blvd

$38.36 12 12
Jonathan Miles Mcgehee

1330 Boiling Springs Rd Ste 1700

$17.09 12 12
Albert George Fedalei

11 Doctors Park Drive

$47.37 12 12
Aaron Steven Katz

2020 N Church Street Pl

$15.49 12 12
Emily Pack

1650 Skylyn Dr Ste 120

$37.89 13 12
Courtney Hill Kallinger

1330 Boiling Springs Rd Ste 1700

$44.84 13 12
Walter James Douglass

853 N Church St

$22.83 13 12
Amber Bartkowiak

250 N Grove Medical Park Dr

$60.34 13 12
Douglas Larry Wiley

853 N Church St

$35.96 13 12
Lanina Shirl Goode

2660 Reidville Rd # 1

$31.55 14 14
Harry W Kinard

391 Serpentine Dr

$31.87 14 13
Allison Miller Schulman

101 E Wood St

$10.95 14 14
Dzianis Budrevich

1690 Skylyn Dr Ste 350

$39.45 14 13
Janis Sarah Browning

250 Dewey Ave

$83.76 14 13
John Christos Efstathiades

853 N Church St Ste 510

$65.57 14 13
Haywood Gordon France

853 N Church St

$13.16 14 12
Center For Neurology Care Llc

233 E Blackstock Rd Ste J

$89.14 14 12
Dennis Edward Mayer

1690 Skylyn Dr Ste 350

$34.46 14 13
Michelle Cathleen Carney

101 E Wood St

$43.69 14 12
Royal Albert Hobbs

2995 Reidville Rd

$43.84 16 14
Cyril Aba Forcha

101 E Wood St

$165.02 16 16
Joseph Nicolazzi

1083 Boiling Springs Rd

$47.87 18 18
Joseph E Mobley

1083 Boiling Springs Rd

$21.85 22 18
Greenville Health System

120 Dillon Dr

$11.91 22 18
Amy O'Neal Bunch

380 Serpentine Dr Ste 200

$74.94 22 21
Jeff Matthew Berry

1083 Boiling Springs Rd

$28.44 25 25
Michael Patrick O'Quinn

1083 Boiling Springs Rd

$56.22 26 24
Michael Beattie

853 N Church St Ste 620

$93.69 26 26
Erica Rousseau Clark

225 E Wood St

$24.66 28 27
Helen M. Stockinger

101 E Wood St Ste 401

$53.25 28 28
Mark D Visk

303 E Wood St

$14.98 28 25
Katherine Jane Langley

101 E Wood St

$55.84 29 28
Mary Jeanne Williams

2995 Reidville Rd Ste 100

$38.98 29 28
Anthony Ty Medlin

303 E Wood St

$21.83 30 24
Ankitkumar Bipinbhai Patel

101 E Wood St Ste 401

$43.85 30 27
James R Hay

1330 Boiling Springs Rd

$23.58 30 22
Chandrashekara Reddy

750 S Church St

$22.39 35 26
Laura B Willard

101 E Wood St

$28.09 35 28
Louis Ligon Martin

399 E Henry St

$21.59 36 26
Travis Cobb

853 N Church St Ste 510

$72.08 37 37
David P. Berry

1330 Boiling Springs Rd

$61.97 38 36
Gail L Rearden

550 S Church St Ste 4

$139.49 40 39

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

Other Procedures in Spartanburg, SC