Average Medicaid Office Visit Payments in Summerville, SC: $69.06
Avg. Paid
$69.06
Range
$7.97 – $662.18
Total Claims
437,056
Providers
228
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 Summerville, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Emily Kathleen Johnson
2016 1St Ave |
$73.61 | 19,616 | 18,941 |
|
David Louis Castellone
213 W 4Th North St |
$64.72 | 15,777 | 14,227 |
|
Mary Kate Tillman
202 Bentons Lodge Rd |
$83.34 | 14,843 | 13,891 |
|
Ronnie M Givens
83 Springview Ln |
$80.26 | 12,835 | 9,707 |
|
Rebecca Michelle Cafiero
202 Bentons Lodge Rd |
$48.28 | 11,644 | 11,396 |
|
Esther Spiegle Wilson
202 Bentons Lodge Rd |
$84.02 | 11,372 | 10,677 |
|
Benjamin L Rodgers
748 Orangeburg Rd |
$73.68 | 10,112 | 9,681 |
|
William M Reeves
83 Springview Ln |
$75.56 | 9,682 | 7,309 |
|
Beth Cook
75 Springview Lane |
$76.30 | 9,657 | 8,202 |
|
Hunter Alexander Smith
83 Springview Ln |
$76.94 | 9,478 | 7,408 |
|
Ryan Wade
2015 2Nd Ave Ste 101 |
$74.73 | 8,789 | 7,948 |
|
State Of South Carolina
500 N Main St Ste 9 |
$56.67 | 8,663 | 8,398 |
|
Jennifer J. Heinemann
83 Springview Ln |
$71.81 | 8,592 | 7,024 |
|
Catherine Ruth Kramp
2016 1St Avenue |
$71.31 | 8,564 | 8,122 |
|
Caisson Timber Hogue
809 N Cedar St |
$69.76 | 8,479 | 7,639 |
|
Christopher R Accetta
83 Springview Ln |
$69.92 | 8,070 | 6,096 |
|
Kelly S Rodgers
748 Orangeburg Rd |
$69.84 | 7,649 | 7,348 |
|
Brian Keith Keller
435 N Cedar St |
$64.77 | 7,635 | 6,827 |
|
Lea Torbett Schwab
312 Midland Pkwy |
$82.33 | 7,560 | 7,050 |
|
Henry Lewis Kearse
85 Springview Ln Unit C |
$51.81 | 7,364 | 7,228 |
|
Christine L Hunter
83 Springview Ln |
$77.72 | 7,297 | 5,692 |
|
Martha Cohen
83 Springview Ln |
$75.89 | 7,214 | 5,656 |
|
Nancy Rose Lembo
763 Travelers Blvd |
$55.15 | 7,018 | 6,158 |
|
Jessica Litsey
202 Bentons Lodge Rd |
$86.85 | 7,001 | 6,644 |
|
Dana L Simpson
679 Orangeburg Rd |
$69.92 | 6,799 | 5,443 |
|
Brian David Elston
1114 N Main St |
$89.16 | 6,578 | 6,171 |
|
Oluwamuye Felix Akinbote
300 Callen Blvd Ste 330 |
$67.09 | 5,926 | 4,039 |
|
Sudipta Misra
295A Midland Pkwy Ste 260 |
$92.96 | 5,872 | 5,700 |
|
Heather S Schwartzberg
300 Callen Blvd Ste 330 |
$67.20 | 5,743 | 4,127 |
|
Barry Stephen Katz
102 Harth Pl |
$60.18 | 5,518 | 5,056 |
|
Joseph Wolfgang Mathews
1101 Old Trolley Rd |
$72.51 | 5,303 | 4,901 |
|
Mark Jeffrey Mccall
312 Midland Pkwy |
$73.81 | 5,076 | 4,690 |
|
William Miles Reeves
83 Springview Ln |
$81.24 | 4,955 | 3,895 |
|
Jennifer R. Stolin
90 Springview Ln Ste A |
$77.08 | 4,640 | 4,068 |
|
Dewey Todd Detar
1595 Central Ave |
$74.17 | 3,991 | 3,552 |
|
Claudius Stuart Dawson
213 W 4Th North St |
$56.26 | 3,877 | 3,340 |
|
Annette Bilton Anderson
1595 Central Ave |
$68.09 | 3,713 | 3,283 |
|
Cynthia Marie Jones
1114 N Main St |
$70.36 | 3,639 | 3,342 |
|
Joye Elizabeth Fordham
300 Callen Blvd Ste 330 |
$63.48 | 3,274 | 2,433 |
|
Katharine Loob
2015 2Nd Ave Ste 101 |
$73.40 | 3,260 | 3,136 |
|
Herold Nazon
410 N Main St |
$72.79 | 3,229 | 3,056 |
|
Brittany Michele Stofko
295A Midland Pkwy Ste 140 |
$65.99 | 3,178 | 2,333 |
|
Valerie Jean Miller
90 Springview Ln # A |
$24.52 | 3,115 | 2,578 |
|
Jeffrey R Herman
1516 Old Trolley Rd Ste 101 |
$74.14 | 2,885 | 2,621 |
|
Seth Winkler
312 Midland Pkwy |
$83.68 | 2,626 | 2,462 |
|
Frampton Wyman Henderson
1101 Old Trolley Rd |
$68.43 | 2,409 | 2,255 |
|
Vito Speciale
299 Midland Pkwy |
$26.78 | 2,205 | 2,005 |
|
Clarence William Wimberly
435 N Cedar St |
$61.49 | 2,180 | 2,013 |
|
Amanda Mcallister
1341 College Park Rd Ste A |
$74.12 | 2,175 | 1,932 |
|
Silvestro J Lijoi
1114 N Main St |
$67.32 | 2,146 | 1,615 |
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 Summerville, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Summerville, SC is $69.06 per claim, based on 437,056 claims from 228 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 Summerville, SC?
There are 228 Medicaid providers offering Office Visit related services in Summerville, SC according to public payment data.
What is the price range for Office Visit in Summerville, SC?
Medicaid reimbursement for Office Visit in Summerville, SC ranges from $7.97 to $662.18 per claim, with an average of $69.06. 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 Summerville, SC
Speech Therapy
Avg $60.13
164,665 claims
Dental Cleaning & Exam
Avg $34.80
164,488 claims
Urinalysis & Urine Tests
Avg $8.63
143,884 claims
Vaccines & Immunizations
Avg $19.13
128,690 claims
Emergency Room Visit
Avg $63.51
101,171 claims
Blood Work & Lab Tests
Avg $15.51
85,637 claims
Physical Therapy
Avg $63.43
80,122 claims
Home Health Visit
Avg $90.61
72,635 claims