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 |
|---|---|---|---|
|
Maggie Hughes Brownlee
2016 1St Ave |
$36.41 | 12 | 12 |
|
Amelia G. Hill
1101 Old Trolley Rd Ste 300 |
$61.67 | 12 | 12 |
|
Jennifer Kirsten Murphy
2001 2Nd Ave Ste 201 |
$33.64 | 12 | 12 |
|
Celeste Marguerite Thomas
2015 2Nd Ave Ste 204 |
$24.18 | 12 | 12 |
|
Elizabeth A Byerly
1595 Central Ave |
$34.05 | 12 | 12 |
|
Lesley Ann Bosse
1724 State Rd Unit 6B |
$49.38 | 12 | 12 |
|
Kaitlyn Leigh Horner
2001 2Nd Ave Ste 201 |
$28.45 | 12 | 12 |
|
Brett H Young
300 Callen Blvd Ste 330 |
$70.84 | 13 | 12 |
|
Brett Daniel Van Leer-Greenberg
5500 Front St # 260 |
$61.59 | 13 | 13 |
|
Martha R Green
75 Springview Ln |
$40.32 | 14 | 12 |
|
Colin Clark Edgerton
2001 2Nd Ave Ste 201 |
$31.92 | 14 | 13 |
|
Jennifer Repaskey
92 Springview Ln |
$8.08 | 14 | 12 |
|
Rebecca Hornung Jiannuzzi
312 Midland Parkway |
$60.52 | 14 | 14 |
|
Roper St Francis Hospital-Berkeley Inc.
100 Callen Blvd |
$67.01 | 14 | 13 |
|
James William Pippin
1112 N Main St |
$43.22 | 14 | 13 |
|
Michelle Andrea Lyles
1114 N Main St |
$31.28 | 16 | 15 |
|
Nicholas Holdgate
2001 2Nd Ave Ste 201 |
$45.94 | 17 | 12 |
|
Kathryn J Gershkowitz
103A Harth Pl |
$48.91 | 17 | 14 |
|
Janice Abigail Heintze
1520 Old Trolley Rd Ste 101 |
$40.86 | 18 | 18 |
|
Alicia Nicole Farris
83 Springview Ln |
$90.45 | 18 | 14 |
|
Articularis Healthcare Group Inc.
2001 2Nd Ave Ste 201 |
$17.47 | 19 | 17 |
|
Andrew Bain Smith
102 W 8Th North St Ste B |
$56.34 | 22 | 18 |
|
Shannin Renata Hatch
1724 State Rd Unit 6B |
$36.28 | 27 | 25 |
|
Stephan Brower
301 N Main St |
$44.12 | 29 | 29 |
|
Kelly G Passarello
87 Springview Ln |
$32.54 | 31 | 24 |
|
William D Largen
1520 Old Trolley Rd |
$33.99 | 41 | 39 |
|
Michele Lynn Taffaro-Neskey
300 Callen Blvd |
$35.78 | 41 | 36 |
|
Lisa Renee Brightwell
2001 2Nd Ave Ste 201 |
$85.88 | 43 | 28 |
|
Dana Marie Liles
501 Carnes Crossing Blvd Ste B |
$53.86 | 44 | 44 |
|
Prat Itharat
515 Carnes Crossing Blvd |
$137.07 | 45 | 44 |
|
Sarah Bertram
2016 1St Ave |
$49.37 | 45 | 45 |
|
Ashley Robinson
709 Old Trolley Rd |
$71.85 | 50 | 45 |
|
Ryan Oliver Mcmonigle
1112 N Main St |
$65.00 | 50 | 43 |
|
Allie Michelle Brooks
2000 1St Ave |
$43.22 | 55 | 54 |
|
Darrell Kevin Tegtmeyer
10160 Dorchester Road |
$48.04 | 56 | 55 |
|
Marian Katarina Mathis
300 Callen Blvd Ste 300 |
$51.69 | 60 | 55 |
|
Heather Greenberg Harrison
2001 2Nd Ave Ste 101 |
$35.16 | 61 | 56 |
|
Jennifer Rae Stogsdill
424 Brighton Park Blvd |
$55.29 | 62 | 57 |
|
Eli Michael Robinson
133 E 1St North St Ste 5 |
$38.46 | 63 | 61 |
|
Helen Christina Ballestas
201 Oakbrook Ln Ste 255 |
$184.49 | 73 | 73 |
|
Natasha Lynne Parks
301 N Main St |
$44.20 | 78 | 77 |
|
Laura Michelle Dacks
266 Hundred Oaks Pkwy |
$40.82 | 80 | 51 |
|
Jasmine Calvina Washington
9500 Dorchester Rd Ste 362 |
$58.47 | 82 | 75 |
|
Chuma Godfrey Obineme
5500 Front St Ste 260 |
$50.57 | 83 | 81 |
|
Crystal G. Whittington
296 Midland Parkway |
$28.42 | 84 | 77 |
|
Stewart Alan Trimble
501 Carnes Crossing Blvd Ste B |
$36.81 | 87 | 56 |
|
Cayce Parker
809 N Cedar St |
$54.60 | 88 | 85 |
|
Mary E. Trephan
1114 N Main St |
$35.39 | 88 | 82 |
|
Emma Saber
2001 2Nd Ave Ste 201 |
$37.15 | 89 | 86 |
|
Kristina M Dibartolo
90 Springview Ln # A |
$48.54 | 92 | 87 |
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