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Based on public Medicaid payment data.

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

Other Procedures in Summerville, SC