Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sumter, SC: $76.88

Avg. Paid

$76.88

Range

$0.00 – $345.00

Total Claims

592,225

Providers

199

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 Sumter, SC

Provider	Avg. Paid	Claims	Patients
Caryn Mcnaney West 211 N Washington St	$60.95	12	12
Chasity Shadoan 641 W Wesmark Blvd	$0.00	12	12
Whitney Frye Eichmeier 115 N Sumter St Ste 315	$38.41	12	12
Emily Grace Cart 115 N Sumter St Ste 115	$42.68	12	12
Gene Franklin Dickerson 115 N Sumter St	$16.17	12	12
Katherine E Peil 641 W Wesmark Blvd	$42.21	12	12
Edward William Duffy 130 North Washington Street	$24.38	13	13
Navid Brian Noori Tandem Health Family Medicine	$43.26	14	13
S1 Medical Holdings Llc 10 Miller Rd	$44.33	14	13
Pamela J Smith 105 N Magnolia St	$345.00	15	15
Jennifer T Pilot 129 N Washington St	$60.86	16	16
Colonial Family Practice, Llc 325 Broad St. Ste 100	$44.37	16	16
Majdi N Al-Hasan 115 N Sumter St Ste 315	$66.70	17	15
Anthony Jason Baugh 2475 Broad St	$49.64	17	17
Lauren Nicole Shurtliff 129 N Washington St	$48.91	18	16
Hillary Wilt 115 N Sumter St Ste 315	$50.80	20	20
Gwenneth C Simmonds 370 South Pike West	$155.90	20	17
Cynthia Rourk Zeigler 115 N Sumter St Ste 115	$39.36	30	27
Tandem Health Sc 319 N Main St	$142.47	30	24
Mclean Marie Achziger 115 N Sumter St Ste 300	$24.53	33	26
William S Stavrou 115 N Sumter St Ste 410	$25.70	39	38
Muhammad F Rasul 220 Broad St	$54.56	40	40
Mohammed Ziad Alzubaidi 115 N Sumter St Ste 315	$60.08	41	36
Kent N Cunningham 641 W Wesmark Blvd	$55.33	41	40
John Russell Fleming 1229 Alice Dr	$38.46	42	39
Kim J Cortez 129 N Washington St	$242.59	48	47
Belinda Pickett 129 N Washington St	$50.01	55	48
Adam Gregory Przybyla 115 N Sumter St	$88.52	56	54
Angela Beth Whittle-Merchant 635 W Wesmark Blvd	$23.78	57	53
Barney L Williams 370 South Pike West	$205.03	59	54
Jennifer V Seibert 1057 Broad St	$36.11	59	54
Jeanette Elizabeth Norris 129 N Washington St	$52.74	63	58
Abbie Floyd Kirby 115 N Sumter St	$35.12	64	53
Robin H Munn 115 N Sumter St Ste 400	$26.71	64	59
Danny H. Ford 100 N Sumter St	$30.99	67	64
Jacqueline Page Christman 1278 N. Lafayette Dr.	$281.07	68	65
Michael Abercrombie 129 N Washington St	$50.05	73	53
Carmen Ridgeway Butler 115 N Sumter St Ste 305	$61.29	76	74
Ansel R Mcfaddin 115 N Sumter St	$39.36	78	65
Brittney Hawkins 1285 Wilson Hall Rd	$19.41	87	83
Tandem Health Sc 370 S Pike W	$203.66	98	85
Andrew J. Reynolds 1295 Wilson Hall Rd	$56.90	102	86
Sumter Pediatrics, P.A. 237 Church St	$0.00	112	55
Matthew A. Floyd 115 N Sumter St Ste 315	$52.69	114	105
Floyd L Angus 641 W Wesmark Blvd	$31.15	121	120
Bhatraphol Tingpej 115 N Sumter St Ste 315	$147.95	125	124
Hugh T Stoddard 244 Church St	$33.02	128	110
Felicia Minniette Heyward 531 Oxford St Ste C1	$82.12	129	100
Jordan Atkinson 674 W Liberty St	$71.28	131	117
Brittney Nichole Frazier 129 N Washington St	$67.19	132	81

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 Sumter, SC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sumter, SC is $76.88 per claim, based on 592,225 claims from 199 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 Sumter, SC?

There are 199 Medicaid providers offering Office Visit related services in Sumter, SC according to public payment data.

What is the price range for Office Visit in Sumter, SC?

Medicaid reimbursement for Office Visit in Sumter, SC ranges from $0.00 to $345.00 per claim, with an average of $76.88. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sumter, SC: $76.88

Providers Offering Office Visit in Sumter, SC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Sumter, SC

Blood Work & Lab Tests

Dental Cleaning & Exam

Vaccines & Immunizations

Emergency Room Visit

Urinalysis & Urine Tests

Speech Therapy

Home Health Visit

Psychiatric Evaluation