Average Medicaid Office Visit Payments in Union, SC: $57.60
Avg. Paid
$57.60
Range
$23.09 – $110.19
Total Claims
46,872
Providers
27
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 Union, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Herman K Lo
322 W South St |
$110.19 | 14 | 14 |
|
Union Medical Center
1201 Furman L Fendley Hwy Ste A |
$81.15 | 16 | 16 |
|
Union Medical Center
1201 Furman L Fendley Hwy Ste B |
$55.27 | 27 | 25 |
|
Mollie L Huskey
407 W South St |
$54.64 | 33 | 32 |
|
Lisa Correll Fisher
440 N Duncan Byp |
$67.99 | 47 | 47 |
|
Anterpreet Singh Dua
322 W South St |
$23.09 | 142 | 121 |
|
Crystal Tippett
440 N Duncan Byp |
$62.28 | 212 | 207 |
|
Susan Cherry-Casey
322 W South St |
$40.88 | 215 | 209 |
|
Laura Melinda Moretz
801 W Main St |
$43.28 | 226 | 202 |
|
Larry L Ware
322 W South St |
$76.20 | 299 | 286 |
|
David Martin Keith
322 W South St |
$66.45 | 524 | 498 |
|
Moriah Perkins
440 N Duncan Byp |
$67.27 | 708 | 676 |
|
State Of South Carolina
115 Thomas Street |
$57.53 | 823 | 786 |
|
Lisa Sanders
322 W South St |
$60.73 | 1,019 | 987 |
|
Sunitha Nagubilli
322 W South St |
$73.58 | 1,064 | 1,014 |
|
Matthew John Flood
801 W Main St |
$45.35 | 1,081 | 875 |
|
Sally Gallman Robinson
407 W South St |
$48.00 | 1,589 | 1,503 |
|
Leah Parkins
440 N Duncan Byp |
$61.60 | 1,717 | 1,652 |
|
Tiffany T Nobles
322 W South St |
$67.43 | 1,822 | 1,746 |
|
Rebecca Louise Emerson
407 W South St |
$61.40 | 1,942 | 1,804 |
|
Natashia A Jeter
319 W South St |
$63.14 | 3,245 | 2,689 |
|
Karin Briana Mcgee
319 W South St |
$55.19 | 3,514 | 3,077 |
|
Tina M Fowler
327 W South St |
$44.88 | 3,575 | 3,268 |
|
Kelly Edmonds Barrington
407 W South St # 4298846 |
$74.59 | 3,738 | 3,507 |
|
Kelly Kane
1201 Furman L Fendley Hwy Ste B |
$64.72 | 4,015 | 3,810 |
|
Tyra Lynn Taylor
1201 Furman L Fendley Hwy Ste C |
$41.01 | 5,501 | 4,263 |
|
Sarah Jane Cantrell
407 W South St |
$57.96 | 9,764 | 9,085 |
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 Union, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Union, SC is $57.60 per claim, based on 46,872 claims from 27 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 Union, SC?
There are 27 Medicaid providers offering Office Visit related services in Union, SC according to public payment data.
What is the price range for Office Visit in Union, SC?
Medicaid reimbursement for Office Visit in Union, SC ranges from $23.09 to $110.19 per claim, with an average of $57.60. 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 Union, SC
Blood Work & Lab Tests
Avg $36.79
68,791 claims
Emergency Room Visit
Avg $49.10
54,118 claims
Urinalysis & Urine Tests
Avg $21.71
42,418 claims
Speech Therapy
Avg $26.54
32,357 claims
X-Ray
Avg $42.53
15,596 claims
Ambulance Transport
Avg $53.51
15,221 claims
Dental Cleaning & Exam
Avg $31.21
13,291 claims
EKG / ECG (Electrocardiogram)
Avg $2.46
9,641 claims