Average Medicaid Office Visit Payments in Walterboro, SC: $68.92
Avg. Paid
$68.92
Range
$0.00 – $186.21
Total Claims
88,390
Providers
33
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 Walterboro, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yvrose Valcourt
124 Medical Park Dr |
$104.70 | 13,242 | 12,000 |
|
John Glenn Creel
447 Spruce St |
$58.97 | 10,787 | 9,602 |
|
Jeffrey Rae Kramer
873 Robertson Blvd |
$56.56 | 7,719 | 6,596 |
|
Mary Virginia Girardeau Lucas
401 Witsell St |
$61.20 | 7,027 | 6,603 |
|
Cheryl A Smith
406 Robertson Blvd |
$61.53 | 4,994 | 4,600 |
|
Michael L Blubaugh
461 Spruce St |
$84.31 | 4,799 | 3,510 |
|
Robert L Thomas
300 Ruby St |
$51.56 | 4,744 | 4,360 |
|
Christina Bashnan Martin
400 Constance St |
$44.75 | 4,606 | 4,117 |
|
Angela Cowart Fisher
400 Constance St |
$62.88 | 4,187 | 3,123 |
|
Alyssa W Ursini
1515 Bells Hwy |
$61.84 | 3,954 | 3,362 |
|
Juliette Walker
457 Spruce St |
$134.53 | 3,790 | 3,334 |
|
Marc Joseph Fawal
302 Medical Park Dr Ste 211 |
$66.76 | 3,499 | 2,971 |
|
Lawrence L. Conley
120 Medical Park Dr |
$47.07 | 2,655 | 2,443 |
|
State Of South Carolina
219 South Lemacks Street |
$53.98 | 1,999 | 1,938 |
|
Karl D. Stiegler
120 Medical Park Dr |
$23.59 | 1,756 | 1,279 |
|
Casey Michelle Sikes
1515 Bells Hwy |
$56.39 | 1,577 | 1,509 |
|
Marion R Novak
501 Robertson Blvd |
$53.49 | 1,502 | 1,384 |
|
Sanjay Kumar
461 Spruce St |
$88.89 | 1,306 | 1,236 |
|
Jeffrey Holman
120 Medical Park Dr |
$70.24 | 914 | 885 |
|
Deborah Szelepka
457 Spruce St |
$61.39 | 714 | 678 |
|
William Walter Haynes
415D Robertson Blvd |
$47.97 | 542 | 449 |
|
Zachary Alan Woodrum
4510 Jefferies Hwy |
$33.68 | 468 | 435 |
|
Tylicia A Freeman
1515 Bells Hwy |
$56.14 | 431 | 423 |
|
Andrew Fenters Calcutt
901 Robertson Blvd |
$16.56 | 426 | 301 |
|
Sarah Ashlan Zemp
457 Spruce St |
$51.51 | 370 | 291 |
|
David Rosen
120 Medical Park Dr |
$24.74 | 115 | 108 |
|
Matthew Lawrence Gilbert
447 Spruce St |
$149.07 | 97 | 94 |
|
Erin Whittington
447 Spruce St |
$51.82 | 39 | 39 |
|
Caitlin Wells Briggs
457 Spruce St |
$186.21 | 35 | 35 |
|
Robert L Thomas Md Fccp Llc
300 Ruby St |
$0.00 | 35 | 33 |
|
Lance Austen Sims
841 Robertson Blvd |
$54.61 | 23 | 23 |
|
Melody Paige Crews
205 Lynwood Rd |
$35.59 | 21 | 12 |
|
Rosie Mincey
447 Spruce St |
$49.31 | 17 | 16 |
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 Walterboro, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Walterboro, SC is $68.92 per claim, based on 88,390 claims from 33 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 Walterboro, SC?
There are 33 Medicaid providers offering Office Visit related services in Walterboro, SC according to public payment data.
What is the price range for Office Visit in Walterboro, SC?
Medicaid reimbursement for Office Visit in Walterboro, SC ranges from $0.00 to $186.21 per claim, with an average of $68.92. 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 Walterboro, SC
Emergency Room Visit
Avg $55.68
119,366 claims
Dental Cleaning & Exam
Avg $34.04
96,098 claims
Blood Work & Lab Tests
Avg $18.18
93,789 claims
Physical Therapy
Avg $49.18
49,736 claims
Urinalysis & Urine Tests
Avg $20.82
47,498 claims
Speech Therapy
Avg $26.73
46,918 claims
Ambulance Transport
Avg $60.68
34,932 claims
X-Ray
Avg $30.92
28,899 claims