Average Medicaid Office Visit Payments in Winnsboro, SC: $64.12
Avg. Paid
$64.12
Range
$21.61 – $173.68
Total Claims
18,990
Providers
16
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 Winnsboro, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roger A Gaddy
880 W Moultrie St |
$59.49 | 3,802 | 3,544 |
|
Mark Edward Humphrey
56 Us Highway 321 Byp N |
$42.76 | 3,086 | 2,957 |
|
Harmon Fairey Patrick
880 W Moultrie St |
$57.60 | 2,499 | 2,374 |
|
Mark Edward Shaffer
56 Us Highway 321 Byp N |
$57.94 | 2,054 | 1,809 |
|
Deborah Lou Stuck
880 W Moultrie St |
$59.37 | 1,929 | 1,810 |
|
Kannetria Halona Robinson-Davis
880 W Moultrie St |
$78.93 | 1,383 | 699 |
|
Ashley Sirianni
880 W Moultrie St Ste 200 |
$44.28 | 1,222 | 1,135 |
|
Charlie Jean Wofford
1136 Kincaid Bridge Rd |
$173.68 | 1,068 | 1,012 |
|
Shubha Kudchadkar
880 W Moultrie St |
$50.21 | 991 | 933 |
|
Kylie Anna Whittle
56 Us Highway 321 Byp N |
$71.79 | 365 | 325 |
|
State Of South Carlina
1136 Kincaid Bridge Road |
$62.52 | 292 | 279 |
|
Tamika Bryson
1136 Kincaid Bridge Rd |
$165.97 | 132 | 130 |
|
Tracie Young
1136 Kincaid Bridge Rd Ste A |
$164.45 | 86 | 79 |
|
Fairfield Medical Associates, Pa
880 West Moultrie St. |
$29.11 | 53 | 41 |
|
Stephen A. Brunton
56 Us Highway 321 Byp N |
$21.61 | 15 | 14 |
|
Gordon Reese Weigle
880 W Moultrie St Ste 200 |
$91.02 | 13 | 13 |
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 Winnsboro, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Winnsboro, SC is $64.12 per claim, based on 18,990 claims from 16 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 Winnsboro, SC?
There are 16 Medicaid providers offering Office Visit related services in Winnsboro, SC according to public payment data.
What is the price range for Office Visit in Winnsboro, SC?
Medicaid reimbursement for Office Visit in Winnsboro, SC ranges from $21.61 to $173.68 per claim, with an average of $64.12. 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 Winnsboro, SC
Non-Emergency Medical Transportation
Avg $12.76
17,648 claims
Speech Therapy
Avg $34.78
16,934 claims
Blood Work & Lab Tests
Avg $14.56
8,389 claims
Ambulance Transport
Avg $90.76
8,022 claims
Dental Cleaning & Exam
Avg $35.18
7,534 claims
Urinalysis & Urine Tests
Avg $5.67
5,148 claims
Emergency Room Visit
Avg $68.30
4,938 claims
Dialysis
Avg $67.09
3,949 claims