Average Medicaid Office Visit Payments in Alton, IL: $31.44
Avg. Paid
$31.44
Range
$0.00 – $576.22
Total Claims
266,790
Providers
111
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 Alton, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southern Illinois Health Care Foundation, Inc.
4 Memorial Dr Ste 210 |
$0.00 | 99,238 | 76,166 |
|
Kathie R. Wuellner
4 Memorial Dr. |
$48.82 | 13,098 | 11,564 |
|
Mirza S A Baig
2615 Edwards St |
$51.27 | 12,365 | 8,951 |
|
Laura Pulaski Barton
4 Memorial Dr. |
$49.89 | 9,207 | 8,188 |
|
Erica D Shaw
2615 Edwards St |
$73.27 | 7,667 | 5,890 |
|
Southern Illinois Healthcare Foundation, Inc.
2615 Edwards St |
$0.00 | 6,856 | 5,611 |
|
Michael Scott Klein
2 Saint Anthonys Way |
$50.02 | 6,266 | 5,577 |
|
Wonil Tae
2 Saint Anthonys Way |
$51.91 | 5,457 | 5,101 |
|
Karna D Sherwood
2 Saint Anthonys Way Ste 300 |
$42.28 | 5,216 | 4,559 |
|
Gillian K Long
1 Professional Dr |
$53.72 | 5,079 | 3,630 |
|
Bruce T Vest
4411 Alby St |
$22.52 | 5,062 | 4,319 |
|
Kevin D Boyd
2 Saint Anthonys Way |
$40.84 | 4,763 | 4,007 |
|
Olivia Winters
2615 Edwards St |
$73.80 | 4,449 | 2,908 |
|
Colin M Butterfield
2 Saint Anthonys Way |
$47.68 | 4,302 | 3,552 |
|
Steven P Zenker
1 Professional Dr Ste 250 |
$46.23 | 4,166 | 3,651 |
|
Janis M. Robinson
4 Memorial Dr. |
$47.65 | 4,139 | 3,667 |
|
Sanit Saengsamran
1 Memorial Dr |
$73.86 | 3,999 | 3,861 |
|
Manpreet Kaur Sandhu
815 E 5Th St |
$33.81 | 3,127 | 2,808 |
|
Emily M Cottrell
4 Memorial Dr Ste 230 |
$31.52 | 2,985 | 2,635 |
|
Colin Michael Solomon
2 Saint Anthonys Way |
$58.09 | 2,965 | 2,685 |
|
Anna Zarlingo
5305 Richland Woods Dr |
$61.56 | 2,916 | 2,623 |
|
Michelle Sampson
1 Memorial Dr |
$44.53 | 2,659 | 2,346 |
|
John H. Giroux
550 Landmarks Blvd |
$93.79 | 2,565 | 2,487 |
|
Alice Marie Hutchason
2 Saint Anthonys Way |
$40.13 | 2,552 | 1,854 |
|
Priya Kumaraguru
2 Saint Anthonys Way |
$52.53 | 2,260 | 2,070 |
|
Julie Ann Benhoff
1 Memorial Dr |
$66.25 | 2,176 | 1,936 |
|
Kelly J Lindsey
1 Professional Dr |
$46.95 | 1,915 | 1,728 |
|
Matthew E Duban
1 Memorial Dr |
$60.85 | 1,846 | 1,802 |
|
Karley Sue Christopher
2 Memorial Dr Ste 220 |
$51.62 | 1,779 | 1,676 |
|
Roxanne R Strohbeck
2 Saint Anthonys Way |
$57.98 | 1,771 | 1,580 |
|
Brandy M Byrd
4 Memorial Dr Ste 230 |
$47.12 | 1,670 | 1,597 |
|
Jennifer Lynn Singleton
2615 Edwards St |
$127.52 | 1,477 | 1,185 |
|
Michelle Marie Lovsey
1 Saint Anthonys Way |
$49.97 | 1,475 | 1,442 |
|
Wael F Girgis
4 Memorial Dr Ste 230 |
$54.07 | 1,467 | 1,331 |
|
Jacob W Lamb
3505 College Ave Ste B |
$18.60 | 1,430 | 1,157 |
|
Southern Illinois Healthcare Foundation, Inc
2 Memorial Dr |
$0.00 | 1,342 | 1,144 |
|
Oyindamola O Aluko
2615 Edwards St |
$96.33 | 1,218 | 1,075 |
|
Joseph M Talsky
4 Memorial Dr Ste 125 |
$43.31 | 1,158 | 807 |
|
Ajitesh Rai
4 Memorial Dr Ste 230 |
$38.57 | 1,081 | 1,024 |
|
Shelby Ann Markel
4 Memorial Dr Ste 110 |
$56.27 | 1,037 | 928 |
|
Aaron Patrick Omotola
4 Memorial Dr Ste 130B |
$36.44 | 1,009 | 902 |
|
Cody E Bilderback
4 Memorial Dr Ste 230B |
$63.48 | 912 | 776 |
|
Madhusudan Vallala
2 Saint Anthonys Way |
$51.70 | 912 | 789 |
|
Deena M Brown
2 Saint Anthonys Way Ste 205 |
$70.15 | 845 | 774 |
|
Southern Illinois Healthcare Foundation, Inc.
815 E 5Th St |
$0.00 | 836 | 774 |
|
Michael Xiaozhong Liu
4 Memorial Dr Ste 230 |
$65.57 | 817 | 799 |
|
Mark T Klucka
4 Memorial Dr Ste 230 |
$61.67 | 795 | 709 |
|
Mena M Luangjamekorn
4 Memorial Dr |
$74.86 | 768 | 749 |
|
Misty D Biciocchi
4 Memorial Dr |
$33.78 | 725 | 631 |
|
Kanwal Mahmood
4500 College Ave |
$57.05 | 694 | 634 |
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 Alton, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Alton, IL is $31.44 per claim, based on 266,790 claims from 111 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 Alton, IL?
There are 111 Medicaid providers offering Office Visit related services in Alton, IL according to public payment data.
What is the price range for Office Visit in Alton, IL?
Medicaid reimbursement for Office Visit in Alton, IL ranges from $0.00 to $576.22 per claim, with an average of $31.44. 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 Alton, IL
Substance Abuse Treatment
Avg $81.19
128,805 claims
Speech Therapy
Avg $14.36
120,325 claims
Case Management Services
Avg $48.87
85,265 claims
Eye Exam
Avg $30.07
81,135 claims
Emergency Room Visit
Avg $62.67
67,242 claims
Ambulance Transport
Avg $133.11
56,470 claims
Vaccines & Immunizations
Avg $4.64
44,028 claims
Urinalysis & Urine Tests
Avg $1.25
33,487 claims