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Based on public Medicaid payment data.

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
David Robert Riedel

4 Memorial Dr Ste 230

 $38.18 12 12
Emilia B David-Restivo

4 Memorial Dr Ste 210

 $45.85 14 13
John C Wuellner

2 Memorial Dr

 $211.95 14 14
Karra Nance Adams

1 Professional Dr Ste 220

 $48.95 14 13
Lorraine Rosenthal Seiffert

2 Memorial Dr

 $26.93 14 12
Christopher Ryan Aldridge

4 Memorial Dr Ste 230

 $55.95 14 14
Southern Illinois Healthcare Foundation Inc

2 Saint Anthonys Way Ste 101

 $0.00 16 16
Sarah J Davis

2 Memorial Dr Ste 220

 $71.94 17 17
Jaleesa Gilbert-Gortman

2 Memorial Dr Ste 220

 $74.70 20 12
Rachel Durham

1 Professional Dr Ste 230

 $102.73 27 24
Angela Lytle

1 Professional Dr

 $46.79 29 25
Katie Marie Albrecht

1 Saint Anthonys Way

 $38.25 29 29
Tariq L Quadri

1 Professional Dr

 $18.49 33 26
Reginald Kai Mason

2 Saint Anthonys Way Ste 105

 $576.22 35 32
Jodi R Lutz

1650 Washington Ave

 $40.75 44 43
Erik Christian Stabell

1 Professional Dr

 $29.20 45 38
Nada Memon

2 Saint Anthonys Way Ste 305

 $22.90 47 37
Vicki K Young

2615 Edwards St

 $47.74 51 41
Amy M Maher

4 Memorial Dr Ste 125

 $83.38 52 38
William Ray Bartley

1 Professional Dr

 $47.01 54 50
Carol Hurley

1 Memorial Dr

 $41.94 57 52
Jordyn M Hoemmen

4 Memorial Dr Ste 125

 $76.75 61 53
Raman Kumar

2 Saint Anthonys Way Ste 305

 $50.20 61 60
Mindy Marie Faraone

4 Memorial Dr Ste 230B

 $98.06 69 52
Andrew Michael Hayden

1 Memorial Dr

 $39.06 73 70
Timothy Michael Kamp

4 Memorial Dr Ste 130B

 $34.72 75 60
Daniel L Duelm

4 Memorial Dr Ste 130

 $86.29 77 76
Kelley Renee Campbell

1 Memorial Dr

 $52.17 84 83
Cheryl L Bray

2811 Homer M Adams Pkwy

 $46.06 86 79
Oghenero Lucky Olomukoro

4 Memorial Dr Ste 210

 $122.71 95 92
Bindu N Patel

4 Memorial Dr Ste 125

 $71.71 100 98
Thomas B Brummett

3 Professional Dr

 $20.75 133 109
Kourtney Cecelia Chapman

2 Memorial Dr Ste 220

 $48.91 134 111
Lawrence Anthony Huels

3535 College Ave

 $22.38 140 129
Christina J. Levi

406 E Broadway

 $31.78 150 146
Joanna E. Janas-Kaminsky

#2 Saint Anthony'S Way

 $20.07 154 120
Matthew C Musielak

4 Memorial Dr Ste 230B

 $22.14 156 155
Christopher R Green

2 Memorial Dr

 $28.63 168 148
Beth A Jacobs

4 Memorial Dr Ste 230

 $25.43 169 163
Wynndel T Buenger

3 Professional Dr Ste B

 $17.14 174 167
John W Stirton

4 Memorial Dr

 $37.14 244 203
Isha L Mcconkey

2 Saint Anthonys Way Ste 205

 $65.54 245 212
Philip D Kannel

2 Saint Anthonys Way

 $31.23 256 248
Khalid Naseer

2 Saint Anthonys Way Ste 105

 $57.74 282 250
Ahmad A Karadaghy

4 Memorial Dr Ste 230B

 $38.46 314 271
Elizabeth Anne Schrumpf

1 Professional Dr

 $65.86 316 290
Juletta Avagyan

1 Memorial Dr

 $120.47 371 339
Jacqlyn E Long

211 E Broadway

 $33.89 381 361
Megan Sauer

1 Professional Dr

 $101.33 389 256
Melissa Rae Mitchell

1 Professional Dr Ste 150

 $97.68 438 376

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