Average Medicaid Office Visit Payments in Belleville, IL: $26.22
Avg. Paid
$26.22
Range
$0.00 – $541.36
Total Claims
304,803
Providers
144
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 Belleville, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southern Illinois Healthcare Foundation, Inc
7210 W Main St |
$0.00 | 52,298 | 40,653 |
|
David C Norman
3030 Frank Scott Parkway West |
$43.38 | 36,725 | 30,911 |
|
Southern Illinois Health Care Foundation, Inc.
180 S 3Rd St Ste 103&104 |
$0.00 | 26,390 | 20,991 |
|
Southern Illinois Healthcare Foundation, Inc.
2900 Frank Scott Pkwy W |
$0.00 | 15,654 | 12,929 |
|
Naheed Talat Bashir
1 Bronze Pointe |
$18.57 | 10,475 | 9,325 |
|
Lindsey Krumholz
4600 Memorial Dr |
$58.19 | 9,189 | 6,970 |
|
Southern Illinois Healthcare Foundation, Inc.
2810 Frank Scott Pkwy W |
$0.00 | 9,061 | 7,143 |
|
Abdulsalam Jamous
4600 Memorial Dr Ste 200 |
$36.96 | 8,349 | 7,563 |
|
Sarah Price
4600 Memorial Dr |
$53.42 | 8,137 | 6,633 |
|
Vasantha P Pai
2810 Frank Scott Pkwy W Ste 716 |
$36.98 | 7,994 | 7,348 |
|
James P Wade
311 W Lincoln St Ste 200 |
$43.42 | 6,918 | 5,756 |
|
Southern Illinois Healthcare Foundation, Inc.
2900 Frank Scott Pkwy W |
$0.00 | 5,905 | 4,708 |
|
St Clair County Illinois
19 Public Sq |
$11.82 | 5,136 | 4,407 |
|
Amanda Patterson
211 S 3Rd St |
$44.66 | 4,949 | 4,426 |
|
Stacie Laff
4600 Memorial Dr Ste 280 |
$54.35 | 4,859 | 3,765 |
|
Michael E Herrmann
2900 Frank Scott Pkwy W |
$37.55 | 4,503 | 4,094 |
|
Chestnut Health Systems Inc.
12 N 64Th St |
$0.00 | 4,456 | 4,007 |
|
Niraj J Shah
4700 Memorial Dr Ste 210 |
$55.67 | 4,086 | 3,673 |
|
Tracie Leigh Placher
4600 Memorial Dr Ste 360 |
$53.19 | 4,026 | 3,824 |
|
Morgan Fahey-Vornberg
2900 Frank Scott Pkwy W |
$52.02 | 3,963 | 3,142 |
|
Molly Jo Nelsen
180 S 3Rd St Ste 300 |
$34.46 | 3,766 | 2,874 |
|
Southern Illinois Healthcare Foundation, Inc.
180 S 3Rd St Ste 103 |
$0.00 | 3,597 | 3,063 |
|
David P Rawdon
4700 Memorial Dr Ste 210 |
$50.62 | 3,371 | 2,976 |
|
Willie Lee Brown
3700 N Belt W |
$21.22 | 3,362 | 2,954 |
|
Michael Clay Brown
4600 Memorial Dr Ste W1 |
$18.57 | 2,734 | 2,408 |
|
Nidal Shawahin
4600 Memorial Dr |
$40.71 | 2,638 | 2,372 |
|
Ella Nora Wilson
12 N 64Th St |
$51.76 | 2,572 | 1,723 |
|
Nancy Beatrice Moore
4600 Memorial Dr Ste 240 |
$63.43 | 2,452 | 1,994 |
|
Gail Elizabeth Thomas
324 Hickory Bnd |
$2.67 | 2,330 | 2,174 |
|
Veronica Powers
12 N 64Th St |
$73.84 | 2,305 | 1,704 |
|
Karen Marie Deem
211 S 3Rd St |
$45.98 | 2,052 | 1,665 |
|
Salma Mannan-Hilaly
4600 Memorial Dr Ste 400 |
$47.24 | 2,002 | 1,778 |
|
Crystal Stone
423 N High St |
$111.66 | 1,985 | 1,230 |
|
John J Lehman
4600 Memorial Dr Ste W3 |
$32.25 | 1,954 | 1,771 |
|
Walter R. Glauber
311 W Lincoln St |
$25.70 | 1,410 | 1,052 |
|
Jawad Khan
8601 West Main Street |
$6.49 | 1,298 | 1,129 |
|
Emily Catherine Klein
4550 Memorial Dr Ste 280 |
$73.76 | 1,226 | 1,031 |
|
Prasad V Kandula
4600 Memorial Dr Ste W1 |
$27.59 | 1,188 | 1,120 |
|
Kashif Shahzad Bhutto
4600 Memorial Dr Ste 200 |
$25.71 | 1,182 | 1,102 |
|
Timothy J Leeburton
4700 Memorial Dr Ste 340 |
$32.87 | 1,117 | 1,009 |
|
Katie Krueger
4500 Memorial Dr |
$36.89 | 1,036 | 1,027 |
|
Gregory Joseph Simmons
4700 Memorial Dr |
$23.05 | 1,026 | 895 |
|
Donald G. Adams
130 Lincoln Place Ct Ste 130 |
$72.37 | 986 | 897 |
|
Ginny Mense
4600 Memorial Dr Ste 200 |
$64.79 | 973 | 721 |
|
Timur Davydov
458 Carlyle E |
$30.27 | 938 | 715 |
|
Jason Andrew Wiechert
4700 Memorial Dr Ste 340 |
$31.06 | 922 | 843 |
|
Amy Cyrus
12 N 64Th St |
$76.89 | 919 | 776 |
|
Stephen K. Burger
4700 Memorial Dr Ste 250 |
$30.33 | 841 | 733 |
|
Jason Christopher Mccarthy
180 S 3Rd St Ste 400 |
$4.47 | 834 | 802 |
|
David A Oneill
311 W Lincoln St Ste 200 |
$35.93 | 777 | 686 |
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 Belleville, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Belleville, IL is $26.22 per claim, based on 304,803 claims from 144 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 Belleville, IL?
There are 144 Medicaid providers offering Office Visit related services in Belleville, IL according to public payment data.
What is the price range for Office Visit in Belleville, IL?
Medicaid reimbursement for Office Visit in Belleville, IL ranges from $0.00 to $541.36 per claim, with an average of $26.22. 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 Belleville, IL
Blood Work & Lab Tests
Avg $6.62
390,551 claims
X-Ray
Avg $7.05
124,033 claims
Vaccines & Immunizations
Avg $6.88
123,340 claims
Speech Therapy
Avg $14.09
112,859 claims
Urinalysis & Urine Tests
Avg $3.37
105,374 claims
Emergency Room Visit
Avg $70.22
101,619 claims
Ambulance Transport
Avg $127.63
98,490 claims
Case Management Services
Avg $38.85
75,632 claims