Average Medicaid Office Visit Payments in Benton, IL: $3.85
Avg. Paid
$3.85
Range
$0.00 – $55.89
Total Claims
59,323
Providers
14
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 Benton, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Franklin Hospital District
201 Bailey Lane |
$0.06 | 32,740 | 25,808 |
|
Southern Illinois Medical Services, Nfp
203 Bailey Ln |
$0.00 | 12,614 | 8,655 |
|
Christopher Greater Area Rural Health Planning Corporation
206 E Church St Ste B |
$0.00 | 7,744 | 6,721 |
|
Christy K Williams
107 E Smith St Ste B |
$18.02 | 1,541 | 1,393 |
|
Darla Joe Allan
201 Bailey Ln Fl 3 |
$34.79 | 1,371 | 1,289 |
|
Kent Edwards
11488 Sugar Creek Rd |
$48.64 | 1,253 | 872 |
|
Olufeyisayo Jokotola Taiwo
203 Bailey Ln |
$55.89 | 675 | 513 |
|
Ralph I Latta
501 N Duquoin |
$48.80 | 491 | 481 |
|
Cindy L Lord
501 N Du Quoin St |
$29.46 | 385 | 344 |
|
Terri Lynn Braddock-Hartman
201 Bailey Ln |
$37.85 | 238 | 167 |
|
Christopher J Ostromecki
203 Bailey Ln |
$29.82 | 228 | 209 |
|
Gemilo Resaba
201 Bailey Ln |
$0.00 | 16 | 14 |
|
Ashley S Kaytor-Mccoy
206 E Church St Ste B |
$31.01 | 14 | 13 |
|
John D Hartman
201 Bailey Lane |
$51.81 | 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 Benton, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Benton, IL is $3.85 per claim, based on 59,323 claims from 14 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 Benton, IL?
There are 14 Medicaid providers offering Office Visit related services in Benton, IL according to public payment data.
What is the price range for Office Visit in Benton, IL?
Medicaid reimbursement for Office Visit in Benton, IL ranges from $0.00 to $55.89 per claim, with an average of $3.85. 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 Benton, IL
Speech Therapy
Avg $19.07
90,538 claims
Ambulance Transport
Avg $138.38
31,009 claims
Physical Therapy
Avg $38.96
16,755 claims
Emergency Room Visit
Avg $54.46
5,957 claims
EKG / ECG (Electrocardiogram)
Avg $6.18
5,652 claims
Nursing Facility Care
Avg $1.06
5,261 claims
Home Health Visit
Avg $81.00
4,631 claims
Durable Medical Equipment (DME)
Avg $48.49
3,225 claims