Average Medicaid Office Visit Payments in Bethalto, IL: $49.09
Avg. Paid
$49.09
Range
$34.65 – $77.98
Total Claims
29,782
Providers
15
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 Bethalto, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kayla Craig
163 E Bethalto Dr Ste 300 |
$55.04 | 10,064 | 9,293 |
|
Megan Springman
159 E Mcarthur Dr |
$49.75 | 4,459 | 4,021 |
|
Angela Kage
159 E Mcarthur Dr |
$48.45 | 3,266 | 3,141 |
|
Rajnikant Kantilal Patel
404 W Bethalto Dr |
$34.65 | 2,539 | 2,329 |
|
Daniel P Berg
163 E Bethalto Dr |
$55.31 | 2,212 | 1,797 |
|
Fay Bagarinao
155 E Bethalto Dr |
$37.15 | 1,708 | 1,632 |
|
Craig Kenneth Harms
163 E Bethalto Dr |
$48.65 | 1,527 | 1,277 |
|
Billie Vincent
610 Texas Blvd |
$43.13 | 1,433 | 1,181 |
|
Stephany Renee Luchtefeld
159 E Mcarthur Dr |
$47.07 | 917 | 859 |
|
Kaylee Anne Bowen
163 E Bethalto Dr |
$40.09 | 690 | 635 |
|
Kari Leanne Hart
163 E Bethalto Dr |
$45.78 | 595 | 450 |
|
Jenny M Daniels
163 E Bethalto Dr |
$50.03 | 221 | 161 |
|
Saulat Mushtaq
159 E Mcarthur Dr Ste 3 |
$53.58 | 82 | 77 |
|
Beth Estelle Pruett
112 W Bethalto Blvd |
$77.98 | 44 | 38 |
|
Elizabeth Elaine Bernat
163 E Bethalto Dr |
$49.22 | 25 | 25 |
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 Bethalto, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bethalto, IL is $49.09 per claim, based on 29,782 claims from 15 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 Bethalto, IL?
There are 15 Medicaid providers offering Office Visit related services in Bethalto, IL according to public payment data.
What is the price range for Office Visit in Bethalto, IL?
Medicaid reimbursement for Office Visit in Bethalto, IL ranges from $34.65 to $77.98 per claim, with an average of $49.09. 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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Avg $8.51
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Avg $21.67
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