Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Bloomington, IL: $42.85

Avg. Paid

$42.85

Range

$0.00 – $126.16

Total Claims

361,601

Providers

200

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 Bloomington, IL

Provider	Avg. Paid	Claims	Patients
Chestnut Health Systems, Inc 702 W Chestnut St	$0.00	40,985	29,957
County Of Mclean 200 W Front St	$11.91	19,432	17,054
Sanjay Saxena 2427 Maloney Dr	$52.63	12,447	9,874
Jibran Naseer 11 Raspberry Rd	$47.73	12,244	10,741
Andrea Michelle Kane 3024 E Empire St	$57.98	11,448	10,480
Susan Carmody 1505 Eastland Dr	$51.50	10,091	8,776
David Milligan 3024 E Empire St	$55.46	8,964	8,186
Tom Kenney 1405 Eastland Dr	$52.48	8,710	7,348
Aaron Reid Traeger 3024 E Empire St	$64.26	8,627	7,968
Angela Sue Birdsell 2406 E Empire St	$36.49	7,610	6,792
Justin James Holschbach 308 Saint Joseph Dr	$56.09	7,245	6,057
Shilpa Mehta 1505 Eastland Dr	$48.14	6,764	6,010
Wilbert M. Leonard 2708 Mcgraw Dr	$24.05	6,366	5,291
Gustavo Galue 1701 E College Ave	$57.75	5,695	4,817
Stephen Walter Hill 3024 E Empire St Ste 3A	$61.23	5,585	5,068
Stephen Trainor 302 Saint Joseph Dr	$49.46	5,428	4,703
April Liane Powell 2200 E Washington St	$62.70	4,977	4,208
Abby Grace Freckleton 3024 E Empire St Fl 1	$43.02	4,796	4,397
Jacob Bradley Page 1701 E College Ave	$41.35	4,688	3,423
Todd Snoeyink 1701 E College Ave	$25.85	4,684	3,497
Megan Berry 3024 E Empire St	$52.51	4,234	3,979
Mihaela Monica Stancu 1505 Eastland Dr	$36.92	4,192	3,800
Jack P Spaniol 308 Saint Joseph Dr	$60.53	3,941	3,357
Erik Paul Boe 306 Saint Joseph Dr	$67.37	3,933	3,384
Kristi Chioni 2203 Eastland Dr	$29.08	3,677	3,253
Amaresh Vydyanathan 1015 S Mercer Ave	$75.52	3,659	3,635
Joseph Kaysing Newcomer 1111 Trinity Lane	$36.53	3,523	2,846
Samina Yousuf 302 Saint Joseph Dr	$52.94	3,414	2,867
Kaye Harms Toohill 306 Saint Joseph Dr	$57.84	3,327	2,765
Brian Moshier 306 Saint Joseph Dr	$56.13	3,299	3,016
Sunanda R Kale 1505 Eastland Dr	$48.74	3,298	3,076
Andrea A Mclean 1001 N Rivian Mtwy	$50.11	3,298	3,064
Wynn Hugh Kao 3024 E Empire St	$23.58	3,125	2,920
Venkata Ranganadh Dodda 1505 Eastland Dr	$39.31	3,124	2,939
Brian Alan Emm 306 Saint Joseph Dr	$57.97	2,968	2,585
Stacey Elaine Salmonson 3024 E Empire St Ste 2A	$64.95	2,945	2,107
Hannah K Donahue 1505 Eastland Dr	$47.75	2,897	2,675
Elizabeth A Saunches 308 Saint Joseph Dr	$51.69	2,897	2,574
Jay Martin Dietrich 2200 E Washington St	$32.63	2,871	2,715
Deanna M Hahn 306 St. Joseph Dr.	$56.27	2,674	2,318
Sasikala Royyuru 3024 E Empire St	$65.74	2,442	2,183
Chad Osborne 1701 E College Ave	$51.86	2,428	2,119
Stephanie Anne Butler 1015 S Mercer Ave	$46.92	2,422	2,164
Kimberly Shrode 1405 Eastland Dr	$45.85	2,383	2,212
Kristen Braun 302 Saint Joseph Dr	$50.92	2,378	2,127
Justin Joseph Couch 2200 E Washington St	$48.58	2,134	1,965
Karla Renee Kossler 326 Fairway Dr	$39.35	2,126	1,738
Carrie Lynne Helle 304 Rowe Dr	$101.81	2,071	1,256
Jillian M. Mchood 1130 S Veterans Pkwy	$49.89	1,959	1,901
Jodie Dewey 302 Saint Joseph Dr	$45.90	1,806	1,593

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 Bloomington, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bloomington, IL is $42.85 per claim, based on 361,601 claims from 200 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 Bloomington, IL?

There are 200 Medicaid providers offering Office Visit related services in Bloomington, IL according to public payment data.

What is the price range for Office Visit in Bloomington, IL?

Medicaid reimbursement for Office Visit in Bloomington, IL ranges from $0.00 to $126.16 per claim, with an average of $42.85. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Bloomington, IL: $42.85

Providers Offering Office Visit in Bloomington, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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