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
Leslie M. Carmack 1701 E College Ave	$58.57	12	12
Shaun Kink 1111 Trinity Ln Ste 111	$38.13	12	12
Vicken S Chalian 1401 Eastland Dr	$23.62	12	12
Edward W Pegg 2204 Eastland Dr	$49.59	12	12
David S West 1505 Eastland Dr	$11.19	12	12
Robert Edward Clark 1228 Towanda Ave Ste 1	$21.68	12	12
Jesse L Vanle 1505 Eastland Dr	$40.86	13	13
Daniel Young 2204 Eastland Dr	$48.64	13	13
Eric J Farinas 1401 Eastland Dr	$38.63	13	13
Charles Rosen 1015 S Mercer Ave Ste E1	$26.24	13	12
Stefani J Hagglund 1111 Trinity Ln Ste 111	$44.46	14	14
James B Hancock 1401 Eastland Dr	$39.36	15	15
Amber Kingery 210 Saint Joseph Dr	$32.74	16	16
Karyn W Flores 3024 E Empire St	$74.03	16	14
Kent S. Taulbee 2418 E Lincoln St	$14.51	17	16
Brittany Ziller 2111 E Oakland Ave Ste B	$100.63	18	12
Clair L Casagrande 1111 Trinity Ln	$54.97	20	17
Saba Quraishi 1228 Towanda Ave	$3.61	24	24
Fang Li 2204 Eastland Dr	$35.55	26	25
Morgan Teston 508 Iaa Dr	$20.20	27	19
Kellie Franzen 2103 E Washington St Ste D	$43.11	27	25
Barry Jay Riskin 2502 E Empire St	$23.89	28	25
Katy K Wong 1401 Eastland Dr	$41.50	28	26
Nita Raut 3024 E Empire St Ste A	$65.56	32	26
Joseph A Novotny 1111 Trinity Lane	$40.84	32	26
Adam D. Houghton 9 Heartland Dr	$49.22	35	34
Robert K Seidl 2406 E. Empire St.	$36.55	41	39
Geneva A. Petersen 1505 Eastland Dr Ste 2200	$70.28	46	38
Katie Chiles 1701 E College Ave	$40.78	48	39
Betsy Lucille Aughenbaugh 107 N Regency Dr	$116.78	50	43
Ricardo Vallejo 1015 S Mercer Ave	$9.47	56	53
Kyle Lee Alexander 1505 Eastland Dr Ste 1100	$51.56	60	60
Yogesh K Agarwal 1505 Eastland Dr	$45.11	62	62
Mohammad Umair Zafar 3901 Ge Rd	$21.88	64	53
Curtis J. Hayden 2204 Eastland Dr	$29.97	65	63
Debbie Novtney Wietfeldt 1111 Trinity Ln Ste 111	$39.77	67	42
Mariano Villalon Tolentino 2502 E Empire St	$34.89	68	64
Herman Justis Dick 2204 Eastland Dr	$50.82	71	63
Adrienne Schupbach 3024 E Empire St Ste E&F	$20.49	72	72
Lucy Nelson Wisdom 1404 Eastland Drive	$21.90	76	76
Madhumita Chatterjee 3024 E Empire St Ste 3A	$77.54	83	83
Darren M Sawyer 1111 Trinity Ln	$29.33	87	80
Ashley Ferguson 2502 E Empire St	$42.18	95	90
Sonal Mukesh Patel 1701 E College Ave	$47.81	98	95
Mark J Hanson 1111 Trinity Lane	$39.24	105	81
Benjamin J Leak 1401 Eastland Dr	$12.24	106	78
William V Novak 1505 Eastland Dr.	$31.92	106	103
M Allan Griffith 1701 East College Ave	$37.51	107	103
Wenjing Cao 108 W. Market	$18.85	110	81
Kimberly Ku 3105 Magory Dr	$56.34	115	92

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

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Bloomington, IL

Blood Work & Lab Tests

Dental Cleaning & Exam

Substance Abuse Treatment

Speech Therapy

Emergency Room Visit

Vaccines & Immunizations

Physical Therapy

Eye Exam