Average Medicaid Office Visit Payments in Breese, IL: $18.27
Avg. Paid
$18.27
Range
$0.57 – $74.81
Total Claims
56,373
Providers
16
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 Breese, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Emily Rhoades
9401 Holy Cross Ln Ste 112 |
$44.87 | 14 | 13 |
|
Jacob Daniel Wengert
9515 Holy Cross Ln Ste 175 |
$32.93 | 30 | 20 |
|
Meghan M Ziegler
9401 Holy Cross Ln Ste 112 |
$27.44 | 62 | 19 |
|
Kara Ann Huegen
9401 Holy Cross Ln Ste 112 |
$48.52 | 71 | 62 |
|
Melanie L. Banal
14160 Jamestown Rd |
$35.42 | 110 | 99 |
|
Anne Doll-Pollard
9447 Holy Cross Ln |
$74.08 | 231 | 175 |
|
Melissa Siebert
9401 Holy Cross Ln Ste 112 |
$40.15 | 393 | 336 |
|
David Louis Kee
14160 Jamestown Rd |
$20.25 | 1,015 | 851 |
|
Alexis Ann Mcallister
9401 Holy Cross Ln Ste 112 |
$74.81 | 1,071 | 916 |
|
Phillip Greene
9515 Holy Cross Ln Ste 112 |
$62.75 | 1,378 | 1,290 |
|
Nicole Vetter
9401 Holy Cross Ln Ste 112 |
$58.86 | 1,616 | 1,332 |
|
Saundra Elaine Winterrowd
9401 Holy Cross Ln Ste 112 |
$61.38 | 3,251 | 2,869 |
|
Clare R Arentsen
9401 Holy Cross Ln Ste 112 |
$54.19 | 3,662 | 2,628 |
|
Southern Obstetric & Gyneco Associates
9447 Holy Cross Ln |
$0.57 | 5,772 | 4,457 |
|
Deanne Perez-Meskil
9515 Holy Cross Ln |
$40.29 | 6,458 | 5,327 |
|
St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde
9401 Holy Cross Ln # 112 |
$1.36 | 31,239 | 20,932 |
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 Breese, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Breese, IL is $18.27 per claim, based on 56,373 claims from 16 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 Breese, IL?
There are 16 Medicaid providers offering Office Visit related services in Breese, IL according to public payment data.
What is the price range for Office Visit in Breese, IL?
Medicaid reimbursement for Office Visit in Breese, IL ranges from $0.57 to $74.81 per claim, with an average of $18.27. 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 Breese, IL
Vaccines & Immunizations
Avg $0.27
2,659 claims
Physical Therapy
Avg $92.44
2,520 claims
Nursing Facility Care
Avg $5.32
1,378 claims
Blood Work & Lab Tests
Avg $5.73
1,191 claims
EKG / ECG (Electrocardiogram)
Avg $8.66
897 claims
Urinalysis & Urine Tests
Avg $1.64
601 claims
Culture & Microbiology Tests
Avg $4.63
568 claims
Ultrasound
Avg $0.13
543 claims