Average Medicaid Office Visit Payments in Canton, IL: $3.35
Avg. Paid
$3.35
Range
$0.00 – $95.14
Total Claims
132,083
Providers
33
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 Canton, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Graham Hospital Association
180 S Main St |
$0.02 | 118,139 | 88,148 |
|
Fulton County Health Department
700 East Oak Street |
$12.77 | 4,992 | 4,617 |
|
Lynette Eeten
180 S Main St |
$44.61 | 1,817 | 1,662 |
|
Dawn Marie Cousins
180 S Main St |
$48.61 | 1,035 | 916 |
|
Erin Kathleen Buckley
180 S Main St |
$70.51 | 783 | 647 |
|
Abby A Putnam
180 S Main St |
$36.07 | 618 | 603 |
|
Jessica Williams
180 S Main St |
$33.84 | 552 | 507 |
|
James Morse
2076 N Main St |
$47.25 | 467 | 438 |
|
Stephanie Barnes
180 S Main St |
$38.54 | 391 | 338 |
|
Dwayne Bernard
500 Westwood Blvd |
$42.37 | 385 | 337 |
|
Alyssa Crawford
180 S Main St |
$0.00 | 317 | 83 |
|
Glen N Feather
180 S Main St |
$10.84 | 277 | 269 |
|
Abena Krow-Goossen
210 W Walnut St |
$32.47 | 229 | 214 |
|
Alison Lea Kerans
180 S Main St |
$95.14 | 209 | 193 |
|
Patrick Barry Renick
180 S Main St |
$66.19 | 207 | 194 |
|
Marci L Well
180 S Main St |
$33.55 | 198 | 172 |
|
Joshua Bowers
180 South Main Street |
$34.51 | 198 | 185 |
|
Kyle Mccarthy
180 S Main St |
$31.48 | 172 | 159 |
|
Carley Elizabeth Promisson
126 N 5Th Ave |
$50.09 | 164 | 151 |
|
Dara Marie Wagner
180 S Main St |
$32.93 | 161 | 151 |
|
Ashley Nicole Howard
180 S Main St |
$36.07 | 144 | 139 |
|
James Francis Queenan
180 S Main St |
$12.16 | 113 | 84 |
|
Cody J. Gibbs
180 S Main St |
$23.61 | 102 | 91 |
|
Jake Ruff
180 S Main St |
$31.73 | 89 | 75 |
|
Kenneth R. Krock
180 S Main St |
$2.83 | 75 | 75 |
|
Todd A Lanser
180 S Main St |
$28.48 | 69 | 64 |
|
Brent D Parry
180 S Main St |
$14.94 | 48 | 37 |
|
Gary Y. Shaw
180 S Main St |
$23.71 | 44 | 41 |
|
Joshua J Wilkinson
210 W Walnut St |
$15.19 | 32 | 25 |
|
Jimmie Marquette Smith
180 S Main St |
$58.81 | 19 | 18 |
|
Rebekah J Ridgeway
180 S Main St |
$34.08 | 13 | 13 |
|
William Bailey
180 S Main St |
$47.25 | 12 | 12 |
|
Jessica Lynn Bugos
180 S Main St |
$41.02 | 12 | 12 |
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 Canton, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Canton, IL is $3.35 per claim, based on 132,083 claims from 33 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 Canton, IL?
There are 33 Medicaid providers offering Office Visit related services in Canton, IL according to public payment data.
What is the price range for Office Visit in Canton, IL?
Medicaid reimbursement for Office Visit in Canton, IL ranges from $0.00 to $95.14 per claim, with an average of $3.35. 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 Canton, IL
Blood Work & Lab Tests
Avg $4.69
53,217 claims
Substance Abuse Treatment
Avg $88.57
35,458 claims
Urinalysis & Urine Tests
Avg $2.54
27,868 claims
Emergency Room Visit
Avg $46.48
22,689 claims
Vaccines & Immunizations
Avg $0.05
22,321 claims
Speech Therapy
Avg $7.64
20,765 claims
Ambulance Transport
Avg $127.81
17,264 claims
Culture & Microbiology Tests
Avg $3.38
11,760 claims