Average Medicaid Office Visit Payments in Carbondale, IL: $12.72
Avg. Paid
$12.72
Range
$0.00 – $132.02
Total Claims
451,954
Providers
136
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 Carbondale, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southern Illinois Medical Services, Nfp
2601 W Main St |
$0.00 | 125,652 | 100,744 |
|
Shawnee Health Service And Development Corp
400 S Lewis Ln |
$0.04 | 68,586 | 53,437 |
|
Shawnee Health Service And Development Corp
404 S. Lewis Lane |
$0.01 | 61,592 | 51,902 |
|
Shawnee Health Service And Development Corp
101 S Wall St |
$0.03 | 38,853 | 27,863 |
|
Board Of Trustees Of Southern Illinois University
300 W Oak St |
$0.02 | 16,765 | 13,324 |
|
Fakhre Alam
2731 W Main St |
$35.96 | 9,200 | 8,256 |
|
Melissa Patil
2311 S Illinois Ave |
$84.93 | 6,476 | 5,620 |
|
Ahmed H Jafri
305 W Jackson St Ste 103 |
$44.49 | 5,042 | 4,560 |
|
Christopher James Hanson
2250 Reed Station Pkwy Ste 305 |
$55.08 | 4,947 | 3,948 |
|
Donald K Bishop
1390 Hope Dr |
$61.20 | 4,727 | 3,709 |
|
Monica L Nagele
1175 Cedar Ct |
$14.05 | 4,388 | 3,871 |
|
Board Of Trustees Of Southern Illinois University
300 W Oak St Ste 100 |
$0.00 | 4,356 | 2,605 |
|
Jeffrey M Lehman
2601 W Main St |
$45.44 | 3,914 | 3,698 |
|
Hal Aaron Lewis
1400 Financial Park |
$45.77 | 3,789 | 3,632 |
|
Douglas L Gates
305 W Jackson St |
$63.00 | 3,757 | 2,868 |
|
Kathy D. Swafford
300 W Oak St |
$44.49 | 3,563 | 2,958 |
|
Lisa E Arnold
1390 Hope Dr |
$36.78 | 3,501 | 3,000 |
|
Shawnee Health Service And Development Corp
1301 E Walnut St Rm J120 |
$0.02 | 3,443 | 2,291 |
|
Sam Stokes
305 W Jackson St Ste 301 |
$24.96 | 3,006 | 2,790 |
|
Anne Marie Rose
305 W Jackson St Ste 301 |
$28.26 | 2,805 | 2,663 |
|
Anad K Salem
207 W Jackson St |
$35.99 | 2,712 | 2,331 |
|
Gerson A Criste
1390 Hope Dr |
$58.49 | 2,628 | 2,474 |
|
Tiffany Ward
305 W Jackson St Ste 103 |
$33.21 | 2,537 | 2,308 |
|
Vadzim Chyzhyk
409 W Oak St |
$50.41 | 2,367 | 2,187 |
|
Jennifer Marie Shopinski
202 W Jackson St |
$63.70 | 2,306 | 1,673 |
|
Jessica Milburn
409 W Oak St |
$22.43 | 2,175 | 1,865 |
|
Allison Campos
409 W Oak St |
$24.28 | 2,160 | 2,100 |
|
Gurpreet Singh Bambra
305 W Jackson St |
$22.36 | 2,146 | 2,008 |
|
Community Health & Emergency Services, Inc.
1340 Cedar Ct |
$0.43 | 2,105 | 1,567 |
|
Muhammad Kamran
1350 Cedar Ct |
$21.27 | 2,071 | 1,993 |
|
Richard Lan England
305 W Jackson St Ste 200 |
$46.20 | 1,955 | 1,779 |
|
Ashley L. Brown
409 W Oak St |
$32.98 | 1,916 | 1,845 |
|
Joeli Gebhart
300 W Oak St |
$84.23 | 1,762 | 1,736 |
|
Christina Kraus
409 W Oak St |
$25.01 | 1,634 | 1,572 |
|
Kali Jo Moe
1237 E Main St |
$27.54 | 1,529 | 1,006 |
|
Muhammad A Khan
409 W Oak St |
$33.51 | 1,456 | 1,321 |
|
Cesar E Coello
409 W Oak St |
$35.68 | 1,360 | 1,286 |
|
Gangadhar Rao Malasana
409 W Oak St |
$33.73 | 1,287 | 1,176 |
|
Michael James
2601 W Main St |
$55.98 | 1,268 | 1,215 |
|
Son P Le
409 W Oak St |
$36.90 | 1,254 | 1,151 |
|
Hassan Pervaiz
2601 W Main St |
$82.56 | 1,237 | 1,126 |
|
Amar Sawar
301 Robinson Cir |
$8.69 | 1,214 | 1,141 |
|
Cynthia Snider
2601 W Main St |
$60.57 | 1,204 | 1,051 |
|
Osama Aaflaq
405 W Jackson St |
$34.98 | 1,138 | 881 |
|
Krishna Chaitanya Cherukuri
409 W Oak St |
$54.44 | 1,087 | 1,049 |
|
Mostafa Abdul-Rahman Farache
305 W Jackson St Ste 103 |
$73.81 | 1,066 | 879 |
|
Muhammad Amjad Hameed
305 W Jackson St Ste 103 |
$49.81 | 1,058 | 1,050 |
|
Jessica Nicole Grisham
2601 W Main St |
$97.11 | 1,058 | 813 |
|
Motaz R Wraikat
405 W Jackson St |
$18.55 | 1,035 | 781 |
|
Jon O Humphrey
305 W Jackson St |
$30.87 | 1,010 | 799 |
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 Carbondale, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Carbondale, IL is $12.72 per claim, based on 451,954 claims from 136 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 Carbondale, IL?
There are 136 Medicaid providers offering Office Visit related services in Carbondale, IL according to public payment data.
What is the price range for Office Visit in Carbondale, IL?
Medicaid reimbursement for Office Visit in Carbondale, IL ranges from $0.00 to $132.02 per claim, with an average of $12.72. 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 Carbondale, IL
Emergency Room Visit
Avg $61.27
152,544 claims
Dental Cleaning & Exam
Avg $24.00
109,755 claims
EKG / ECG (Electrocardiogram)
Avg $9.49
83,747 claims
Vaccines & Immunizations
Avg $0.13
77,901 claims
Substance Abuse Treatment
Avg $80.03
70,778 claims
Urinalysis & Urine Tests
Avg $2.08
38,270 claims
Case Management Services
Avg $55.47
35,921 claims
Ultrasound
Avg $24.48
30,006 claims