Based on public Medicaid payment data.

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
Maureen Jane Klemme 1250 Cedar Ct	$36.60	12	12
Yuan Chen 1350 Cedar Ct	$132.02	13	12
Kent A Arnold 405 W Jackson St	$58.98	14	14
Jonatan Hornik 305 W Jackson St Ste 103	$60.83	16	13
Amanda Marie Wilderman 1100 W Diann Ln	$2.98	16	15
Kennon Cox 1241 E Walnut St	$61.80	17	15
Donna M Bell 405 W Jackson St	$93.25	17	17
Jill Martin 1400 Financial Park	$63.74	17	17
Aaron Newcomb 400 S Lewis Lane	$43.43	17	15
Christine J Begley 374 E. Grand Ave,	$27.87	22	14
Ronald Dean Mings 1001 E Main St	$98.84	24	24
Siu Physicians & Surgeons, Inc. 305 W Jackson St	$0.00	24	12
Anand S Karsan 405 W Jackson St	$30.14	25	25
Kellie J Lustenberger 305 W. Jackson, Suite 100	$28.35	27	26
Pamela Kay Hunter-Reach 300 W Oak St	$5.33	30	29
Sarah Elizabeth Ruth Shannon 2601 W Main St	$39.68	31	31
Fadi Abou Obeid 409 W Oak St	$62.43	33	30
Kimberly Hankins 409 W Oak St	$20.64	35	34
Claire Francesca Melo 300 W Oak St	$72.41	42	42
Eric Hudgins 305 W Jackson St Ste 400	$73.39	42	42
Rachael Wernsman 101 S Wall St	$45.24	47	32
Amy Nichole Dinga 1400 Financial Park	$24.45	48	48
Natasha Charlyn Shafer 1340 Cedar Ct Ste 202	$30.58	55	53
Rebecca Elizabeth Renfroe 305 W Jackson St Ste 206	$75.92	56	55
Michael Rafati 3114 W Sunset Dr	$30.48	62	61
Vamsi Krishna Chilluru 1350 Cedar Ct	$37.92	68	66
Raed Al-Dallow 409 W Oak St	$27.94	71	68
Michael A. Chipman 405 W Jackson St	$19.99	71	68
Yasser Youssef 1390 Hope Dr	$62.27	80	76
Amy Dial 2601 W Main St	$74.39	83	83
Melissa Anne Fowler-Coello 305 W Jackson St Ste 100	$46.17	84	58
Roger D Jones 207 W Jackson Ste 102	$37.56	95	88
Kelli Webb 1400 Financial Park Drive	$46.82	120	117
Casey L Gustavison 409 W Oak St	$18.30	120	106
Solvera Healthcare Center Inc 2250 Reed Station Pkwy Ste 305	$1.40	138	121
Emily L Martin 305 W Jackson St Ste 301	$52.55	140	126
Andrea Loggini 305 W Jackson St Ste 103	$58.48	146	95
Issa Pour Ghaz 409 W Oak St	$71.35	168	165
Abraham El-Sedfy 305 W Jackson St Ste 206	$43.35	168	153
Brandi Ann Doerflein 2250 Reed Station Pkwy Ste 305	$72.78	193	161
Ruthann Coale 101 S Wall St	$38.44	199	191
Andrew John Hossler 207 W Jackson St Ste 101	$30.87	199	189
Amy Jo Glasco 409 W Oak St	$34.14	207	198
Randy Gene Cowart 1350 Cedar Ct	$11.59	207	185
Elbert A Fasnacht 721 S Lewis Ln	$31.90	208	203
Mark Louis Westphal 665 E Lake Rd	$52.70	210	206
Jacqueline B Biggs 1350 Cedar Ct	$11.89	214	210
Paul F Ploegman 1111 Cedar Ct	$51.65	240	214
Sumeet Soni 305 W Jackson St Ste 301	$39.71	241	232
Leslie King 1350 Cedar Ct	$49.30	248	190

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.

Average Medicaid Office Visit Payments in Carbondale, IL: $12.72

Providers Offering Office Visit in Carbondale, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Carbondale, IL

Emergency Room Visit

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)

Vaccines & Immunizations

Substance Abuse Treatment

Urinalysis & Urine Tests

Case Management Services

Ultrasound