Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Centralia, IL: $35.00

Avg. Paid

$35.00

Range

$0.01 – $106.22

Total Claims

186,551

Providers

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 Centralia, IL

Provider	Avg. Paid	Claims	Patients
Physician Services Corporation Of Southern Illinois Inc 1441 W Broadway	$0.01	44,690	35,304
Elizabeth Franczyk 1050 M L King Dr	$56.82	18,555	16,465
Matthew Tolman Stedelin 130 S Lincoln Blvd	$47.57	14,907	12,122
Melissa Karaffa 444 N Pleasant Ave	$47.21	11,141	9,659
Camille Deanna Greider 1003 E Mccord St	$40.12	8,839	8,001
Amber Lynn Wennerstrom 444 N Pleasant Ave	$106.22	8,416	7,732
Gibran Hamid Mahmud 1052 M L King Dr	$23.43	8,256	6,451
Aziz U Rahman 1050 M L King Dr	$37.97	8,200	6,927
Robert Kevin Schergen 402 N Pleasant Ave	$24.90	7,142	5,605
Syed Ahmed Shah 1007 Ml King Dr	$22.94	6,888	6,191
Niranjan Shrestha 1050 M L King Dr Ste 111	$24.56	6,757	6,011
Heartland Women'S Healthcare Ltd 430 N Pleasant Ave	$0.01	5,873	4,186
Paul S Havrilka 208 E 3Rd St	$102.04	4,175	3,176
Andrea Marie Johnson 444 N Pleasant Ave	$102.97	3,584	3,485
Alicia Yaeger 400 N Pleasant Ave	$39.63	3,215	2,222
Usha Kiran Sadanala 1441 W Broadway	$45.33	3,203	2,435
Robert Mitchell Norman 444 N Pleasant Ave	$62.12	2,797	1,956
Balavittal Varanasi 936 M L King Dr	$26.87	2,674	2,105
Tracy Arnold 1011 W Broadway	$50.05	2,544	2,123
Stacy D Menees 432 N Pleasant Ave	$40.70	1,857	1,334
Maamoun A Junidi 803 E Broadway	$43.61	1,692	1,440
Barbara Dawn Becker 400 N Pleasant Ave	$51.25	1,424	1,284
Stephen T Ang 1054 M L King Dr	$19.49	1,288	1,183
Shalisa Anne Henson 430 N Pleasant Ave	$101.52	1,220	978
Lavada Rainier Simpson 1003 E Mccord St	$43.40	1,195	1,116
Tracie Foster 1441 W Broadway	$21.09	1,107	941
Suresh Krishnamoorthy 1054 M L King Dr	$5.65	945	874
Joel Kwan Barrientos 1054 Martin Luther King Drive	$2.15	759	727
Agnes Boehning 819 E Mccord St	$41.23	701	561
Rajendra R Shroff 1050 M L King Dr	$13.85	511	426
Naeem Anwar Khan 1050 Martin Luther King Drive	$16.64	437	345
Hong Chen 400 N Pleasant Ave	$30.87	308	290
Merrilee R Brandt 1054 Martin Luther King Dr	$22.90	236	212
Leslie Ann Williams 1998 State Route 161	$54.70	211	191
Jessica Lynn Chapman 1535 W Mccord St	$24.55	207	181
Maria Riaz 1441 W Broadway	$49.79	162	157
Janet Rose Merrell 904 M L King Dr	$17.65	160	158
Miguel A Aguilera 400 N Pleasant Ave	$6.28	150	128
Abbey Dempsey 1307 E Mccord St	$36.23	32	27
Paul S Edwards 1050 Martin Luther King Drive	$47.79	29	29
Lyle D Pahnke 400 N Pleasant Ave	$11.64	28	26
Robin Lee Johnson 418 S Poplar	$23.19	23	21
Daniel A Wolf 408 W 2Nd St	$11.23	13	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 Centralia, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Centralia, IL is $35.00 per claim, based on 186,551 claims from 43 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 Centralia, IL?

There are 43 Medicaid providers offering Office Visit related services in Centralia, IL according to public payment data.

What is the price range for Office Visit in Centralia, IL?

Medicaid reimbursement for Office Visit in Centralia, IL ranges from $0.01 to $106.22 per claim, with an average of $35.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Centralia, IL: $35.00

Providers Offering Office Visit in Centralia, 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 Centralia, IL

Speech Therapy

Case Management Services

Substance Abuse Treatment

Physical Therapy

Eye Exam

Vaccines & Immunizations

EKG / ECG (Electrocardiogram)

Ambulance Transport