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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

43

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
Daniel A Wolf

408 W 2Nd St

$11.23 13 12
Robin Lee Johnson

418 S Poplar

$23.19 23 21
Lyle D Pahnke

400 N Pleasant Ave

$11.64 28 26
Paul S Edwards

1050 Martin Luther King Drive

$47.79 29 29
Abbey Dempsey

1307 E Mccord St

$36.23 32 27
Miguel A Aguilera

400 N Pleasant Ave

$6.28 150 128
Janet Rose Merrell

904 M L King Dr

$17.65 160 158
Maria Riaz

1441 W Broadway

$49.79 162 157
Jessica Lynn Chapman

1535 W Mccord St

$24.55 207 181
Leslie Ann Williams

1998 State Route 161

$54.70 211 191
Merrilee R Brandt

1054 Martin Luther King Dr

$22.90 236 212
Hong Chen

400 N Pleasant Ave

$30.87 308 290
Naeem Anwar Khan

1050 Martin Luther King Drive

$16.64 437 345
Rajendra R Shroff

1050 M L King Dr

$13.85 511 426
Agnes Boehning

819 E Mccord St

$41.23 701 561
Joel Kwan Barrientos

1054 Martin Luther King Drive

$2.15 759 727
Suresh Krishnamoorthy

1054 M L King Dr

$5.65 945 874
Tracie Foster

1441 W Broadway

$21.09 1,107 941
Lavada Rainier Simpson

1003 E Mccord St

$43.40 1,195 1,116
Shalisa Anne Henson

430 N Pleasant Ave

$101.52 1,220 978
Stephen T Ang

1054 M L King Dr

$19.49 1,288 1,183
Barbara Dawn Becker

400 N Pleasant Ave

$51.25 1,424 1,284
Maamoun A Junidi

803 E Broadway

$43.61 1,692 1,440
Stacy D Menees

432 N Pleasant Ave

$40.70 1,857 1,334
Tracy Arnold

1011 W Broadway

$50.05 2,544 2,123
Balavittal Varanasi

936 M L King Dr

$26.87 2,674 2,105
Robert Mitchell Norman

444 N Pleasant Ave

$62.12 2,797 1,956
Usha Kiran Sadanala

1441 W Broadway

$45.33 3,203 2,435
Alicia Yaeger

400 N Pleasant Ave

$39.63 3,215 2,222
Andrea Marie Johnson

444 N Pleasant Ave

$102.97 3,584 3,485
Paul S Havrilka

208 E 3Rd St

$102.04 4,175 3,176
Heartland Women'S Healthcare Ltd

430 N Pleasant Ave

$0.01 5,873 4,186
Niranjan Shrestha

1050 M L King Dr Ste 111

$24.56 6,757 6,011
Syed Ahmed Shah

1007 Ml King Dr

$22.94 6,888 6,191
Robert Kevin Schergen

402 N Pleasant Ave

$24.90 7,142 5,605
Aziz U Rahman

1050 M L King Dr

$37.97 8,200 6,927
Gibran Hamid Mahmud

1052 M L King Dr

$23.43 8,256 6,451
Amber Lynn Wennerstrom

444 N Pleasant Ave

$106.22 8,416 7,732
Camille Deanna Greider

1003 E Mccord St

$40.12 8,839 8,001
Melissa Karaffa

444 N Pleasant Ave

$47.21 11,141 9,659
Matthew Tolman Stedelin

130 S Lincoln Blvd

$47.57 14,907 12,122
Elizabeth Franczyk

1050 M L King Dr

$56.82 18,555 16,465
Physician Services Corporation Of Southern Illinois Inc

1441 W Broadway

$0.01 44,690 35,304

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.

Office Visit in Other Cities

Other Procedures in Centralia, IL