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
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 Centralia, IL
Speech Therapy
Avg $10.14
139,571 claims
Case Management Services
Avg $68.42
51,963 claims
Substance Abuse Treatment
Avg $71.11
31,718 claims
Physical Therapy
Avg $19.28
31,326 claims
Eye Exam
Avg $28.17
28,121 claims
Vaccines & Immunizations
Avg $9.90
26,989 claims
EKG / ECG (Electrocardiogram)
Avg $7.30
23,576 claims
Ambulance Transport
Avg $118.94
22,592 claims