Average Medicaid Office Visit Payments in Collinsville, IL: $41.58
Avg. Paid
$41.58
Range
$0.00 – $91.85
Total Claims
91,372
Providers
16
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 Collinsville, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Raj M Sajid
415 W Main St |
$53.45 | 21,353 | 15,710 |
|
Makin Uddin Ahmed
415 W Main St |
$48.90 | 19,605 | 16,413 |
|
Southern Illinois Healthcare Foundation, Inc.
1215 Vandalia Avenue |
$0.00 | 18,938 | 14,605 |
|
Li Ling Lai
101 United Dr |
$49.63 | 7,338 | 6,651 |
|
Kristin V Stahl
101 United Dr |
$47.58 | 7,178 | 6,421 |
|
Megan Lynn Mihelcic
1103 Belt Line Rd |
$53.77 | 6,298 | 4,922 |
|
Sarah Grace O'Grady
101 United Dr Ste 110 |
$73.87 | 5,659 | 4,527 |
|
Diedra M Ahlert
1320 Lexington Dr |
$55.07 | 1,536 | 1,382 |
|
Gretchen Sander
101 United Dr |
$57.55 | 1,181 | 1,038 |
|
Patrick Zimmermann
531 Vandalia St |
$41.81 | 887 | 755 |
|
Rebecca Kathryn Phelps
28 Woodland Dr |
$21.47 | 620 | 614 |
|
Laura Ann Wilson
1215 Vandalia St |
$42.94 | 444 | 327 |
|
Amanda Hemphill
1408 N Bluff Rd |
$35.55 | 159 | 156 |
|
Zachary Marcus Ford
101 United Dr |
$47.11 | 131 | 126 |
|
Jessica Lynn Walker
531 Vandalia St |
$91.85 | 27 | 25 |
|
Elizabeth Anne Frost
1604 Eastport Plaza Dr |
$6.42 | 18 | 14 |
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 Collinsville, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Collinsville, IL is $41.58 per claim, based on 91,372 claims from 16 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 Collinsville, IL?
There are 16 Medicaid providers offering Office Visit related services in Collinsville, IL according to public payment data.
What is the price range for Office Visit in Collinsville, IL?
Medicaid reimbursement for Office Visit in Collinsville, IL ranges from $0.00 to $91.85 per claim, with an average of $41.58. 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 Collinsville, IL
Speech Therapy
Avg $12.71
47,153 claims
Nursing Facility Care
Avg $13.15
29,032 claims
Durable Medical Equipment (DME)
Avg $56.51
21,594 claims
Dental Cleaning & Exam
Avg $18.00
21,178 claims
Vaccines & Immunizations
Avg $6.95
20,264 claims
Physical Therapy
Avg $11.18
11,016 claims
Psychiatric Evaluation
Avg $6.30
10,378 claims
Ambulance Transport
Avg $492.72
9,869 claims