Average Medicaid Office Visit Payments in Columbia, IL: $52.32
Avg. Paid
$52.32
Range
$30.60 – $86.63
Total Claims
14,855
Providers
17
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 Columbia, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph Edward Cangas
1550 N Main St Ste E |
$45.01 | 6,077 | 4,871 |
|
Anil Gupta
421 South Main Street |
$73.74 | 1,893 | 1,458 |
|
Tami Boren
1000 Eleven S Ste 2B |
$55.05 | 1,790 | 1,248 |
|
Jordan Priebe
1000 Eleven S |
$30.60 | 1,640 | 1,299 |
|
Sean David Lattimore
1000 Eleven S Ste 4A |
$66.47 | 853 | 765 |
|
Kristen Nicole Massey
200 Admiral Trost Rd Ste 1A |
$46.49 | 501 | 436 |
|
Carrie A Daigle
1019 Valmeyer Rd |
$51.13 | 432 | 389 |
|
Dana M Grosch
200 Admiral Trost Rd Ste 1A |
$71.70 | 354 | 299 |
|
Ketan Shah
1000 Eleven S |
$30.67 | 308 | 280 |
|
Jennifer Ann Bergmann-Krause
1000 Eleven S Ste 4A |
$68.82 | 296 | 253 |
|
Andrea Nicole Thomas
1000 Eleven South 2E |
$78.70 | 214 | 198 |
|
Malissa Miller
107 N Main St Ste 2A |
$86.63 | 176 | 168 |
|
Tina Louise Valentine
421 S Main St |
$84.04 | 118 | 108 |
|
Candace Parker Fleming
109 W Legion Ave |
$86.34 | 113 | 109 |
|
Michael Nels Kirk
1000 Eleven S Ste 4A |
$63.70 | 50 | 48 |
|
Vanessa D Pratt
1000 Eleven S Ste 1A |
$72.38 | 27 | 26 |
|
Hannah M Hanebrink
200 Admiral Trost Rd Ste 1A |
$86.51 | 13 | 13 |
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 Columbia, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Columbia, IL is $52.32 per claim, based on 14,855 claims from 17 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 Columbia, IL?
There are 17 Medicaid providers offering Office Visit related services in Columbia, IL according to public payment data.
What is the price range for Office Visit in Columbia, IL?
Medicaid reimbursement for Office Visit in Columbia, IL ranges from $30.60 to $86.63 per claim, with an average of $52.32. 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 Columbia, IL
Dental Cleaning & Exam
Avg $29.38
19,390 claims
Speech Therapy
Avg $25.69
7,658 claims
Dental Filling
Avg $75.70
5,565 claims
Physical Therapy
Avg $28.00
4,017 claims
Tooth Extraction
Avg $120.52
2,349 claims
Hearing Test (Audiometry)
Avg $15.63
1,619 claims
Root Canal
Avg $73.82
1,193 claims
Ambulance Transport
Avg $156.04
1,147 claims