Average Medicaid Office Visit Payments in Danville, IL: $15.86
Avg. Paid
$15.86
Range
$0.00 – $130.99
Total Claims
412,049
Providers
103
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 Danville, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jessica Leigh Wagner
3545 N Vermilion St |
$36.91 | 12 | 12 |
|
Raja Irfan Sadiq
735 N Logan Ave |
$26.06 | 14 | 12 |
|
Mary Y Gindi
511 W Fairchild St |
$0.00 | 15 | 12 |
|
Ibukunoluwa Y Afolabi
1900 E Main St |
$15.63 | 17 | 14 |
|
Bikramjit Malhotra
707 N Logan Ave |
$56.10 | 18 | 12 |
|
Debra Jeanne Watson
1010 E Fairchild St |
$53.27 | 24 | 23 |
|
Kashif Hussain
311 W Fairchild St |
$43.50 | 25 | 25 |
|
George R Gindi
511 W Fairchild St |
$0.00 | 35 | 29 |
|
Amanda Dawn Thoennes
210 Avenue C |
$93.40 | 37 | 30 |
|
Shawn P Mallady
1104 N Vermilion St |
$30.68 | 39 | 35 |
|
Ramon Andaya Vista
311 W Fairchild St |
$46.58 | 53 | 53 |
|
Selena Delle Mccalla
516 W Madison St |
$68.39 | 54 | 54 |
|
Courtney Renee Marsh
1104 N Vermilion St |
$36.67 | 59 | 56 |
|
Malec A Mokraoui
2300 N. Vermilion Avenue |
$33.42 | 59 | 52 |
|
Peggy Ann Wolpert
1900 E Main St |
$36.85 | 65 | 41 |
|
Susan E. Jordan
707 N Logan Avenue |
$44.89 | 68 | 66 |
|
Brandi L Alvord
1900 E Main St |
$47.58 | 70 | 65 |
|
Lacy Smith
1900 E Main St |
$32.45 | 72 | 72 |
|
Cheryl A Sullivan
707 N Logan Ave |
$62.31 | 76 | 67 |
|
Kara Kaye Sharpf
707 N Logan Ave |
$48.33 | 79 | 70 |
|
Dean J Scavone
2300 N. Vermilion Avenue |
$60.08 | 82 | 80 |
|
John C Henry
1010 W Clay Street |
$50.24 | 88 | 81 |
|
Huan Jane Hsieh
707 N Logan Ave |
$59.40 | 91 | 89 |
|
Edward Caballero
311 W Fairchild St |
$45.00 | 93 | 92 |
|
Sijo Thomas Sunny
108 Robinson St |
$42.17 | 94 | 81 |
|
Lavender Kristy Zarraga
707 N Logan Ave |
$96.72 | 115 | 96 |
|
Southern Illinois Healthcare Foundation Inc
202 E Fairchild St |
$0.00 | 115 | 99 |
|
Lynn P Keller
311 W Fairchild St |
$51.07 | 128 | 115 |
|
James Donald Lohrberg
1104 North Vermilion Street |
$40.59 | 145 | 130 |
|
Bayview Family Clinic Ltd
405 N. Sheridan St. |
$0.00 | 146 | 137 |
|
Antony Kurian Verghese
311 W Fairchild St |
$37.81 | 151 | 144 |
|
Katherine Loretta Murphy Dunne
1104 N Vermilion St |
$36.51 | 160 | 150 |
|
Mary Patricia Becker
812 N Logan Ave |
$65.31 | 197 | 195 |
|
Chad Aaron Burkowski
707 N Logan Ave |
$69.90 | 200 | 175 |
|
Denise Fischer
800 N Logan Ave Ste 104 |
$29.29 | 219 | 181 |
|
Naresh C Goel
707 N Logan Ave |
$76.73 | 252 | 246 |
|
Brijnandan Singh Sodhi
1010 W Clay St |
$32.47 | 258 | 226 |
|
Rhonda Hardy
108 Robinson St |
$59.63 | 321 | 302 |
|
Amanda Spezia
610 N Gilbert St Ste A |
$3.31 | 361 | 358 |
|
Puneet Singh Braich
1104 N Vermilion St |
$96.85 | 363 | 356 |
|
Maleah Grussing
108 Robinson St |
$63.07 | 367 | 316 |
|
Jacqueline Jones
108 Robinson St |
$51.53 | 376 | 340 |
|
Kirk M Bott
707 N Logan Ave |
$22.43 | 396 | 349 |
|
Venkat E Sekar
707 N Logan Ave |
$45.50 | 398 | 370 |
|
Sebastian James Ciancio
707 N Logan Ave |
$24.97 | 413 | 346 |
|
Julie Vann
311 W Fairchild St |
$61.52 | 463 | 429 |
|
Paul F Plattner
2300 N. Vermilion Avenue |
$53.89 | 499 | 482 |
|
Muhammad Mushtaq
707 N Logan Ave |
$35.95 | 550 | 508 |
|
Kathryn Tite
108 Robinson St |
$48.36 | 605 | 516 |
|
Jennifer Lynn Laubscher
516 W Madison St |
$34.87 | 653 | 625 |
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 Danville, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Danville, IL is $15.86 per claim, based on 412,049 claims from 103 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 Danville, IL?
There are 103 Medicaid providers offering Office Visit related services in Danville, IL according to public payment data.
What is the price range for Office Visit in Danville, IL?
Medicaid reimbursement for Office Visit in Danville, IL ranges from $0.00 to $130.99 per claim, with an average of $15.86. 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 Danville, IL
Speech Therapy
Avg $9.37
84,146 claims
Vaccines & Immunizations
Avg $3.80
54,917 claims
Substance Abuse Treatment
Avg $82.71
32,030 claims
Eye Exam
Avg $32.10
27,022 claims
X-Ray
Avg $8.81
23,720 claims
EKG / ECG (Electrocardiogram)
Avg $8.96
22,758 claims
Psychiatric Evaluation
Avg $30.73
19,441 claims
Emergency Room Visit
Avg $74.82
16,567 claims