Average Medicaid Office Visit Payments in Decatur, IL: $24.65
Avg. Paid
$24.65
Range
$0.00 – $101.24
Total Claims
505,157
Providers
222
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 Decatur, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Health Improvement Center
320 E Central Ave |
$0.55 | 170,652 | 134,600 |
|
Board Of Trustees Of Southern Illinois University
102 W Kenwood Ave |
$0.01 | 49,543 | 36,752 |
|
County Of Macon
1221 E Condit St |
$11.10 | 12,046 | 10,205 |
|
Tessa E Mccoy
1800 E Lake Shore Dr |
$68.21 | 11,178 | 7,658 |
|
Mayra A Arzon
One Memorial Dr |
$72.23 | 10,833 | 4,504 |
|
Community Health Improvement Center
1027 N Water St |
$0.23 | 10,112 | 4,816 |
|
Sandy L Yockey
102 W Kenwood Ave Lowr Level |
$83.86 | 9,479 | 7,309 |
|
Community Health Improvement Center
2300 N Edward St |
$0.00 | 7,734 | 6,213 |
|
Adarsh Bairsetty
550 Southland Dr |
$43.44 | 6,637 | 5,790 |
|
Nathalie K Diethrich
151 N Main St |
$72.29 | 6,346 | 4,684 |
|
Sebastien Simon Kairouz
210 W Mckinley Ave |
$37.04 | 5,485 | 4,451 |
|
Ahmad H Ahmad
1770 E Lake Shore Dr |
$47.81 | 5,364 | 3,820 |
|
Christina Elizabeth Ventimiglia-Brandt
151 N Main St |
$65.99 | 4,880 | 3,491 |
|
Bonnie Jean Coburn
4455 E Us Route 36 |
$52.29 | 4,836 | 4,467 |
|
Kevin Collins
3131 N Water St |
$54.40 | 4,540 | 4,142 |
|
Jennifer K Fogle
4455 E Us Route 36 |
$60.16 | 3,974 | 3,832 |
|
Francis Hobson
101 W Mckinley Ave |
$39.01 | 3,939 | 3,584 |
|
Rohidas T. Patil
1770 E Lakeshore Dr |
$19.26 | 3,719 | 2,785 |
|
Hima S Atluri
2981 N Main St |
$32.71 | 3,631 | 3,366 |
|
Danxuan Long
1730 E Lake Shore Dr |
$26.47 | 3,512 | 2,952 |
|
Becky S Lebar
3131 N Water St |
$59.54 | 3,320 | 3,194 |
|
Rebecca A Voyles
575 W Hay St |
$60.81 | 3,266 | 3,142 |
|
Gabrielle K. Sauder
2905 N Main St |
$12.48 | 3,255 | 2,900 |
|
Perry P Guaglianone
210 W Mckinley Ave |
$30.66 | 3,208 | 2,513 |
|
Christine M Meeker
1800 E Lake Shore Dr |
$51.56 | 3,130 | 2,971 |
|
Debra Kay Jackson
4775 E Maryland St |
$53.79 | 3,111 | 2,878 |
|
Ritika Sharma
2300 N Edward St Ste 3200 |
$44.67 | 3,109 | 2,751 |
|
Edward C Elliott
2 Memorial Dr Ste 305 |
$25.55 | 3,107 | 2,669 |
|
David Ibrahim
250 W Kenwood Ave |
$79.42 | 3,073 | 2,411 |
|
Jeffrey Pfeiffer
544 West Pershing Road |
$32.04 | 3,064 | 2,748 |
|
Rachel Westbrook
3131 N Water St |
$57.85 | 3,055 | 2,959 |
|
Caitlyn Berg
441 W Hay St |
$44.13 | 3,013 | 2,464 |
|
Evelena Ontiveros
210 W Mckinley Ave Ste 1 |
$30.20 | 3,010 | 2,201 |
|
Whitney Donaldson
304 W Hay St Ste 213 |
$39.86 | 2,908 | 2,739 |
|
Manjeshwar B. Prabhu
1730 E Lake Shore Dr Ste 301 |
$39.66 | 2,873 | 2,628 |
|
David Anthony Jones
1770 E Lake Shore Dr |
$56.85 | 2,805 | 2,348 |
|
Mario R Velasco
210 W Mckinley Ave |
$34.11 | 2,637 | 2,159 |
|
Jeffery M Smith
304 W Hay St |
$22.45 | 2,619 | 2,469 |
|
Samir A Patel
1730 E Lake Shore Dr |
$82.51 | 2,617 | 2,533 |
|
Francesco Vetri
304 W Hay St Ste 213 |
$36.92 | 2,549 | 2,357 |
|
Jeffrey Michael Ulis
101 W Mckinley Ave |
$53.26 | 2,524 | 2,322 |
|
Jamie Marie Queary
1800 E Lake Shore Dr |
$49.74 | 2,230 | 2,113 |
|
Micah Hamm
4775 E Maryland St |
$59.24 | 2,160 | 1,886 |
|
Jamie Cross
2120 N 27Th St |
$45.82 | 2,137 | 2,002 |
|
Shane R Fancher
1800 E Lake Shore Dr |
$19.22 | 2,079 | 1,710 |
|
Marshall F Brustein
304 W Hay St Ste 112 |
$25.26 | 2,059 | 1,752 |
|
Maia D. Scharf
1704 E Lawrence St |
$46.83 | 1,989 | 1,927 |
|
John M Furry
1800 E Lake Shore Dr |
$20.46 | 1,954 | 1,696 |
|
Bethany T Gibson
101 W Mckinley Ave |
$68.48 | 1,952 | 1,799 |
|
Martin Nnaemeka Okpalike
2888 N Monroe St |
$60.70 | 1,846 | 1,605 |
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 Decatur, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Decatur, IL is $24.65 per claim, based on 505,157 claims from 222 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 Decatur, IL?
There are 222 Medicaid providers offering Office Visit related services in Decatur, IL according to public payment data.
What is the price range for Office Visit in Decatur, IL?
Medicaid reimbursement for Office Visit in Decatur, IL ranges from $0.00 to $101.24 per claim, with an average of $24.65. 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 Decatur, IL
Blood Work & Lab Tests
Avg $5.54
435,905 claims
Emergency Room Visit
Avg $61.57
152,348 claims
Speech Therapy
Avg $14.65
137,456 claims
Vaccines & Immunizations
Avg $5.31
120,212 claims
Ambulance Transport
Avg $139.19
106,858 claims
Urinalysis & Urine Tests
Avg $2.40
103,176 claims
Substance Abuse Treatment
Avg $76.70
92,401 claims
Case Management Services
Avg $72.05
83,412 claims