Based on public Medicaid payment data.

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
Sara De La Rosa 960 E Mound Rd	$24.67	12	12
Jappan Bhatt 2300 N Edward St	$26.19	13	13
Harold A Yoon 210 W Mckinley Ave Ste 1	$19.07	13	12
Micheal Young 1730 E Lake Shore Dr	$37.53	14	14
Lilian Kay Clayton 441 W Hay St Fl 1	$100.50	14	13
Kristina Kay Bradford 1800 E Lake Shore Dr	$76.74	14	14
Jamie J Luecke 302 W Hay St Ste 140	$44.45	15	15
Zachary James Shipp 102 W Kenwood Ave Ste 100	$43.97	18	17
Sydney Grohler 304 W Hay St Ste 213	$48.59	19	17
Alexis Renee Graven 2300 N Edward St Ste 2400	$32.60	20	20
Vidya Sagar Rao Morisetty 675 E Snyder Dr Ste 1	$98.58	22	16
Laila Mahmoud Hashim 2 Memorial Dr	$92.60	25	25
Gihane Fatme Hilal 4965 E Lost Bridge Rd	$57.77	26	25
Jordan S Youngerman 1 Memorial Dr	$33.34	27	26
Komal Kaul 1800 E Lake Shore Dr	$37.61	31	28
Mira N Dvivedi 250 W Kenwood Ave	$0.00	35	30
George Albert Liu 1 Memorial Dr Ste 300	$43.01	39	37
Emily Ann Foster 1770 E Lake Shore Dr Ste 105	$39.68	41	41
Community Health Improvement Center 1221 East Condit Street	$0.00	43	43
Nathan Pyle 2 Memorial Dr Ste 101	$32.94	47	46
Sara Lynn Johnson 544 W Pershing Rd	$28.80	49	40
Thomas Franklin Rutherford 176 W Mound Rd	$41.12	51	49
Amber N Ridgeway 1770 E Lake Shore Dr Ste 105	$54.58	53	53
Debra E Campbell 544 W Pershing Rd	$36.39	55	51
Travis R Jameson 301 W Hay St	$35.31	57	45
Aftab Hassan Jafri 1730 E Lake Shore Dr Apt 1084	$33.08	58	55
Justin William Kierbs 1800 E Lake Shore Dr	$18.14	60	58
Yolanda Arce-Montijo 331 W 1St Dr	$27.23	60	55
Audra L Trump 102 W Kenwood Ave	$49.23	61	58
Ranjodh Singh 1 Memorial Dr	$46.79	63	53
Terrence M Graham 2 Memorial Dr Ste 305	$20.94	66	57
Elizabeth A Campbell 150 S Fairview Ave	$39.62	67	62
Angela Michelle Zora 304 W Hay St Ste 111	$40.09	70	53
Lisa Ann Stolz 151 N Main St	$45.78	72	71
Susan S Wu 304 W Hay St	$29.67	78	69
Kelly Marie West 250 W Kenwood Ave	$49.04	80	78
Vikram S Kotwal 1750 E Lake Shore Dr	$55.92	85	76
Tricia Scerba 320 E Central Ave	$69.10	89	84
Kevin M Oliver 1800 E Lake Shore Dr	$26.15	92	66
Allyson Snyder 302 W Hay St Ste 200	$41.84	93	93
Nada Lygrisse 741 W Pershing Rd	$44.38	94	89
Mackenzie Marie Bowers 2 Memorial Dr Ste 101	$58.61	106	106
Dennis O. Heim 250 W Kenwood Ave	$36.64	117	110
Helen B. Kennedy 4965 E Lost Bridge Rd	$53.41	117	102
Nehemiah T Tan 102 W Kenwood Ave	$2.93	118	115
Angela L King 2905 N Main St	$47.04	121	92
Michael Robert Ruebhausen 302 W Hay St Ste 200	$58.96	127	121
Katlyn Lane Lee 2475 N Monroe St	$54.47	131	112
Chinelo C Echeazu 1750 E Lake Shore Dr	$66.28	134	70
Daniel Burtion Smith 4965 E Lost Bridge Rd	$45.26	144	136

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.

Average Medicaid Office Visit Payments in Decatur, IL: $24.65

Providers Offering Office Visit in Decatur, IL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Houston, TX

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Other Procedures in Decatur, IL

Blood Work & Lab Tests

Emergency Room Visit

Speech Therapy

Vaccines & Immunizations

Ambulance Transport

Urinalysis & Urine Tests

Substance Abuse Treatment

Case Management Services